Use of Marlex mesh in infected abdominal war wound

The use of porcine small intestinal submucosa as a prosthetic material for laparoscopic hernia repair in infected and potentially contaminated fields: long-term follow-up

“…Since that time there have been numerous publications of polypropylene mesh in large, contaminated abdominal wall defects. These studies demonstrated that the repairs healed well initially but presented long-term complications such as chronic infections, fistula formation, and erosion into the bowel or through skin a graft [12]. In 1989, Jones and Jurkovich reviewed 14 studies reporting on 128 patients, in whom polypropylene mesh was placed following intra-abdominal sepsis, necrotizing fascitis, wound dehiscence or traumatic tissue loss.…”

Closure of Abdominal Wall Defects Using Acellular Dermal Matrix

“…However, both clinical and experimental studies have demonstrated that wound infection, enterocutaneous fistulae, and mesh extrusion are common problems with the use of Marlex. 15,[17][18][19]21,23 Studies have shown PTFE to have a decreased rate of fistula formation and mesh extrusion. 14,15,18,20,28,[53][54][55] However, PTFE does not allow drainage of abdominal fluid, and may in fact contribute to increased intraabdominal pressure during the immediate postoperative period.…”

Prevention of adhesion formation to polypropylene mesh by collagen coating: A randomized controlled study in a rat model of ventral hernia repair

“…However, this does not reflect the procedure in the way it is performed in human patients, since the procedure in human patients is always performed under sterile con- ditions. In addition, most surgeons apply antibiotic prophylaxis with mesh placement, as is advocated [26]. Therefore, the occurrence of mesh infection with the use of Parieten mesh in human patients could be less than in the current rat model.…”