Late<i> Ps. aeruginosa </i>Inguinal Mesh Infection 12 Years after the Initial Operation: Report of the Case and Short Review of the Literature

Filippou, Dimitrios

doi:10.1155/2017/4385913

Cited by 6 publications

(6 citation statements)

References 12 publications

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“…Virulence of the bacteria, the wound microenvironment and the bacterial load are thought to be associated with the possible deep seated mesh infections but havent been proved confidently. [6] Delikoukos et al has found no association between the use of prophylactic antibiotics and deep seated mesh infections. They said that the mesh material or the fixing materials also don't affect the SSI rate [3] .…”

Section: Discussionmentioning

confidence: 98%

“…[5] The SSI rate after inguinal hernioplasty has been reported between 0-14 %, however the reported infection rate by Lichtenstein in his own series was 0.003%. [6] Most of the infections are superficial SSIs which occur in the immediate post-operative period but the deep seated mesh infections, although very rare, are being reported too. The superficial SSIs are initially managed conservatively with the help of antibiotics and wound drainage and it is usually possible to salvage the mesh but deep infections causing the prolonged groin sepsis may require the removal of the infected mesh.…”

Section: Discussionmentioning

confidence: 99%

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Infected Mesh Removed After 8 Years of Inguinal Hernioplasty… Could Honey be the Rescuer?: A Case Report

Chaudhary¹,

Bharti²,

Verma³

et al. 2019

AJS

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With the ever increasing number of Lichtenstein's tension free mesh inguinal hernia surgeries being performed worldwide, we are going to see an increasing number of deep mesh infections. In half of the cases the mesh can be saved with conservative treatment, but in other half it has to be removed ultimately to completely eradicate the groin sepsis. We had a patient with deep seated mesh infection presenting with a pus discharging sinus 8 years after Lichtenstein's tension free hernioplasty. The wound was explored and a piece of polypropylene mesh was removed. The infected wound which opened after few days of surgery was managed successfully with honey application only. In the modern era of antibiotic resistance honey is a boon to the human race which has been ignored for the reasons unknown.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Infected Mesh Removed After 8 Years of Inguinal Hernioplasty… Could Honey be the Rescuer?: A Case Report

Chaudhary¹,

Bharti²,

Verma³

et al. 2019

AJS

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“…[ 14 ] Filippou D reported a case of mesh infection in an inguinal hernia, 12 years after surgery. [ 15 ] Initially, conservative management with excision of sinus tract was done but sinus recurred and mesh had to be removed. [ 15 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 15 ] Initially, conservative management with excision of sinus tract was done but sinus recurred and mesh had to be removed. [ 15 ]…”

Section: Discussionmentioning

confidence: 99%

The role of antibiotic prophylaxis in lichtenstein repair of primary inguinal hernia: A prospective double-blind randomized placebo-controlled trial

Jain

Hameed²,

Jain³

et al. 2021

Niger J Surg

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Objective: The objective is to study the role of antibiotic prophylaxis, if any, in the prevention of wound infection after open mesh repair of primary inguinal hernias. Materials and Methods: Patients coming to outpatient department for open mesh repair of inguinal hernia were randomized into the placebo group and antibiotic group, a total of 150 patients were enrolled in the study. Follow-up was done up to 1 month to look for any evidence of surgical site infection using the criteria of Centers for Disease Control on wound infection. Results: Twelve patients in the antibiotic group and nine patients in the placebo group were found to have evidence of surgical site infection. This difference was found to be insignificant with P = 0.14. Three patients in the placebo group developed deep surgical site infection but on analysis, this difference was also found to be insignificant with P = 0.122.None of these patients required mesh removal. Conclusion: The result of the present study suggests that the use of prophylactic antibiotics during mesh repair of primary inguinal hernias does not give any extra protection from infections. Multicenter meta-analysis is required to give definite guidelines regarding the use of prophylactic antibiotics.

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“…Ismail (2002), Chatzimavroudis (2014), Filippou (2017), Sohail (2004), Maheshwari (2016) reported case studies [9][10][11][12][13].…”

Section: Case Studiesmentioning

confidence: 99%

Management of Infected Mesh After Lichtenstein Hernia Repair: a Systematic Review

Maurel

Karadimos

Wysocki

2019

SN Compr. Clin. Med.

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Inguinal hernia repair with mesh is one of the most common operations performed by general surgeons. Mesh infection is a rare complication that has detrimental effects on the patient and the healthcare system. The purpose of this systematic review was to determine an evidence-based management approach for patients with infected mesh following an open Lichtenstein inguinal hernia repair. The literature search was achieved using the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines (PRISMA). The quality of the papers was assessed using Grading of Recommendations Assessment Development and Evaluation (GRADE) criteria. Studies were analysed by two independent reviewers. A total of 1532 abstracts and articles were reviewed. Fourteen met the inclusion criteria. In most, the mesh used was either monofilament or multifilament polypropylene. Most (86.8%) underwent mesh removal despite attempts at conservative management. Universally, in the presence of sinus formation (infected mesh to skin), mesh removal was required for definite resolution of infection. After a period of conservative management, removal of infected mesh following Lichtenstein inguinal hernia repair may be recommended. However, the quality of evidence is poor. Techniques such as partial removal or use of negative pressure dressings may need to be further explored.

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Late Ps. aeruginosa Inguinal Mesh Infection 12 Years after the Initial Operation: Report of the Case and Short Review of the Literature

Cited by 6 publications

References 12 publications

Infected Mesh Removed After 8 Years of Inguinal Hernioplasty… Could Honey be the Rescuer?: A Case Report

Infected Mesh Removed After 8 Years of Inguinal Hernioplasty… Could Honey be the Rescuer?: A Case Report

The role of antibiotic prophylaxis in lichtenstein repair of primary inguinal hernia: A prospective double-blind randomized placebo-controlled trial

Management of Infected Mesh After Lichtenstein Hernia Repair: a Systematic Review

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