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Published on: June 23, 2020
[Prosthetic infection after hernioplasty. Five years experience]
Jose Bueno Lledó1, Yurena Sosa Quesada, Inmaculada Gomez I Gavara
1Unidad de Cirugía General y Urgencias, Sección de Pared abdominal, Hospital Universitario La Fe, Valencia, Spain. buenolledo@hotmail.com
Cirugia Espanola
|March 25, 2009
Summary
Prosthetic mesh infection after hernia repair is uncommon. Risk factors include obesity, diabetes, and emergency surgery, with polypropylene mesh infections often treatable conservatively, unlike PTFE mesh which usually requires removal.
Area of Science:
- Abdominal wall surgery
- Surgical innovation
- Medical device infection
Context:
- Prosthetic mesh is frequently used in abdominal wall surgery for hernia repair.
- Prosthesis infection is a rare but significant complication.
- Understanding risk factors and treatment is crucial for patient outcomes.
Purpose:
- To evaluate the incidence of prosthesis infection after hernia repair.
- To identify risk factors associated with mesh infection.
- To determine optimal treatment strategies for prosthesis infections.
Summary:
- A study of 1055 prosthetic hernia repairs found an overall prosthesis infection rate of 1.3%.
- Key risk factors identified include obesity, diabetes, emergency surgery, mesh type/size, and prolonged surgery duration.
- Polypropylene (PPL) mesh infections were often resolved with conservative treatment, while PTFE mesh infections necessitated removal.
Impact:
- Identifies modifiable and non-modifiable risk factors for mesh infection, aiding preventative strategies.
- Differentiates treatment approaches based on mesh material, potentially improving patient outcomes and reducing complications.
- Provides valuable data for surgeons regarding mesh selection and patient management in hernia repair.