Successful conservative treatment of a poly-4-hydroxybutyrate mesh infection: A case report
Maarten Lambrecht1, Tim Tollens2
1Department of General Surgery, UZ Leuven, Herestraat 49, 3000, Leuven, Belgium.
Introduction And Importance:
An infection of an abdominal wall prosthesis can be a real disaster for the patient. A conservative treatment might be an option if biological or slowly resorbable synthetic meshes were used. However, adequate research of their use in contaminated and dirty wounds lacks.
Case Presentation:
Herein we report the case of a 69-year-old patient with a heavily infected poly-4-hydroxybutyrate mesh that was successfully treated conservatively.
Clinical Discussion:
Despite promising results of poly-4-hydroxybutyrate meshes, their use remains controversial and studies in contaminated wounds are scarce.
Conclusion:
Our case report shows the potential benefits of a poly-4-hydroxybutyrate mesh in a very high-risk patient with active infection.


