Conservative management of mesh-site infection in hernia repair surgery: a case series

Meagher, Helen; Moloney, Mary; Grace, Pierce A.

doi:10.1007/s10029-013-1069-8

Cited by 42 publications

(25 citation statements)

References 33 publications

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“…Others have found similar results. 54 This finding again emphasizes the importance of decreased surface area for decreased bacterial attachment and rapid and increased tissue incorporation.…”

Section: The Modern Era and Lightweight Meshmentioning

confidence: 82%

Safety of Prosthetic Mesh Hernia Repair in Contaminated Fields

Carbonell¹,

Cobb²

2013

Surgical Clinics of North America

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Section: The Modern Era and Lightweight Meshmentioning

confidence: 82%

Safety of Prosthetic Mesh Hernia Repair in Contaminated Fields

Carbonell¹,

Cobb²

2013

Surgical Clinics of North America

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“…Seven days following drainage removal, the patient presented with a subcutaneous effusion positive for Klebsiella pneumoniae. This required a percutaneous drainage within the fluid collection and infusion of 200 mg vancomycin in 10 mL saline solution through the drain twice a day for 7 days [8][9][10]. Since the problem did not resolve, we removed the mesh and used a medication with a single-use negative-pressure wound therapy system (PICO, Smith and Nephew, Hull, UK).…”

Section: Resultsmentioning

confidence: 99%

A PET-positive rapidly growing mass of the abdominal wall after cesarean section with an unexpected diagnosis of vernix caseosa granuloma: a case report

et al. 2018

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Background: Abdominal wall tumors are rare and include heterogeneous diseases. Among them, desmoid tumors are the most frequent and are often diagnosed in young women during or early after pregnancy; inflammatory response after trauma or microtrauma, such as after cesarean section, may favor their growth. Results: A 37-year-old woman presented with a progressive mass in the abdominal wall after a cesarean section. Positron emission tomography imaging confirmed a positive mass with a high maximum standardized uptake value; a biopsy suggested a myofibroblastic tumor. With continued tumor growth and worsening symptoms, the mass resembled a desmoid tumor; therefore, we proceed with its resection. The final diagnosis was foreign body granuloma as a reaction to the spillage of meconium and keratinous material in the amniotic fluid during cesarean section. Conclusions: The present case provides information on an abdominal wall foreign body granuloma arisen from meconium and vernix caseosa after cesarean section, which presented an atypical clinical picture, mimicking a desmoid, thus requiring a careful diagnostic and treatment approach.

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“…postoperative rates of 11%, 10%-17%, and as many as 40% of In the present study, our case presented reported overall infection 19% and 25% in preperitoneal space rates of surgical site the intraperitoneal abdominal abscesses were of the preperitoneal published in literatures on the extent of extensively studied. infection can increase taken for conservative wound care [25] or technique or percutaneous observed that surgical extent of hospital stay with drainage of of hospital stay and Incidence of surgical site infection is high in case of has its direct effect on the extent of hospital stay and time off from work and those with drainage of preperitoneal space showed more time of hospital…”

Section: Resultsmentioning

confidence: 99%

Role of Drainage of Preperitoneal Space in Postoperative Wound Sepsis

Bayumi¹

2016

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Introduction: The incidence of surgical site infection increases with the degree of abdominal contamination. Previous studied claimed the effectiveness of putting a negative suction drain in the subcutaneous space in prevention of wound infection and wound dehiscence in patients of peritonitis. Aim was to study the effect of drainage of preperitoneal space in postoperative wound infection. Patients and Methods: A total of 200 patients with secondary peritonitis due to perforated appendicitis, perforated duodenal ulcers and traumatic bowel injuries were divided into main two groups; group A; wound closure with preperitoneal submuscular suction drainage and group B; wound closure without drain. End Points: The end points of the study were wound infection and time off from work. Results: The overall rates of wound infection in were 19% and 24% in group A and B respectively. Therefore the mean total hospital stay in both groups was 8.48 ±3 and 14.76±4.41days respectively. In the other hand, the mean time to return work after being discharged from the hospital was 8.5 ± 1.13 in group A and 8.59 ± 1.1 in of group B. The mean time off from work was 16.98 ± 4.13 days in group A and 23.38 ± 5.51 days in group B. Conclusion: Incidence of surgical site infection is high in case of complicated appendicitis and has its direct effect on the extent of hospital stay and time off from work and those with drainage of preperitoneal space showed more time of hospital stay and more time off from work.

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Conservative management of mesh-site infection in hernia repair surgery: a case series

Abstract: This series of case studies indicate that conservative management of abdominal wall-infected hernia mesh cases is likely to be successful.

Cited by 42 publications

References 33 publications

Safety of Prosthetic Mesh Hernia Repair in Contaminated Fields

Safety of Prosthetic Mesh Hernia Repair in Contaminated Fields

A PET-positive rapidly growing mass of the abdominal wall after cesarean section with an unexpected diagnosis of vernix caseosa granuloma: a case report

Role of Drainage of Preperitoneal Space in Postoperative Wound Sepsis

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