PMC5635282_01
Photo of the fistula opening. The fistula remained after deep mesh infection with Ps. aeruginosa despite the initial conservative treatment and surgical intervention.
CRIS2017-4385913.001.jpg
PMC5635282_01_CRIS2017-4385913.001.jpg
fig1
Ten days later we reexamined the trauma fluid and although no microorganism was identified in the fluid cultures the fistula still remained (Figure 1).
The vas deferens and the vessels where recognized in full length and preserved, while the mesh was totally removed.
CRIS2017-4385913.002.jpg
PMC5635282_01_CRIS2017-4385913.002.jpg
fig2
The vas deferens and the vessels were recognized in full length and preserved, while the mesh was totally removed (Figures 2 and 3).
The mesh was fully removed. No sutures were used and the trauma closed only with nylon sutures. The internal scar was kept where it was possible to avoid possible hernia recurrence in the future.
CRIS2017-4385913.003.jpg
PMC5635282_01_CRIS2017-4385913.003.jpg
fig3
The vas deferens and the vessels were recognized in full length and preserved, while the mesh was totally removed (Figures 2 and 3).