Infected hernia mesh

A 46-year-old lady presented with an abscess in the umbilicus.She had a laparoscopic umbilical hernia repair done 4 years previously.Operative photographs are shown in Figure 1.Usher, in 1959, first described the use of polypropylene mesh in the repair of hernias to reinforce the abdominal wall.Since then, many open and laparoscopic techniques have been described with the mesh being placed in various layers of the abdominal wall.Using a mesh prosthesis is now considered the standard technique and is currently the most effective method to prevent hernia recurrence.[1]