Éventrations - prothèses infectées : traitement et prévention Abdominal Wall Incisional Hernias - Infected Prosthesis: Treatment and Prophylaxis

摘要: Regarding the clinical presentation, whether it be a late abscess or simply chronic sinus, mesh itself is always infected. How to deal with this challenging complication: Partial complete removal of mesh, an attempt for conservative treatment? The reference treatment removing and it’s fixation means. This quickly heals infectious part problem but leads surgeon being faced parietal repair larger defect in contaminated tissues. requires 2 step-surgery. first step consists closing gap, as well can be. technical difficulty increases size defect. Which may require adaptations avoid compartment syndrome. Sometimes mandatory, easy done, especially when sequestered floating pus. mandatory difficult dangerous address, if some parts are strongly integrated and/or real close abdominal viscera. Leave place, provided they very integrated. Moreover superficial prosthesis salvaged by detersive watchful daily dressings. Free grafts pedicle flaps rarely required. retraction edges due scar formation dramatically reduces Wound healing shortened using negative pressure dressing therapy. Mots cles  Prothese parietale Infection de prothese Eventration Hernie incisionnelle