Laparoscopic Management of Mesh Infection

Introduction: The use of synthetic mesh was a revolutionary development in hernia repairs, and its introduction dramatically reduced the incidence of recurrence.1 However, new issues emerged, the most significant of which is a "mesh infection." Initial nonoperative treatment includes intravenous antibiotics, percutaneous drainage, or negative pressure wound therapy.2 However, mesh removal is still necessary and may be the most important step in the treatment of mesh infection.3 Traditionally the infected mesh was removed by an open approach, which carries higher morbidity.4 This video highlights a case of infected mesh, which was managed by a laparoscopic approach.