Partial removal of infected parietal meshes is a safe procedure
| Autor: | Pierre Verhaeghe, B. Garriot, F. Browet, Olivier Brehant, C. Sabbagh, JM Regimbeau |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Prosthesis-Related Infections Incisional hernia medicine Humans Hernia Major complication Device Removal Herniorrhaphy Aged Retrospective Studies business.industry General surgery Incisional hernia repair Middle Aged Surgical Mesh medicine.disease Hernia Abdominal Surgery Prosthetic material Treatment Outcome surgical procedures operative Female business Abdominal surgery |
| Zdroj: | Hernia. 16:445-449 |
| ISSN: | 1248-9204 1265-4906 |
| DOI: | 10.1007/s10029-012-0931-4 |
| Popis: | Open tension-free hernioplasty using prosthetic meshes dramatically reduced recurrence rates after hernia or incisional hernia repair and has become the rule. Mesh infections (MI) are the major complication of prosthetic material. The aim of this study was to assess the efficacy of partial removal of mesh (PRM) therapy in the treatment of MI.From January 2000 to April 2010, from a prospective database, we retrospectively selected patients who underwent surgery for MI. We studied the epidemiological data (sex, age, obesity, diabetes, smoking), the operating time of the initial intervention, the presence of intestinal injuries during the first intervention, the average interval between initial surgical procedure and MI, the location of the hernia, the average size of the hernia, type of mesh used, the position of the mesh, type of surgery performed, the number through interventions required to achieve a cure, the cumulative duration of hospital stay and hernia recurrence rates.Twenty-five patients were supported for a MI in our institution. There were 9 women (36 %) and 16 men (64 %). The median age was 59 years (range 37-78). There were 4 inguinal hernias (16 %), 15 incisional hernias (60 %) and 6 multirecurrent incisional hernias (24 %). It was performed a PRM in 92 % of cases (n = 23), a total excision of the prosthesis in 4 % of cases (n = 1) and no removal of prosthesis in 4 % of cases (n = 1). The average number of reoperations before healing was 1 (range 1-5). The mean cumulative duration of hospitalization until healing was 9.5 days (range 2-43). No visceral resection was performed.PRM is feasible in most cases allowing first to spare the capital parietal patients and secondly to avoid major surgery. In case of failure, total removal of the mesh can be discussed. |
| Databáze: | OpenAIRE |
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