A peeling mesh.

A number of different materials are available for incisional hernia repair. Benefits of the various types are controversial and are partly dependent on the anatomical placement of the mesh. Composite mesh has been introduced to provide tissue ingrowth for strength and a non-adherent side to protect the bowel, these layers being laminated together. This report is on the separation of layers in an infected mesh and adherence of the expanded polytetrafluoroethylene layer to the small bowel.