Mesh infection in cases of polypropylene mesh hernioplasty

Pande, Tanmay; Naidu, C. S.

doi:10.1007/s10029-020-02142-5

Cited by 20 publications

(15 citation statements)

References 20 publications

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“…According to systematic reviews [ 1 ] 2 updated in the Herniasurge guidelines (Herniasurge) [ 3 ] the rate of surgical site infections (SSIs) after GHR broadly varies across the studies from 1.6% in low-risk environment to 4.2% [ 4 ] in high-risk environment. Recently published rates are even lower: 0.4% in the US NSQIP (National Surgery Quality Improvement Program) [ 5 ]; 0.64% decreasing to 0.2% after laparoscopic GHR [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for surgical site infection after groin hernia repair: does the mesh or technique matter?

Christou

Ris²,

Naumann

et al. 2021

Hernia

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Introduction Surgical site infections (SSIs) following groin hernia repair (GHR) are getting rarer in high income countries despite a wider use of meshes. Among the risk factors for SSIs, those related to the mesh and the surgical technique have rarely been described. Methods A registry-based multicenter study using prospectively collected data, including SSIs and their potential risk factors, was conducted in the French Hernia-Club. Results Between 2012 and 2019, 21,976 consecutive unselected adult patients aged 64.8 ± 15.4 years old (88.9% male) underwent GHR (83.5% unilateral). Fifty four percent were laparoscopic; 97.6% used mesh. The overall incidence of SSI was 0.26%. The incidence of SSI was respectively, 0.24% and 0.19% (p = 0.420) in open vs laparoscopic repairs; 0.19% and 0.25% (p = 0.638) for polyester vs polypropylene mesh; In adjusted multivariate analysis focusing on macroporous meshes (which were the most implanted meshes: 23,148 out of 24,099), there were no differences in terms of SSIs’ rates regarding the technique: open versus laparoscopy (p = 0.762) nor the type of mesh used: polypropylene versus polyester (p = 0.557). Conclusion The rate of SSI following GHR was low in this large registry study. Mesh type and surgical technique did not affect SSIs rates. Caution is advised when interpreting these data due to this very low rate of SSI and the potential for a type II error.

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Section: Introductionmentioning

confidence: 99%

Risk factors for surgical site infection after groin hernia repair: does the mesh or technique matter?

Christou

Ris²,

Naumann

et al. 2021

Hernia

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“…Many efforts have been made to provide materials that lower the rate of SSI, such as silver and chlorhexidine-impregnated products or recently proposed polypropylene meshes. However, some studies proposed that there is no superiority of these materials compared to the conventional materials (16)(17)(18). The pathophysiology of SSI in inguinal hernia repair is not clearly known; however, in case of non-emergent cases, it is believed that contamination of the wound with epidermal microbiota plays a substantial role.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Role of Glove Changing Before Mesh Application During Herniorrhaphy Surgery to Reduce Surgical Site Infections

Kenari

Akhlaghi

Motie

2022

Arch Clin Infect Dis

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Background: Prevention of surgical site infection (SSI) in hernia repair with mesh remains the main concern. Many risk factors have been proposed; however, the role of changing the glove remains to be elucidated. Methods: This longitudinal study was conducted on adult inguinal hernia cases referred to elective repair using mesh reconstruction. Two hundred cases were enrolled and classified into two groups, including the group that surgeon and his assistants changed the glove and the group in which the gloves remained unchanged. Age, gender, surgery duration, and the side of hernia were compared between those who developed SSI and those without this complication. Moreover, the infection rate was compared between the two study groups. Results: One hundred and two males (51.0%) and 98 females (49.0%) with a mean age of 42.60 ± 15.79 years old were enrolled in the study. None of the variables showed a significant difference between SSI cases and non-SSI cases. Moreover, the rate of infection was not significantly different between the two study groups. Conclusions: Glove changing before mesh application indicates no considerable role in reducing SSI rate; however, further studies are needed to confirm these findings.

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“…While superficial SSIs occur within 30 days of the hernia repair, deep SSIs tend to become clinically apparent later, within 90 days of the procedure 34 . The rate of SSIs following groin hernia repair varies between 1.6% in low‐risk environment and 4.2% in high‐risk environment, with an even lower recently published overall rate reaching 0.26% 35,36 . Reported risk factors predisposing to SSI vary among studies and include absence of antibiotic prophylaxis, an National Nosocomial Infections Surveillance System local score of 1 or 2 as well as patient comorbidities namely diabetes mellitus, body mass index ≥ 35 kg/m 2 and current smoking 37–39 .…”

Section: Imaging Of Postoperative Complicationsmentioning

confidence: 99%

The Role of Imaging in the Pre‐ and Postoperative Evaluation of Inguinal Hernia

Vassalou¹,

Vardas²,

Dimitriadis³

et al. 2023

J of Ultrasound Medicine

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Inguinal hernia repair is the most frequently performed surgical procedure. Imaging has a fundamental role in initial assessment and postoperative evaluation of inguinal hernias. Clinical implications of radiology in the preoperative setting include diagnosis of occult/complicated hernias and enhancement of diagnostic certainty. Postoperatively, imaging may assist the detection and characterization of complications. Familiarity with the normal appearance of the postoperative groin area and surgical techniques is required to avoid misinterpretation. This pictorial essay provides an overview of the expected postoperative imaging findings and highlights the role of imaging in the pre‐ and postoperative evaluation of inguinal hernias, with emphasis on ultrasonography.

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Mesh infection in cases of polypropylene mesh hernioplasty

Cited by 20 publications

References 20 publications

Risk factors for surgical site infection after groin hernia repair: does the mesh or technique matter?

Risk factors for surgical site infection after groin hernia repair: does the mesh or technique matter?

Evaluating the Role of Glove Changing Before Mesh Application During Herniorrhaphy Surgery to Reduce Surgical Site Infections

The Role of Imaging in the Pre‐ and Postoperative Evaluation of Inguinal Hernia

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