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Lammers BJ, Baer A, Sauer T, et al – Mesh Infection Following Hernia Repair: A Frequent Problem. In Volker Schumpelick, Robert J. Fitzgibbons (Eds.) Hernia Repair Sequelae Springer-Verlag Berlin Heidelberg 2010; pp:79-86.

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Article

Why Should Be Removed Chronic Infected Abdominal Synthetic Meshes? A Review

1Department of Surgery, Emergency Military Hospital “Constantin Papilian” Cluj-Napoca

2Department of Surgery, Emergency Military Hospital “Alexandru Augustin” Sibiu


Global Journal of Surgery. 2015, Vol. 3 No. 2, 17-23
DOI: 10.12691/js-3-2-1
Copyright © 2015 Science and Education Publishing

Cite this paper:
V. OPREA, D. MOGA. Why Should Be Removed Chronic Infected Abdominal Synthetic Meshes? A Review. Global Journal of Surgery. 2015; 3(2):17-23. doi: 10.12691/js-3-2-1.

Correspondence to: V.  OPREA, Department of Surgery, Emergency Military Hospital “Constantin Papilian” Cluj-Napoca. Email: opreacv@yahoo.com

Abstract

Incisional hernia is the most common late complication of laparotomy. Prosthetic treatment resulted in a remarkable improvement in surgical outcomes by reducing drastically the rate of reccurence and increasing quality of life. Insertion of synthetic prostheses is encumbered by a relatively high rate of complications of which the most common is infection. Chronic infection requires removal of mesh as radical therapeutic measure. Based on the literature review, the article presents, the main mechanisms of chronic infection and the main reasons for removal of prosthesis. Specially are analyzed mechanisms in gaining the antibiotic resistance of bacteria in biofilm. Following the analysis it can be concluded that once infected prosthesis can not be saved by conservative means.

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