Abstract
We report our experience between September 2006 and December 2007 using free fascia lata graft to treat three infectious cases after incisional hernia repair with artificial materials. Initially, we completely removed the artificial material and surrounding infectious scar. In selecting the surgical methods, we focused on the reliability of infection control and chose a simple technique. We performed split thickness skin graft in case that still had remaining peritoneum, and considered two-stage incisional hernia repair. Abdominal wall reconstruction was performed with free fascia lata graft in case of peritoneum defect. We achieved wound healing and complete infection control in all cases. All fascia lata grafts survived, but prolonged therapy was needed to control infection in one case in which there was not sufficient abdominal wall tissue to cover the fascia lata graft. This procedure is thought to be an effective treatment in the presence of covering tissue with good volume and sufficient blood flow. If such conditions are not present, we should consider the vascularized tissue transfer. In addition, we must further improve this surgical method in order to better maintain greater abdominal wall strength.
