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A case of mesh infection following laparoscopic ventral hernia repair using negative pressure wound therapy Kenjiro ISHII 1 , Yoshihisa NUMATA 1 , Akiko WATANABE 1 , Hiroaki SEKI 1 , Nobutaka YASUI 1 1Department of General, Gastrointestinal Surgery, Keiyu Hospital Keyword: 腹腔鏡下腹壁瘢痕ヘルニア修復術 , メッシュ感染 , 陰圧閉鎖療法 pp.645-649
Published Date 2018/9/15
DOI https://doi.org/10.11477/mf.4426200605
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 The patient was a 76-year-old male who had undergone laparoscopic ventral hernia repair for a hernia stemming from a lower-mid incision. Three months later, he visited the emergency ward of our hospital because of high fever and abdominal wall swelling. Computed tomography findings revealed an abscess formation, including free air just above the mesh. He suffered severe drop in blood pressure during these examinations. Thus, a diagnosis of severe sepsis due to mesh infection was made, and an emergency surgery was performed. We performed incisional drainage of the abscess without removing the mesh because there was no hernia recurrence and no perforation or injury of the intestine. After the treatment for septic shock, negative pressure wound therapy (NPWT) was initiated on postoperative day 9. We replaced the NPWT device repeatedly, and the wound gradually shrank without recurrence of the infection. The patient left our hospital on postoperative day 30 and there has been no recurrence of ventral hernia.


Copyright © 2018, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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