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Management of Mesh-Related Infections After Hernia Repair

V. Mitova, M. Zashev, R. Gornev

Abstract


Hernia repairs are the most common elective abdominal wall procedures in general surgery. The use of a prosthetic material (mesh) has become the gold standard in hernia repair surgery worldwide because of the concept of tension-free plastics and the benefits they provide.However, the more frequent use of meshes has led to an increase of the various mesh-related complications. The most common are: seroma, postoperative pain, migration of the mesh, bleeding, infections, adhesions, etc.One of the most unfavorable and difficult to treat complications is the infection of the prosthetic material (mesh). The incidence of mesh-related infections after incisional hernia repair is about 1% for endoscopic techniques and can be more than 15% in open techniques.There are a lot of risk factors associated with this type of complication. The management depends precisely on these factors, on morphological findings, general condition of the patient and others.We present a case report of the therapeutic approach in infected polypropylene mesh after hernia repair. The patient is a 56-year-old man with obesity, diabetes mellitus and after abdominoperineal resection of rectum. The combination of the mesh-related infection and the many preceding surgeries, the general condition of the patient and his comorbidities are a real therapeutic and surgical challenge.

Keywords

Keywords: hernia repair, prosthetic material, mesh, infection, management




DOI: http://dx.doi.org/10.14748/ssm.v48i0.2275

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About The Authors

V. Mitova

M. Zashev

R. Gornev

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