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Updated: Aug 20, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Mesh-related infections after hernia repair surgery
1Alfa HealthCare, Athens, Greece. matthew.falagas@tufts.edu
Abstract:
Clinicians have been challenged in the past few years by an increasing variety of novel non-infectious and infectious complications following the widespread use of meshes after open or laparoscopic repair of hernias. The possibility of a mesh-related infection occurring weeks or even years after hernia repair, should be considered in any patient with fever of unknown origin, or symptoms and/or signs of inflammation of the abdominal wall following hernia repair. The reported incidence of mesh-related infection following hernia repair has been 1%-8% in different series, and this incidence is influenced by underlying co-morbidities, the type of mesh, the surgical technique and the strategy used to prevent infections. An approach that combines medical and surgical management is necessary for cases of mesh infection. The antimicrobial treatment regimen chosen initially should include coverage of Staphylococcus spp. and, particularly, Staphylococcus aureus.
Insights
Mesh-related infections following hernia repair can occur years later. Prompt medical and surgical intervention, including antibiotics targeting Staphylococcus aureus, is crucial for managing these complications.
Area of Science:
- Surgical Innovation
- Infectious Diseases
- Biomaterials Science
Background:
- Widespread use of surgical meshes for hernia repair has led to novel complications.
- Mesh-related infections, occurring weeks to years post-surgery, present a diagnostic challenge.
- Incidence of mesh infection ranges from 1%-8%, influenced by patient factors and surgical strategies.
Purpose of the Study:
- To highlight the significance of mesh-related infections after hernia repair.
- To emphasize the diagnostic considerations for unexplained fever or inflammation post-hernia repair.
- To outline essential management principles for mesh infections.
Main Methods:
- Review of clinical challenges and reported incidences of mesh-related infections.
- Analysis of factors influencing infection rates (co-morbidities, mesh type, technique, prevention).
- Discussion of combined medical and surgical management approaches.
Main Results:
- Mesh infections are a recognized complication of hernia repair, with variable incidence.
- Fever of unknown origin or abdominal wall inflammation warrants consideration of mesh infection.
- Initial antimicrobial therapy should cover Staphylococcus species, especially Staphylococcus aureus.
Conclusions:
- Mesh-related infections are an important consideration in post-hernia repair patients.
- A comprehensive management strategy involving both medical and surgical interventions is required.
- Appropriate antibiotic selection, including coverage for Staphylococcus aureus, is critical for successful treatment.
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