HERNIA MESH REPAIR: IS INFECTION A REAL THREAT OR JUST AN APPREHENSION
Keywords:
Mesh repair, Infectious complications, mesh related infectionsAbstract
Objective: To evaluate the frequency of infection in hernia mesh repair.
Material and Methods: A prospective observational study on 100 consecutive patients with different hernias was
conducted. This study was done in Surgical “A” Unit, Khyber Teaching Hospital, Peshawar from April 2008 to April
2011. All cases above 25 years of age were included. Patients with acute complications of hernia, diabetes,
hypertension and patients on steroids were excluded. The patients were then assessed for procedure related
complications at one week, monthly for six months and then 3 monthly for the rest of the year.
Results: Out of 100 patients, only 5% developed wound infection, 3% superficial and 2% deep. All of them were
treated conservatively without removal of mesh.
Conclusion: Post operative septic complications are minimal in patients who undergo elective open hernia mesh
repair. The frequency of infection and mesh implant rejection can be reduced with good aseptic measures,
meticulous surgical technique and appropriate prophylactic antibiotics.
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