Mesh-preservation approach to treatment of mesh infection after large incisional ventral hernia repair—how I do it

Yang, Xuefei; Aihemaiti, Maimaiti; Zhang, Hao; Jiang, Li; Zhang, Guixi; Qin, Mali; Pan, Yiheng; Xiu-mei, Wen; Chan, F.H.Y.; Fan, Jicong

doi:10.21037/atm.2019.10.82

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…This is difficult to attribute too because retroperitoneal hematoma is more seen in laparoscopic repair than in open mesh repair. Day care or single day surgeryopen hernia technique can be performed as a day care surgery [10]. This implies that the treatment is patient centered which is safe, it is of high quality.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Versus Open Mesh Repair in Treatment of Inguinal Hernia

Narladkar

Gharde

2021

JPRI

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Hernia, in the definition means to actually protrude. Inguinal Hernia is more common among all the hernias. Hernia repair is the most common surgery performed in all medical institutions. Inguinal Hernia (repair) is the most common performed surgery operatio. The contents of Ithe nguinal canal are, Spermatic cord and Ilioinguinal nerve Inguinaln Hernia presents in two types Indirect and direct hernia. Indirect type is the most common. The prevalence of Inguinal Hernia specifically is more common in males which is 25% and in females is 2%. As known till date, Treatment of hernia is a definitive surgery. 10-15% of hernias are direct. 50% of direct hernias that occur are of bilateral origin. And 35% of Inguinal hernias are direct. Etiology of hernia is-Chronic cough Smoking Straining Constipation Heavy work and Previous appendicectomy When in late 1984, Author Lichtenstein coined the term Tension-free hernioplasty, it changed the conventional surgrical technique by making mesh hernia repair more common. When in 1990 laparoscopic tension free technique which was introduced it was being promoted that it causes less pain shorter recovery period. There are multiple repair techniques for Inguinal hernia. This is a most common occurrence in men which does not have a particular effective surgical technique. This study is to determine wheather which technique is comparitivly more effective and useful in the future which will be effective as well as economical. This specific study required a meta analysis of randomised control trials. There are multifactorial reasons for deciding which srugical technique is best.

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Section: Resultsmentioning

confidence: 99%

Laparoscopic Versus Open Mesh Repair in Treatment of Inguinal Hernia

Narladkar

Gharde

2021

JPRI

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“…Mesh-related infections could occur weeks or years after surgical intervention and differ from incisional surgical site infections, occurring superficially, within 30 days of the intervention [38]. The data reported for the incidence differs from 1 to 8%, influenced not only by the mesh type but also by patients' co-morbidities (including diabetes and obesity), surgical technique, or strategy for prevention [38][39][40]. The most common microorganisms related to mesh infection are Staphylococcus aureus and Staphylococcus epidermidis, but infections with Pseudomonas aeruginosa, Streptococcus pyogenes, Escherichia coli, Klebsiella pneumoniae, Enterococcus faecalis, or Candida albicans have also been reported.…”

Section: Surgical Mesh Related Infectionmentioning

confidence: 99%

Antimicrobial Meshes for Hernia Repair: Current Progress and Perspectives

Mirel

Pusta

Moldovan³

et al. 2022

JCM

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Recent advances in the development of biomaterials have given rise to new options for surgery. New-generation medical devices can control chemical breakdown and resorption, prevent post-operative adhesion, and stimulate tissue regeneration. For the fabrication of medical devices, numerous biomaterials can be employed, including non-degradable biomaterials (silicone, polypropylene, expanded polytetrafluoroethylene) or biodegradable polymers, including implants and three-dimensional scaffolds for tissue engineering, which require particular physicochemical and biological properties. Based on the combination of new generation technologies and cell-based therapies, the biocompatible and bioactive properties of some of these medical products can lead to progress in the repair of injured or harmed tissue and in tissue regeneration. An important aspect in the use of these prosthetic devices is the associated infection risk, due to the medical complications and socio-economic impact. This paper provides the latest achievements in the field of antimicrobial surgical meshes for hernia repair and discusses the perspectives in the development of these innovative biomaterials.

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“…Incisional hernia of the abdominal wall is a common complication after abdominal surgery, in which the occurrence rate reported at 23.8 months was 12.8% in a systematic review and meta-regression study (1)(2)(3). It is correlated with the local and systemic factors, including the incision type, suture material and technique, wound infection, obesity, malnutrition, advanced age, diabetes, chronic obstructive lung disease, etc.…”

Section: Introductionmentioning

confidence: 99%

Application of double circular suturing technique (DCST) in repair of giant incision hernias

Song¹,

Huang²,

Xie³

et al. 2020

Ann Transl Med

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Background: Our study aims to explore the feasibility and safety of a double circular suturing technique (DCST) in the repair of giant incision hernias. Methods:The clinical data of 221 patients (95 men and 126 women; the average age was 61.6 years) receiving DCST in the repair of giant incision hernia between January 2010 and December 2018 was analyzed retrospectively. One hundred and five primary and 16 recurrent patients underwent herniorrhaphy with anti-adhesion underlay mesh repair using DCST.Results: All the 221 operations were performed successfully. The average preparation time before the operation and hospital stays were 3.7 days (range, 1-6 days) and 7.5 days (range, 2-16 days), respectively. The average diameter of the hernia ring defect observed intraoperatively was 16.4 cm (range, 12-22 cm). The average time of operation was 83.6 min (range, 43-195 min). There were 2 cases of intestinal fistula, 4 cases of wound infection, 2 cases of mesh infection, 7 cases of serum tumescence, 3 cases of pulmonary infection, and 2 cases of wound dehiscence occurred. One hundred and ninety-five patients were followed up for 6.7 years (range, 0.8-9.5 years) postoperatively. Of them, 9 patients recurred; 14 patients had chronic pain whose visual analog scale (VAS) was 2-4 cm (average 2.7 cm).Conclusions: With limited preparation time before operations, few postoperative complications, and recurrence rate, DCST in the repair of giant incision hernia is safe and possible clinically.

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Mesh-preservation approach to treatment of mesh infection after large incisional ventral hernia repair—how I do it

Cited by 6 publications

References 11 publications

Laparoscopic Versus Open Mesh Repair in Treatment of Inguinal Hernia

Laparoscopic Versus Open Mesh Repair in Treatment of Inguinal Hernia

Antimicrobial Meshes for Hernia Repair: Current Progress and Perspectives

Application of double circular suturing technique (DCST) in repair of giant incision hernias

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