Use of porcine dermal collagen as a prosthetic mesh in a contaminated field for ventral hernia repair: a case report.
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.
Saettele
T M
TM
Department of General Surgery, University of Missouri-Columbia, Mc414 McHaney Hall, Columbia, MO 65212, USA. ramshawb@health.missouri.edu
Bachman
S L
SL
Costello
C R
CR
Grant
S A
SA
Cleveland
D S
DS
Loy
T S
TS
Kolder
D G
DG
Ramshaw
B J
BJ
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
D001672:Biocompatible Materials; C422414:Permacol; D011138:Polytetrafluoroethylene; D003094:Collagen