title: Use of porcine dermal collagen as a prosthetic mesh in a contaminated field for ventral hernia repair: a case report.
abstract: Chronic infection of a prosthetic mesh implant is a severe complication of ventral hernia repair, and mesh explantation is usually required in these cases. Biologic mesh implants have a possible role in ventral hernia repair in this setting. Here we present a case of chronic mesh infection following ventral hernia repair and the use of a biologic mesh to repair the existing defect following explantation of the infected mesh. Analysis of the explant material demonstrated possible oxidative degradation of the original polypropylene. A review of the literature follows.
authors.affiliation: Department of General Surgery, University of Missouri-Columbia, Mc414 McHaney Hall, Columbia, MO 65212, USA. ramshawb@health.missouri.edu
authors.forename: T M
authors.initials: TM
authors.lastname: Saettele
authors.forename: S L
authors.initials: SL
authors.lastname: Bachman
authors.forename: C R
authors.initials: CR
authors.lastname: Costello
authors.forename: S A
authors.initials: SA
authors.lastname: Grant
authors.forename: D S
authors.initials: DS
authors.lastname: Cleveland
authors.forename: T S
authors.initials: TS
authors.lastname: Loy
authors.forename: D G
authors.initials: DG
authors.lastname: Kolder
authors.forename: B J
authors.initials: BJ
authors.lastname: Ramshaw
mesh_terms: D001672:Biocompatible Materials; D003094:Collagen; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000009:adverse effects*; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D013526:Surgical Mesh / Q000009:adverse effects* / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D014945:Wound Healing
chemical_list: D001672:Biocompatible Materials; C422414:Permacol; D011138:Polytetrafluoroethylene; D003094:Collagen