Conservative Approach for Salvaging Infected Prosthetic Mesh after Hernia Repair
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- Category: Vol. 79, September 2011
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Conservative Approach for Salvaging Infected Prosthetic Mesh after Hernia Repair SALAH S. SOLIMAN, M.D., M.R.C.S. and TAMER M. NABIL, M.D.
Abstract
The possibility of a mesh-related infection occurring weeks or even years after hernia repair, should be considered in any patient with fever of unknown origin, or symptoms and/or signs of inflammation of the abdominal wall following hernia repair. An approach that combines medical and surgical management is necessary for cases of mesh infection. Thirty-two patients with mesh related infection were managed con-servatively with intention not to remove the mesh unless failure to gain healing, analysis of causes of mesh removal was done. Our results shows a positive relationship between the medical condition of the patients and the occurrence of mesh site infection and causes of mesh removal includes Floating mesh, general septicemia and discharging sinus.