CONSERVATIVE MANAGEMENT OF MESH SITE INFECTION IN VENTRAL HERNIA REPAIR
AbstractBackground: Mesh Hernioplasty is the preferred surgical procedure for abdominal wall herniasand infection remains one of the most common complications of this technique. In some patientsthe mesh may need removal to overcome infection, where as others may be salvaged byconservative treatment. This study was conducted to assess the outcome of conservativemanagement for mesh site infection in abdominal wall hernia repairs. Methods: This study wascarried out in Ayub Teaching Hospital Abbottabad Pakistan from Jan 2006 to Dec 2007. Thirteenconsecutive cases were included, who developed mesh site infection after abdominal wall herniarepair. Pus or purulent fluid was sent for culture and sensitivity. All patients were treated byintravenous antibiotics and local wound care. Treatment was taken as successful when there wascomplete resolution of infection and healing of the wound. Results: There were 7 inguinal(53.84%), 4 para-umbilical (30.76%) and 2 incisional hernias (15.38%). Eight patients were males(61.53%) and 5 females (38.46%). Median age of the patients was 40 years (range 28 to 52 years).Staphylococcus aureus was the most commonly found organism causing infection in 8 patients,(76.9%). Mean hospital stay was 22 days (range 18–26 days). All cases were effectively treatedconservatively without removing the mesh. Polypropylene mesh was used in all of these cases.Conclusion: Conservative management is likely to be successful in mesh site infection inabdominal wall hernia repairs.Key words: Abdominal hernia, Mesh, Infection
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