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The Analysis of Infection after Polypropylene Mesh Repair of Abdominal Wall Hernia

World Journal of Surgery volume 30, pages 2270–2278 (2006)Cite this article

An Erratum to this article was published on 05 January 2007

Abstract

Aim

The aim of the study was to evaluate the frequency of superficial and prosthetic mesh infection following polypropylene mesh repair of different abdominal wall hernia in individual patients and to analyze the manifestation, clinical process and outcomes in patients with prosthetic mesh infection.

Methods

This was a retrospective analysis of 375 patients with 423 implanted meshes for groin, femoral, umbilical, incisional and epigastric hernias, with a mean follow-up of 15 months (range: 3–73 months).

Results

The total superficial infection rate was 1.65% percnt;, and the rate of mesh infection was 0.94% percnt;. There were no statistically significant differences in prosthetic mesh infection between monofilament and multifilament meshes as well as between the different repair groups of hernias. The deep incisional surgical site infection after previous operation was established as a significant risk factor for prosthetic mesh infection in incisional hernia repair (P < 0.0001). Five cases of prosthetic mesh infection were presented and analyzed.

Conclusions

There is no correlation between the superficial and prosthetic mesh infection. There may be difficulties in determining mesh infection and to choose the right tactic. The reconvalescence in all patients with mesh infection was achieved only after removal of the infected mesh.

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Acknowledgements

This study was supported by the European Social Foundation.

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Affiliations

  1. Department of General Surgery, Latvian Maritime Medical Hospital, University of Latvia, 23 Patversmes Street, Riga, 1005, Latvia

    Arnolds Jezupors MD & Māris Mihelsons PhD

Authors
  1. Arnolds Jezupors MD
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  2. Māris Mihelsons PhD
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Corresponding author

Correspondence to Arnolds Jezupors MD.

Additional information

An erratum to this article is available at http://dx.doi.org/10.1007/s00268-006-4001-x.

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Jezupors, A., Mihelsons, M. The Analysis of Infection after Polypropylene Mesh Repair of Abdominal Wall Hernia. World J. Surg. 30, 2270–2278 (2006). https://doi.org/10.1007/s00268-006-0130-5

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  • DOI: https://doi.org/10.1007/s00268-006-0130-5

Keywords

  • Antibacterial Therapy
  • Femoral Hernia
  • Groin Hernia
  • Incisional Hernia Repair
  • Abdominal Wall Hernia