Use of an Absorbable Mesh to Repair Contaminated Abdominal-Wall Defects

Reconstruction of massive full‐thickness abdominal wall defect: successful treatment with nonabsorbable mesh, negative pressure wound therapy, and split‐skin grafting

“…Even though an absorbable mesh would be preferred in contaminated conditions, it would perhaps not be able to provide the needed durability and strength for the abdominal wall function as required in this case, and this is why a synthetic mesh was chosen in the particular case 10, 11. A synthetic mesh is considered stronger, as the biological mesh will relax somewhat over time 10.…”

A retrospective analysis of surgical treatment of mesh infection after repair of ventral hernia or defect

“…A repeat repair with prosthetic mesh is another option following mesh infection, but placing a piece of prosthetic mesh at a highly contaminated site or on an infected wound surface is highly risky, and according to previous literature, the infection rate with this approach could be as high as 50-90% (Dayton et al, 1986). Polypropylene mesh has higher anti-infective properties compared with types of prosthetic meshes currently in use, but its placement requires a surgeon highly experienced in hernia and abdominal wall repair.…”

Repair of Fascia with Polyglycolic Acid Mesh Cultured with Fibroblasts – Experimental Study

“…The various indications for the use of pros thetic materials, such as repair of inguinal hernia [7,8], abdominal wall [1][2][3] and pelvic floor [14] defects, splenorrhaphy [4], renorrhaphy [5,6], hepatorrhaphy [9], nerve recon struction [15], and to replace dura [16], have been extensively described. Implantation of prosthetic material is justified only when there is a lack of normal tissue and/or exces sive tension on the wound edges.…”

“…of abdominal wall hernias with prosthetic ma terial improves fascial healing and strength [1][2][3].…”