OC-068 THE USE OF VAC IN THE SALVAGE OF INFECTED SYNTHETIC MESHES

Abstract

Abstract Introduction Mesh-related infections consist a major complication of hernia repair operations that can negatively affect postoperative outcomes. Until recently, surgical removal of the mesh was the only treatment option and it was related to increased morbidity. VAC devices are a proper alternative in treating such infections and can eliminate the need to remove the infected mesh. The negative pressure that is used, removes the exudate and enhances revascularization and granulation of the wound. Such devices promote quicker wound healing, compared to conventional wound dressings. Aim The aim of the study is to review current literature and present three relevant cases from our center. Materials and Methods During 2020–2021, we encountered three cases of synthetic mesh infection after incisional hernia repair. The patients were treated conservatively, with the application of VAC devices and targeted antimicrobial therapy. All three patients were discharged and continued to visit the hospital as outpatients in order to change the dressings. Results and conclusions In all three cases, complete wound healing was achieved and the infection was treated successfully, without removing the mesh. In conclusion, the use of VAC is an alternative therapeutic strategy of low risk that can contribute to the salvage of the infected mesh.