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Use of polypropylene mesh in contaminated and dirty strangulated hernias: short-term results

H Pandey1, D S Thakur1, U Somashekar1

  • 1Department of Surgery, Government Medical College and Allied Hospitals, 602, Datt Residency, Near 2nd Railway Bridge, North Civil Lines, Jabalpur, MP, 482 003, India.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|August 27, 2018
PubMed
Abstract

Insights

Polypropylene mesh is safe and effective for strangulated hernias, even in contaminated or dirty cases requiring bowel resection. This approach shows good short-term results with acceptable complication rates.

Area of Science:

  • Surgical Innovation
  • Hernia Repair
  • Mesh Applications

Background:

  • Synthetic non-absorbable meshes are standard for clean hernia repair.
  • Their use is typically avoided in contaminated or dirty cases due to infection risk.

Purpose of the Study:

  • To assess the outcomes of using polypropylene mesh in abdominal wall hernia repair.
  • Specifically evaluated in cases involving bowel resection for strangulated hernias.

Main Methods:

  • Prospective observational study of adult patients with strangulated abdominal wall hernias.
  • Patients required bowel resection and anastomosis; outcomes included wound infection, morbidity, mortality, mesh removal, and recurrence.
  • Classified cases as 'contaminated' (non-perforated bowel) or 'dirty' (perforated bowel).

Main Results:

  • 30 patients underwent surgery; 12 'dirty' and 18 'contaminated' cases.
  • Wound infection occurred in 26.67% of patients, managed with antibiotics and dressings.
  • No mesh removal was needed; recurrence rate was 6.7%; no mortality was observed.

Conclusions:

  • Polypropylene mesh demonstrates effectiveness and safety in contaminated and dirty strangulated hernias.
  • The procedure yielded acceptable morbidity and positive short-term outcomes.
  • Supports the use of polypropylene mesh in complex hernia repair scenarios.
Keywords:
Contaminated woundDirty woundPolypropylene meshResection and anastomosis of bowelStrangulated hernia

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