TITLE:
Mesh Infection and Migration after Umbilical Hernia Repair
AUTHORS:
Valter Ripetti, Vincenzo La Vaccara, Eleonora Angelini, GiovanBattista Giorgio, Rossana Alloni
KEYWORDS:
Umbilical; Infection; Migration Hernia; Mesh
JOURNAL NAME:
Surgical Science,
Vol.4 No.10,
October
14,
2013
ABSTRACT: Mesh infection and migration are
dangerous and common complications after hernia repair. Many factors cause mesh
migration, which may or may not be associated to infection. Before performing
hernia repair using a mesh, it is important to choose the right device to avoid this kind of
complication, above all in the presence of contaminated wounds or fields. We
describe two cases of mesh infection and migration after umbilical hernia
repair which were treated, in accordance with recommendations in the
literature, by removing the infected mesh and replacing it with a biological
mesh. Our experience confirms the feasibility of using biological mesh to
perform umbilical hernia repair after infection, with consequent migration, of
the previously placed mesh. Our cases are the first to be reported in which
mesh migration is associated with infection after umbilical hernia repair, and they demonstrate the advantages of
biologic implants in abdominal wall reconstruction.