OC-055 Mesh infections – frequency, risk factors and treatment options from a Swedish cohort
| Autor: | L Westin, G Sandblom, U Gunnarsson, U Dahlstrand |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | British Journal of Surgery. 110 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1093/bjs/znad080.062 |
| Popis: | Aim To describe the incidence of mesh infection after inguinal hernia repair and the treatment given as well as to investigate possible risk factors. Material & Methods Patients with a groin hernia repair in one of Sweden's health care regions during 2005–2020 were identified in the Swedish Hernia Register (SHR). Data from the SHR was collected for all patients with reported infectious complication and for a matched (1:1) reference group without reported complication. Medical records were studied for risk factors, clinical presentation, lab, imaging, treatment provided and duration of treatment. Results 8350 groin hernia repairs were performed during the study period. Infectious complications were reported to the SHR in 137 cases. Medical records for cases and controls were reviewed to identify infection and treatment given. Mesh infections, or presumed such, constituted 6.5% of all registered infectious complications. Mesh infection was thus seen after 0.11% of repairs. Deep infection was treated with antibiotics, sometimes accompanied by wound revision for drainage. Cases where bowel ischemia necessitated resection were more prone to infections, as were patients with an ASA class of 2 or higher. Conclusion Mesh infection is extremely rare after inguinal hernia repair in Sweden. The majority of these infections can be treated with antibiotics and drainage of infectious fluids and almost never has to result in the removal of the mesh. |
| Databáze: | OpenAIRE |
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