THE USE OF ULTRASOUND WHEN REMOVING INFECTED MESH IMPLANTS AFTER HERNIOPLASTY

Abstract

Wound complications, associated with bacterial infection, developing after mesh implantation at hernioplasty, present a serious problem, which doesn’t have a definite approach to its solution. The authors suggest an original method to remove infected mesh implants using ultrasound. The results of the study show that the use of ultrasound cavitation of antiseptic solution results in delicate separation of infected mesh implants from the abdominal wall without its damage and having a good germ-kill effect. Lowtraumatic separation is achieved by means of accurate entering of ultrasound cavitated antiseptic into the layer between the implant and abdominal wall tissues. The proposed technique allows to completely extract the implant from its adhesions with the abdominal wall tissues without damage completely, and to achieve efficient elimination of microorganisms. Preserved abdominal wall tissues ensure the reliability of the framework, and thereby prevent the subsequent formation of recurrent hernia.