RECONSTRUÇÃO ABDOMINAL PÓS INFECÇÃO CRÔNICA DE TELA DE POLIPROPILENO: RELATO DE CASO

Objective: To report a case of chronic superficial surgical site infection in a patient with prophylactic polypropylene mesh for incisional hernia, who required surgical removal and subsequent abdominal reconstruction. Discussion: The use of prophylactic polypropylene mesh for incisional hernias has been increasingly accepted; however, it has numerous complications, with chronic infection being one of the prevalent. Among the main risk factors is BMI > 30 kg/m², and the most prevalent microorganisms are gram-positive. There are different reports of treatments in the medical literature, such as topical antiseptics, antibiotic therapy, and finally, surgical removal of the infected mesh. Conclusion: The available evidence on the prophylactic use of polypropylene mesh reveals contradictory recommendations, since its use is not free from complications. For the disorder presented, the use of antibiotic therapy as a conservative therapeutic plan is the first line of action and surgical removal of the mesh is reserved for cases of refractory and recurrent infection. However, new treatments have been found in the medical literature. Therefore, it is necessary to reflect on the use of mesh, considering preoperative risk factors, mitigating possible complications. The management of surgical wound infection in surgery using mesh remains a challenge to the practice of general surgery.