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Abstract Aim Mesh infection represents a major health problem, as it increases patient morbidity as well as the rate of readmissions, reinterventions and healthcare costs. The aim of this communication is to present a case of mesh infection which required mesh explantation to raise awareness of the importance of its prevention. Material and Method 80-year-old woman, obese, hysterectomized, who presented an incisional ventral hernia. Abdominal wall repair was performed by placing an intraperitoneal mesh. The aspiration drain was removed on the third day. She was readmitted a week later due to an abdominal wall hematoma (6 × 7 × 11 cm) that was drained. Empirical antibiotic treatment was established. After six months of wound care with persistence of purulent drainage and a positive culture for Proteus mirabilis, the mesh was removed with a new abdominal wall repair according to Rives-Stoppa technique. Discussion The increasing use of prosthetic material has led to an increase in complications associated with it, such as seroma, infection, extrusion or displacement. Once mesh infection is suspected, a culture must be taken, and empiric antibiotic treatment should be instituted, making it essential to perform wound healing treatment with irrigation and drainage. If resolution is not achieved, the mesh can be removed but with a higher risk of complications. Conclusions Considering the impact of this complication on the morbidity of patients, as well as on the health system, its prevention is essential. Treatment must be individualized based on the patient's characteristics, the type of prosthesis and the extent of the infection.
Manuel et al. (Wed,) studied this question.