Late-onset deep mesh infection after inguinal hernia repair

Abstract

From the results of this study, it appears that late-onset deep-seated prosthetic mesh infection is an important complication which has been rarely reported upon. Its true incidence is yet to be established. Late graft infection does not seem to correlate to neither the administration or not of antibiotic prophylaxis, nor to the presence or not of previous superficial wound infection. Furthermore, graft infection does not seem to correlate to neither the type of mesh inserted, nor to the fixation material. With the increasing use of synthetic materials for primary and recurrent hernia repair, the number of patients presenting with late mesh infections is likely to increase.

Efficiency of Single Dose Antibiotic Prophylaxis in Inguinal Hernioplasty

“…Due to its common nature and increased incidence of recurrence and wound infection, a wide variety of surgical procedures and different materials were being used from time to time for hernia repair. 16. In another study conducted in 2005 byDelikoukos S, to report late mesh infection occurring years after open hernioplasty, it was proved that late graft infection does not correlate to neither the administration or not of antibiotic prophylaxis nor to the presence or not of previous superficial wound infection 17 …”

Amyand’s Hernia Mimicking Acute Scrotum

“…In cases of appendical inflammation or perforation, treatment consists of a combination of appendectomy and hernia repair. Placement of prosthetic mesh materials for hernia repair in the presence of pus or perforation is not recommended due to a high rate of chronic wound infection, mesh sepsis, extrusion and fistulae (3,4). We report a case of Amyand's hernia with giant hydrocele in a 75-yearold man.…”

Deep SSI after mesh-mediated groin hernia repair: management and outcome in an Emergency Surgery Department

“…aureus is the usual infecting organism in SSI, although enteric organisms may also be cultured. Microbial investigation of purulent specimens constitutes a fundamental exam to set a specific antibiotic therapy (6).…”