Negative Pressure Wound Therapy in an Infected Ventral Meshplasty Cases

Negative pressure wound therapy (NPWT) represents as an alternate method of chronic wound management, as the conventional method of daily dressing is time consuming and cause pain and suffering to the patient. We report a case of an infected wound after ventral hernia repair with mesh. Ideally removal of mesh followed by daily dressings is the treatment. However, as her abdominal wall was weak and thin NPWT along with culture sensitive antibiotics were used without removing mesh. This resulted in early healing with healthy granulation tissue. Wound swab became negative for bacteria after 3 sessions of NPWT with minimal discharge. Secondary closure was done with uncomplicated pos toperative course. Follow up of 6 months has shown patient to be disease and symptom free. NPWT is helpful in infected meshplasty cases without the need of removal of mesh. However, more studies will be required to validate this fact