Alumi Laparoscopic Discussion Board

VENTRAL HERNIA REPAIR WITH SEPSIS
Discussion in 'All Categories' started by Dr Inchien Chamisa - Jan 30th, 2017 11:05 am.
Dr Inchien Chamisa
Dr Inchien Chamisa
I repaired an incisional EPIGASTRIC HERNIA with a dual mesh a few days ago. Insufflation was done though the smiling incision. Now the patient has developed an abdominal wall abscess around the umbilical wall area. The abscess is in the wall of the abdomen not intra-peritoneal. I have drained the abscess. Should I consider taking out the mesh or rather wait and see?
re: VENTRAL HERNIA REPAIR WITH SEPSIS by Dr R K Mishra - Jan 31st, 2017 9:52 am
#1
Dr R K Mishra
Dr R K Mishra
Dear Dr Chamisa

Ideally in incisional hernia the umbilicus should not be disturbed or any skin where mesh is there should not be breached. Ideally the access should be from palmer's point. Now in this situation please give injectable high antibiotic for 7 days preferable cefoperazone. If it works it is OK otherwise removal of the mesh should be considered if the abscess does not heal within 6 week.

With regard
Dr R K Mishra
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