A Case of Late Mesh Infection after Repair of Abdominal Incisional Hernia with Composix Kugel Patch

Abstract

We report a rare case of late infection of Composix Kugel patch (CKP), discuss procedures to prevent intestinal adhesion to the patch and review the relevant literature. A 75-year-old woman who had undergone abdominal incisional hernia repair with CKP in another hospital 3 years previously was admitted to our hospital suffering from late mesh infection. Drainage and antibiotics therapy were not effective, so surgical removal of the mesh was required. Intestinal adhesion to the circularly exposed polypropylene mesh caused by turnover of the polytetrafluoroethylene sheet of CKP was observed in the operation. We removed the CKP and localized abscess between the mesh and intestines, and directly sutured the abdominal wall to close the defect. No complication was observed after the operation. We thought that there were some problems while fixing the CKP in this case, and it is necessary to be careful about fixing it.