Analysis on diagnosis and treatment of 16 cases of late-onset mesh infection after tension-free hernia repair

doi:10.3877/cma.j.issn.1674-392X.2021.02.007

Abstract

Abstract:

Objective

To evaluate the methods for the diagnosis and treatment of late-onset mesh infection after tension-free hernia repair.

Methods

Clinical data of 16 patients suffered from late-onset mesh infection after tension-free hernia repair at the first affiliated hospital of Soochow University from August 2012 to August 2017 was analyzed retrospectively. Observation indicators included (1) general condition, (2) operation situations, (3) postoperative situations, (4) follow up.

Results

The initial operation of 16 patients include: Lichtenstein hernioplasty, mesh plug hernioplasty and bilayer patch device for inguinal hernia (PHS). The mean time of mesh infection was (7.3±2.4) months. Staphylococcus aureus and escherichia coli were the main pathogens. All 16 patients were performed patch removal, and 3 of them received an additional laparoscopic exploration. The operative time was (66±31) minutes, the operative blood loss was (32±11) ml and the length of postoperative stay was (20.4±5.4) days. No recurrence occurred in 16 cases.

Conclusion

Delayed mesh infection after tension-free hernia repair is rare. It mainly depends on surgical management. The patch removal has obvious curative effect. An additional laparoscopic exploration is needed when the patch breaking through the peritoneum is suspected.

Key words: Hernia, inguinal, Hernionhaphy, Mesh infection

Xin Chen, Zhongqi Mao, Hao Hu, Lu Xu, Jun Yin, You Hu, Gang Wang, Xiaojun Zhou. Analysis on diagnosis and treatment of 16 cases of late-onset mesh infection after tension-free hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(02): 146-149.

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