An innovative abdominal wall repair technique for infected prosthesis: The Eskimo technique

The use of meshes to repair incisional hernias has been shown to reduce the recurrence rate, though it may increase the risk of surgical site infection. This is one of the most feared and devastating complications of surgical abdominal wall repair. The aim of this work is to describe a new surgical...

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Bibliographic Details
Published in:Turkish Journal of Trauma and Emergency Surgery
Main Authors: Coccolini F., Catena F., Ansaloni L., Neri F., Gazzotti F., Lazzareschi D., Pinna A. D.
Other Authors: Coccolini, F., Catena, F., Ansaloni, L., Neri, F., Gazzotti, F., Lazzareschi, D., Pinna, A. D.
Format: Article in Journal/Newspaper
Language:Turkish
Published: 2011
Subjects:
Biological prosthesi
Infected field
Surgical site infection
Surgical technique
Adult
Aged
Diagnosis
Differential
Hernia
Ventral
Human
Male
Prosthesis-Related Infection
Reoperation
Surgical Mesh
Bioprosthesi
Prosthesis Implantation
eskimo*
Online Access:http://hdl.handle.net/11568/1021086
https://doi.org/10.5505/tjtes.2011.56767
http://www.journalagent.com/z4/download_fulltext.asp?pdir=travma&plng=eng&un=UTD-56767
Description
Summary:The use of meshes to repair incisional hernias has been shown to reduce the recurrence rate, though it may increase the risk of surgical site infection. This is one of the most feared and devastating complications of surgical abdominal wall repair. The aim of this work is to describe a new surgical technique that was used to treat two patients suffering from chronic prosthesis infection. Additionally, the outcome of this procedure will be analyzed in terms of its safety, subsequent site infection and recurrence prevention. Two case reports are presented. The procedure was based on a wide surgical excision of the infected prosthesis and the surrounding tissues, plus abdominal wall repair with biological prosthesis. Both patients experienced an uneventful postoperative course. Infection of the surgical site resolved following the procedure and, after a mean follow-up of 36 months, no recurrences of the incisional hernia had occurred. This unique surgical technique not only proved to be safe, but it also solved the chronic prosthesis infection through its use of radical excision, without any postoperative complications or recurrence. This technique confrmed that biological pros-theses can be used safely and effectively for implantation in sites of infection.

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