title: Negative pressure wound therapy to treat peri-prosthetic methicillin-resistant Staphylococcus aureus infection after incisional herniorrhaphy. A case study and literature review.
abstract: 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.
authors.affiliation: Rijnland Hospital Leiderdorp, Department of Surgery, The Netherlands. p.steenvoorde@rijnland.nl
authors.forename: Pascal
authors.initials: P
authors.lastname: Steenvoorde
authors.forename: Ronald A
authors.initials: RA
authors.lastname: de Roo
authors.forename: Jaques
authors.initials: J
authors.lastname: Oskam
authors.forename: Peter
authors.initials: P
authors.lastname: Neijenhuis
mesh_terms: 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