2020 Volume 53 Issue 5 Pages 442-448
An 83-year-old man underwent a mesh repair for an abdominal incisional hernia 13 years previously in another hospital. He had occasionally experienced abdominal pain for several years. He visited our department because abdominal pain lasted for one week and gradually worsened. Redness, swelling, and tenderness of the surgical wound were noted and abdominal CT scan showed a localized abscess formation above the mesh with penetration of the transverse colon. An emergency incision and drainage was performed and pus discharge from the surgical wound was continued. Since the penetration into the transverse colon was suspected to be the cause of mesh infection and pus discharge, mesh removal and hernia repair were performed. After the surgery, partial necrosis of the abdominal skin and wound infection were observed and treated with continuous negative pressure therapy. When repairing an abdominal incisional hernia with a mesh, it is important to understand that there is a possibility of infection a long time after mesh repair, therefore it is important to fix the mesh properly so that it does not become damaged.
