Late onset mesh infection following laparoscopic inguinal hernia repair

Samee, Abdus; Adjepong, Samuel; Pattar, Jay

doi:10.1136/bcr.09.2011.4863

Cited by 14 publications

(12 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 The decreased infection rates seen with laparoscopic repair may relate to the smaller incisions that are not over the mesh fixation sites, minimal tissue handling and improved haemostasis. 5 Most mesh infections occur in the immediate postoperative recovery period and late onset mesh infection is thought to be a rare occurrence. 6 The incidence of late mesh repair following open repair is 0.005% 7 and is unknown following laparoscopic repair as only three cases exist in the literature: an infection at ten months, 8 at five years 9 and at seven years.…”

Section: Discussionmentioning

confidence: 99%

“…6 The incidence of late mesh repair following open repair is 0.005% 7 and is unknown following laparoscopic repair as only three cases exist in the literature: an infection at ten months, 8 at five years 9 and at seven years. 5 The main management dilemma relates to the timing and type of intervention to drain the collection. We performed a temporising percutaneous drainage procedure as there was a question of an intra-abdominal source of the infection.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Delayed laparoscopic mesh infection presenting as an abdominal mass

Williamson

Newman

Armstrong

2015

annals

View full text Add to dashboard Cite

A 56-year-old man presented with a delayed mesh infection 8 years following an elective laparoscopic totally extraperitoneal (TEP) bilateral hernia repair. Sterile pus was drained percutaneously as a temporising measure prior to removal of the righthand mesh; the left-sided mesh was adherent to the femoral vessels and minimally contaminated. Delayed mesh infection is a rare occurrence. This case is the fourth example and the longest following initial operation. Removal of the infected mesh is advocated.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Delayed laparoscopic mesh infection presenting as an abdominal mass

Williamson

Newman

Armstrong

2015

annals

View full text Add to dashboard Cite

show abstract

“…Infections could be from multiple sources including the suture used and/ or mesh. It is reported that infection incidences are as low as 1%, or even less, in multidisciplinary specialized hernia practice [17]. The most common underlying organisms are grampositive skin flora.…”

Section: Infection (Wound Uti Pneumonia)mentioning

confidence: 99%

Worst Case Scenarios! Complications Related to Hernial Disease

Alwahab¹,

AlAwadhi²,

AlwahabNugud³

et al. 2018

Hernia Surgery and Recent Developments

View full text Add to dashboard Cite

Incarceration, obstruction and strangulation are well recognized common complications of hernias. Several risk factors determine patients' morbidity and mortality. Hernia surgery complications encompass infections, fascial dehiscence, recurrence, neuralgia, visceral injury, and mesh erosion or migration predetermined by many risk factors. The types and criteria for surgical site infections are defined by the extent of the infection. Whether the open or laparoscopic approaches are attempted, the rates of the respective complications depend on the approach. Post-operative hernias are appreciated because of their prevalence and complications. The criteria for enhanced recovery after surgery depend on whether patient is in the pre-operative, intra-operative or post-operative phase. Within the pediatric population, the risk of developing umbilical and inguinal is variable.

show abstract

“…However in case of midline abdominal wall infections, primary closure needs to be done with acceptance of the fact that wound infection and development of an incisional hernia at a later date is inevitable in most cases. 11 There is high likelihood of hernia recurrence after such a surgical intervention. Patient needs to be informed in advance of this outcome.…”

Section: Porosity Of Meshmentioning

confidence: 99%

Hernia mesh infection: a surgical disaster

et al. 2016

View full text Add to dashboard Cite

Mesh infection is one of most disastrous complication following hernia surgery. The consequences are more complex especially following a laparoscopic hernia repair operation. Understanding the pathophysiology of mesh infections is pivotal in adopting preventive strategies. Once infected, exact determination of the extent of the septic complication by CECT is essential. A two staged surgical intervention yields excellent results. A case of infected laparoscopic mesh repair treated by a two staged operation is presented along with a brief review of literature to highlight the safety and efficacy of this approach.

show abstract

Late onset mesh infection following laparoscopic inguinal hernia repair

Cited by 14 publications

References 17 publications

Delayed laparoscopic mesh infection presenting as an abdominal mass

Delayed laparoscopic mesh infection presenting as an abdominal mass

Worst Case Scenarios! Complications Related to Hernial Disease

Hernia mesh infection: a surgical disaster

Contact Info

Product

Resources

About