Synchronous cesarean delivery and revision of infected ventral hernia repair mesh in a complex abdominal wall

TL;DR

A woman with a complex abdominal wall infection had successful cesarean delivery and mesh repair surgery at the same time.

Contribution

This case report highlights a successful approach to managing infected hernia mesh during cesarean delivery.

Findings

Synchronous cesarean delivery and mesh debridement was safely performed.

Conservative antibiotic management was used until delivery.

The combined procedure allowed successful infant delivery and abdominal wall repair.

Abstract

Ventral hernias are a common abdominal wall defect vulnerable to the gravid abdomen’s physiological changes. This case report describes a 38-year-old gravida 3 para 2002 female with a complex abdominal surgical history and a chronic infection of the abdominal wall at the site of prior hernia repair with mesh. She was managed conservatively with antibiotics until delivery. Abdominal wall debridement and repair was coordinated with her 39-week cesarean, which allowed for a successful delivery of her infant paralleled with surgical management of the infected mesh.

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