Morphological aspects of surgical meshes as a risk factor for bacterial colonization

  title={Morphological aspects of surgical meshes as a risk factor for bacterial colonization},
  author={Anton F. Engelsman and Henny C. van der Mei and Henk J. Busscher and Rutger J Ploeg},
  journal={British Journal of Surgery},
Prosthetic meshes are increasingly popular in abdominal wall reconstructive surgery owing to a reduction in hernia recurrence rate. Individual meshes have been evaluated with respect to the formation of infectious biofilms, but no comprehensive comparison yet exists. The aim of this study was to evaluate the effect of the material and morphology of surgical meshes on biofilm growth. 
In vivo biofilm on the surface of a surgical mesh implant.
The course of the disease in the case of biofilm formation on the surface of an implanted surgical mesh is presented, which could be managed only through total excision of the infected implant.
The Surgical Nightmare: Dealing with Infected Mesh
In most cases antibiotics and mesh-saving conservative operations may not be sufficient to eradicate the infection thus require mesh explanations, resulting in additional surgery, morbidity, and significant cost.
Mesh Infection and Hernia Repair: A Review.
The use of polymer coatings that slowly release non-antibiotic drugs seems to be a good strategy to prevent implant contamination and reduce the onset of resistant bacterial strains.
Use of an experimental model to evaluate infection resistance of meshes in abdominal wall surgery.
Biofilms and effective porosity of hernia mesh: are they silent assassins?
It is speculated that bacterial biofilm has the potential to reduce the effective porosity of mesh, resulting in non-suppurative mesh-related complications as well as the potential for late suppurative infections.
POSTOPERATIVE COMPLICATIONS ASSOCIATED WITH BIOMATERIALS USED IN HERNIOPLASTY (Abstract): Meshes of synthetic material are now being widely used to repair hernias (hernioplasty) but
Mesh-Related Infections After Hernia Repair
Open or laparoscopic “tension-free” mesh implantation for hernia repair of abdominal wall defects has been the gold standard treatment because it appears to reduce the rate of recurrence by an
A Current Review of Synthetic Meshes in Abdominal Wall Reconstruction
  • W. Cobb
  • Medicine
    Plastic and reconstructive surgery
  • 2018
This chapter will review the polymers and characteristics of the currently available synthetic meshes for abdominal wall reconstruction in an effort to provide guidance to surgeons.
Mesh ingrowth with concomitant bacterial infection resulting in inability to explant: a failure of mesh salvage
Four high-risk patients who underwent Parietex mesh implantation for large ventral wall hernias and developed subsequent Staphylococcus infections with attempted explantation of infected mesh and wound care were unable to completely explant mesh, leading to chronic purulent wounds and long-term complications.


Chronic groin sepsis following tension‐free inguinal hernioplasty
The aim of this study was to determine the number of surgeons performing tension‐free inguinal hernioplasty in the West of Scotland and assess the frequency with which chronic groin sepsis was encountered.
Biocompatibility of bacterial contaminated prosthetic meshes and porcine dermal collagen used to repair abdominal wall defects
Irrespective of the material employed, implantation of alloplastic meshes in an abdominal wall contaminated with bacteria, is associated with suppurating infections, in particular in the case of the membrane-like porcine dermal collagen, and should therefore not be used to repair infected abdominal wall defects.
Comparison of Prosthetic Materials for Abdominal Wall Reconstruction in the Presence of Contamination and Infection
It appears that PTFE may be associated with fewer problems than PPM in the presence of contamination and infection in the absence of peritonitis or invasive infection.
Suture resistance to infection.
Natural sutures performed poorly and should not be used in wounds that are potentially susceptible to infection, while synthetic suture materials were superior in all areas.
Deep prosthesis infection in incisional hernia repair: predictive factors and clinical outcome.
Once a mesh infection is verified adequate drainage seems to be sufficient for polypropylene and polyester meshes but ePTFE patches should be removed.
Effect of suture materials on bacterial survival in infected wounds. An experimental study.
A non-capilllary and a capillary suture material were compared as regards the course of Staphylococcus areus infection at the site of implantation. The materials were implanted in the muscle of the
Long-term complications associated with prosthetic repair of incisional hernias.
Polyester mesh should no longer be used for incisional hernia repair and the deleterious effect of polyester mesh on long-term complications was confirmed on multiple logistic regression.