Chronic paraprosthesis infection after allohernioplasty.
DOI:
https://doi.org/10.26641/2307-0404.2016.4.90795Keywords:
ventral hernia, alloplastics, skin-prosthetic fistula, surgical treatment, nitrogen and carbon dioxide laserAbstract
Nowadays allohernioplasty is widespread around the world, However, it is accompanied with acute and chronic inflammation developing around the prothesis. In such a situation it is very important to decide either delete or save the mesh. We observed 11 patients with skin-prosthetic fistulas existing for 1-6 years. Sanation and irradiation of the fistula with ultraviolet nitrogen laser having a bactericide effect. (Pn - 2,5-5 mWt; t= 2 min; W- 1,5-3 J/sm2) was carried out, 10 patientsunderwent operation. In two cases there was done partial excision of the prosthesis within the integrated parts. In 8 of 10 patients complete removal of the prothesis with a wide dissection of infected tissues was performed. 4 patients underwent realloprosthesing. For irradiation of the operation wound carbon dioxide laser (wave of the length 10.6 µm, the power of radiation 25W, the exposure of 1 sm2, wound surface – within 1 sec) was used in all patients during the operation.In 9 of 10 operated patients with chronic infection around the prosthesis recovery occurred 6 months after reimplantation, in 1 case a new fistula was formed.
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