Laparoscopic Mesh Explantation for Mesh Infections Following Intra Peritoneal on-Lay Meshplasty (Ipom): A Case Series

The introduction of synthetic mesh has become the standard of care in the management of abdominal wall hernias [1,2]. However, the slightest of breach in the sterility chain can lead to mesh infection and biolm formation which often requires a prolonged stay in hospital with long term use of antibiotics and need for multiple interventions. Incidence of mesh infection is dependent on both Intra-operative events as well as pre-existing modiable risk factors in the patient. Mesh infection can present as abscess, chronic discharging sinus and sepsis [1] However, in most cases, mesh explantation is required. In this paper, we present a series of 5 patients who underwent laparoscopic mesh explantation following IPOM mesh infection with good outcomes.