Outcome of the patients with chronic mesh infection following open inguinal hernia repair

Cihangir Akyol; Firat Kocaay; Erkinbek Orozakunov; Volkan Genc; Ilknur Kepenekci Bayram; Atil Cakmak; Semih Baskan; Ercument Kuterdem

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자료유형: 학술저널

저자정보: Cihangir Akyol (Ankara University School of Medicine) Firat Kocaay (Ankara University School of Medicine) Erkinbek Orozakunov (Ankara University School of Medicine) Volkan Genc (Ankara University School of Medicine) Ilknur Kepenekci Bayram (Ankara University School of Medicine) Atil Cakmak (Ankara University School of Medicine) Semih Baskan (Ankara University School of Medicine) Ercument Kuterdem (Ankara University School of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.5

발행연도: 2013.5

수록면: 287 - 291 (5page)

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연구주제

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연구배경

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연구방법

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Purpose: Hernia repairs are the most common elective abdominal wall procedures performed by general surgeons. The use of a mesh has become the standard for hernia repair surgery. Herein, we discuss a management strategy for chronic mesh infections following open inguinal hernia repair with onlay prosthetic mesh. Methods: In this study, 15 patients with chronic mesh infections following open inguinal hernia repairs were included. The medical records of these patients were retrospectively reviewed and information regarding presentation, type of previous hernia repair, type of mesh, operative findings and bacteriological examination results were obtained. In all cases, the infected mesh was removed completely and the patients were treated with antibiotic regimens and local wound care. Results: Fifteen mesh removals due to chronic infection were performed between January 2000 and March 2012. The mean interval of hernia repair to mesh removal was 49 months. All patients were followed up for a median period of 62 months (range, 16 to 115 months). In all patients, the infections were resolved successfully and none were persistent or recurrent. However, one patient developed recurrent hernia and one developed nerve injury. Conclusion: Chronic mesh infection following hernia repair mandates removal of the infected mesh, which rarely results in hernia recurrence.

#Inguinal hernia #Infection #Device removal #Recurrence

참고문헌 (27)

참고문헌 신청

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