PMC5061296_01
Abdominal wall after four-staged repair with Parietex Composite  mesh and latissimus dorsi flap (2008).
gr1.jpg
PMC5061296_01_gr1.jpg
fig0005
The soft tissue defect was covered with a free vascularized latissimus dorsi flap with large full thickness skin graft (Fig. 1).
Increased bulging of the abdominal wall four years after reconstruction (2012).
gr2.jpg
PMC5061296_01_gr2.jpg
fig0010
Four years after the final repair the patient returned to the outpatient department with progressive swelling of the right lower abdomen (Fig. 2).
CT-scan of bulging mesh four years after reconstruction (2012).
gr3.jpg
PMC5061296_01_gr3.jpg
fig0015
A CT-scan was performed, showing an intact repair, but enlargement of the mesh (Fig. 3).
Pore size of explanted polyester mesh compared to original mesh (2102).. (A) Pore size (1.5 mm) of original mesh (Parietex Composite , Covidien, France).. (B) Increased pore size (2.5 mm) of explanted mesh (Parietex Composite , Covidien, France).
gr4.jpg
PMC5061296_01_gr4.jpg
fig0020
The elongation was caused by a striking central pore expansion from 1.5 to 2.5 mm (Fig. 4).