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Eur J Surg. 2001 Jun;167(6):453-7.

Deep prosthesis infection in incisional hernia repair: predictive factors and clinical outcome.

Author information

  • 1Department of General and Abdominal Surgery, General Hospital Dresden-Friedrichstadt, Teaching Hospital University Dresden, Germany. petersen-sv@khdf.de

Abstract

OBJECTIVE:

To evaluate the incidence of prosthetic infection in incisional hernia repairs, to determine whether there are any factors associated with prosthetic infection and to describe the clinical outcome.

DESIGN:

Retrospective clinical study.

SETTING:

Teaching hospital, Germany.

SUBJECTS:

121 consecutive patients who underwent incisional hernia repair in our department from December 1994 to December 1999.

INTERVENTION:

Hernia repair by implantation of an alloplastic prosthesis by the Stoppa-Rives technique.

MAIN OUTCOME MEASURES:

Postoperative deep prosthetic infection and associated factors.

RESULTS:

All 121 patients had the mesh implanted in the subfascial plane, 77 had a polypropylene mesh (Prolene) (64%), 7 had a polyester mesh (Mersilene) (6%), and 37 patients had a expanded polytetrafluoroethylene patch (ePTFE, Gore-Tex) (31%). Postoperatively the mesh became infected in 8 patients (7%), a mean of 4.5 months (range 0.5-16) after hernia repair. All three infected ePTFE patches had to be removed whereas drainage was sufficient treatment for the infected polypropylene and polyester meshes.

CONCLUSION:

Once a mesh infection is verified adequate drainage seems to be sufficient for polypropylene and polyester meshes but ePTFE patches should be removed.

PMID:
11471671
[PubMed - indexed for MEDLINE]
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