A case of late mesh infection occurring two years after mesh repair for incisional hernia

Abstract

An 82-year-old female developed a fever and abdominal pain two years after a mesh repair for an incisional hernia that was done using a Composix Kugel patch. On abdominal CT scan an abscess cavity was seen in the abdominal wall. A delayed mesh infection was diagnosed. Initially incision and drainage were done as per the patient's request, but her infection did not abate, and she required surgical removal of the mesh. The patient's postoperative course was uneventful, and she was discharged on the 12th postoperative day. On follow-up, no recurrence of the hernia or abscess formation has been observed. In this paper, we present this case of late mesh infection occurring two years after mesh repair for incisional hernia in detail and discuss the relevant literature.