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International Urogynecology Journal

Erschienen in:

01.07.2011 | Clinical Opinion

Basic science and clinical aspects of mesh infection in pelvic floor reconstructive surgery

verfasst von: Renaud de Tayrac, Vincent Letouzey

Erschienen in: International Urogynecology Journal | Ausgabe 7/2011

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Abstract

Introduction and hypothesis

Bacterial colonization following mesh-augmented pelvic floor reconstructive surgery for pelvic organ prolapse is probably an underestimated consideration.

Methods

Although clinical infections are rare, subclinical contamination of the polypropylene mesh has been systematically demonstrated by bacteriological analyses during mesh implantation and on explanted meshes.

Results

A model of subclinical mesh infection does exist and bacterial colonization and mesh shrinkage have recently been correlated experimentally.

Conclusions

New meshes with surface modifications or an antibiotic or antiseptic coating should be explored.

Kaupp HA, Matulewicz TJ, Lattimer GL, Kremen JE, Celani VJ (1979) Graft infection or graft reaction? Arch Surg 114(12):1419–1422PubMed

Costello CR, Bachman SL, Ramshaw BJ, Grant SA (2007) Materials characterization of explanted polypropylene hernia meshes. J Biomed Mater Res B Appl Biomater 83B:44–49CrossRef

Nejadnik MR, van der Mei HC, Norde W, Busscher HJ (2008) Bacterial adhesion and growth on a polymer brush-coating. Biomaterials 29:4117–4121PubMedCrossRef

Gristina AG (1987) Biomaterial-centered infection: microbial adhesion versus tissue integration. Science 237(4822):1588–1595PubMedCrossRef

An YH, Friedman RJ (1998) Concise review of mechanisms of bacterial adhesion to biomaterial surfaces. J Biomed Mater Res 43:338–348PubMedCrossRef

Marshall K (1985) Mechanisms of bacterial adhesions at solid-water interfaces. In: Savage D, Fletcher M (eds) Bacterial adhesion. Mechanisms and physiological significance. Plenum, New York

Klosterhalfen B, Klinge U, Hermanns B, Schumpelick V (2000) Pathology of traditional surgical nets for hernia repair after long-term implantation in humans. Chirurg 71:43–51, GermanPubMed

Boulanger L, Boukerrou M, Rubod C et al (2008) Bacteriological analysis of meshes removed for complications after surgical management of urinary incontinence or pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 19:827–831PubMedCrossRef

Klinge U, Junge K, Spellerberg B, Piroth C, Klosterhalfen B, Schumpelick V (2002) Do multifilament alloplastic meshes increase the infection rate? Analysis of the polymeric surface, the bacteria adherence, and the in vivo consequences in a rat model. J Biomed Mater Res 63:765–771PubMedCrossRef

10.

Bafghi A, Benizri EI, Trastour C, Benizri EJ, Michiels JF, Bongain A (2005) Multifilament polypropylene mesh for urinary incontinence: 10 cases of infections requiring removal of the sling. Br J Obstet Gynaecol 112(3):376–378CrossRef

11.

Bellon JM, G-Honduvilla N, Jurado F, Carranza A, Bujan J (2001) In vitro interaction of bacteria with polypropylene/ePTFE prostheses. Biomaterials 22(14):2021–2024PubMedCrossRef

12.

Caquant F, Collinet P, Deruelle P, Lucot JP, Cosson M (2005) Perineal cellulitis following trans-obturator sub-urethral tape Uratape. Eur Urol 47(1):108–110PubMedCrossRef

13.

Vollebregt A, Troelstra A, van der Vaart CH (2009) Bacterial colonisation of collagen-coated polypropylene vaginal mesh: are additional intraoperative sterility procedures useful? Int Urogynecol J Pelvic Floor Dysfunct 20(11):1345–1351PubMedCrossRef

14.

Marcus-Braun N, von Theobald P (2010) Mesh removal following transvaginal mesh placement: a case series of 104 operations. Int Urogynecol J Pelvic Floor Dysfunct 21:423–430PubMedCrossRef

15.

Clavé A, Yahi H, Hammou JC, Montanari S, Gounon P, Clavé H (2010) Polypropylene as a reinforcement in pelvic surgery is not inert: comparative analysis of 100 explants. Int Urogynecol J Pelvic Floor Dysfunct 21(3):261–270PubMedCrossRef

16.

Bafghi A, Colomb F, Vandenbos F, Iannelli A, Bongain A, Jean A (2005) Recurrent vaginal erosion of tension free vaginal tape due to Actinomyces infection. Br J Obstet Gynaecol 112:1661–1662CrossRef

17.

Abramov Y, Sand PK, Gandhi S, Botros-Brey S, Goldberg RP (2004) Chronic pelvic actinomycosis following a bone anchored sling procedure. J Urol 171(6 Pt 1):2381PubMedCrossRef

18.

Wai CY, Nihira MA, Drewes PG, Chang JS, Siddiqui MT, Hemsell DL (2005) Actinomyces associated with persistent vaginal granulation tissue. Infect Dis Obstet Gynecol 13(1):53–55PubMedCrossRef

19.

Finan KR, Vick CC, Kiefe CI, Neumayer L, Hawn MT (2005) Predictors of wound infection in ventral hernia repair. Am J Surg 190(5):676–681PubMedCrossRef

20.

Araco F, Gravante G, Sorge R, De Vita D, Piccione E (2008) Risk evaluation of smoking and age on the occurrence of postoperative erosions after transvaginal mesh repair for pelvic organ prolapses. Int Urogynecol J Pelvic Floor Dysfunct 19(4):473–479PubMedCrossRef

21.

Mathe ML, Lavigne JP, Oliva-Lauraire MC, Guiraud I, Mares P, de Tayrac R (2007) Comparison of different biomaterials for vaginal surgery using an in vivo model of meshes infection in rats. Gynecol Obstet Fertil 35:398–405, FrenchPubMedCrossRef

22.

Yasim A, Gul M, Atahan E, Ciragil P, Aral M, Ergun Y (2006) Efficacy of vancomycin, teicoplanin and fusidic acid as prophylactic agents in prevention of vascular graft infection: an experimental study in rat. Eur J Vasc Endovasc Surg 31(3):274–279PubMedCrossRef

23.

Huang KH, Kung FT, Liang HM, Chang SY (2005) Management of polypropylene mesh erosion after intravaginal midurethral sling operation for female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 16:437–440PubMedCrossRef

24.

Mamy L, Letouzey V, Lavigne JP et al (2011) Correlation between shrinkage and infection of implanted synthetic meshes using an animal model of mesh infection. Int Urogynecol J Pelvic Floor Dysfunct 22(1):47–52PubMedCrossRef

25.

Chew DKW, Choi LH, Rogers AM (2000) Enterocutaneous fistula 14 years after prosthetic mesh repair of a ventral incisional hernia: a life-long risk? Surgery 127:352–353PubMedCrossRef

26.

Giles DL, Davila GW (2005) Suprapubic-vaginocutaneous fistula 18 years after a bladder-neck suspension. Obstet Gynecol 105(5 Pt 2):1193–1195PubMedCrossRef

27.

Weyhe D, Hoffmann P, Belyaev O et al (2007) The role of TGF-beta1 as a determinant of foreign body reaction to alloplastic materials in rat fibroblast cultures: comparison of different commercially available polypropylene meshes for hernia repair. Regul Pept 138(1):10–14PubMedCrossRef

28.

Badiou W, Lavigne JP, Bousquet PJ, O’Callaghan D, Marès P, de Tayrac R (2011) In vitro and in vivo assessment of silver-coated polypropylene mesh to prevent infection in a rat model. Int Urogynecol J 22:265–272CrossRef

Titel: Basic science and clinical aspects of mesh infection in pelvic floor reconstructive surgery
verfasst von: Renaud de Tayrac
Vincent Letouzey
Publikationsdatum: 01.07.2011
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 7/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1405-4

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Basic science and clinical aspects of mesh infection in pelvic floor reconstructive surgery

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Introduction and hypothesis

Methods

Results

Conclusions

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