Negative pressure wound therapy to treat peri-prosthetic methicillin-resistant Staphylococcus aureus infection after incisional herniorrhaphy. A case study and literature review.
The preferred treatment for incisional hernias occurring post laparotomy involves use of prosthetic mesh. If this mesh becomes infected, it may have to be removed to achieve wound healing. A patient with a methicillin-resistant Staphylococcus aureus-infected prosthetic mesh received negative pressure wound therapy to help facilitate healing without removing the prosthetic mesh applied to manage his hernia. After almost 4 weeks of treatment, the wound was closed secondarily. The literature contains many case studies about the use of NPWT for a variety of wounds but information about its safety and effectiveness for managing methicillin-resistant Staphylococcus aureus-infected prosthetic mesh is limited. The results of this case study add to the evidence that controlled clinical studies are warranted.
Steenvoorde
Pascal
P
Rijnland Hospital Leiderdorp, Department of Surgery, The Netherlands. p.steenvoorde@rijnland.nl
de Roo
Ronald A
RA
Oskam
Jaques
J
Neijenhuis
Peter
P
D000368:Aged; D006301:Health Services Needs and Demand; D006554:Hernia, Umbilical / Q000601:surgery; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D018579:Patient Selection; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000628:therapy*; D016032:Randomized Controlled Trials as Topic; D012086:Reoperation; D013203:Staphylococcal Infections / Q000209:etiology / Q000628:therapy*; D013211:Staphylococcus aureus; D013396:Suction / Q000379:methods*; D013526:Surgical Mesh / Q000009:adverse effects*; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000628:therapy*; D013530:Surgical Wound Infection / Q000209:etiology / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing