Level 1A |
The rate of mesh infections after laparoscopic ventral and incisional hernia repair is low (1 %) |
The mesh does not need to be removed in all cases of wound infection after laparoscopic ventral and incisional hernia repair |
Level 3 |
Infected expanded polytetrafluorethylene (ePTFE) meshes require removal significantly more often than PP-based meshes |
Level 5 |
Case reports in the literature indicate that salvage of infected meshes after laparoscopic ventral and incisional hernia repair is possible |
Conservative management of mesh infection after laparoscopic ventral and incisional hernia repair can be attempted by percutaneous drainage, drain irrigation with gentamycin 80 mg in 20 ml of saline 3 times a day, and intravenous antibiotics |
When the conservative treatment of a mesh infection after laparoscopic ventral and incisional hernia repair fails, all the same options as for mesh infection after open repair need to be considered depending on the individual circumstances of the patient |
The following options may be used in the treatment of mesh infections after open repair: |
Mesh removal and primary skin closure, with repair of the defect repeated after 6–9 months. |
Mesh removal using the component separation technique and vacuum-assisted closure or open-wound dressing |
Mesh removal, repair with biologic mesh, and vacuum-assisted closure or open-wound dressing |
Mesh salvage and vacuum-assisted closure or open-wound dressing |