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Predictors of mesh infection and explantation after abdominal wall hernia repair

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Torregrosa-Gallud, A
  • Pastor, PG
  • Diana, SB
  • Hernandez, JI

Abstract

BACKGROUND: The main objective was to identify predictive factors associated with prosthesis infection and mesh explantation after abdominal wall hernia repair (AWHR). METHODS: This is a retrospective review of all patients who underwent AWHR from January 2004 to May 2014 at a tertiary center. Multivariate analysis identified predictors of mesh infection and explantation after AWHR. RESULTS: From 3,470 cases of AWHR, we reported 66 cases (1.9%) of mesh infection, and 48 repairs (72.7%) required mesh explantation. Steroid or immunosuppressive drugs use (odds ratio [OR] 2.22; confidence interval [CI] 1.16 io 3.95), urgent repair (OR 5.06; CI 2.21 to 8.60), and postoperative surgical site infection (OR 2.9; CI 1.55 to 4.10) were predictive of mesh infection. Predickirs of mesh explantation were type of mesh (OR 3.13; CI 1.71 to 5.21), onlay position (OR 3.51; CI 1.23 to 6.12), and associated enterotomy in the same procedure (OR 5.17; CI 2.05 to 7.12). CONCLUSIONS: lmmunosuppressive drugs use, urgent repair, and postoperative surgical site infection are predictive of mesh infection. Risk factors of prosthesis explantation are polytetrafluoroethylene mesh, onlay mesh position, and associated enterotomy in the same procedure. (C) 2016 Elsevier Inc. All rights reserved.

Datos de la publicación

ISSN/ISSNe:
0002-9610, 1879-1883

AMERICAN JOURNAL OF SURGERY  EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC

Tipo:
Article
Páginas:
50-57
Factor de Impacto:
1,141 SCImago ℠
Cuartil:
Q1 SCImago ℠

Citas Recibidas en Web of Science: 53

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Keywords

  • Mesh infection; Mesh explantation; Biofilm; Abdominal wall hernia; Hernia repair; Prosthesis infection

Campos de estudio

Proyectos asociados

COMPLICACIONES DE HERIDA QUIRÚRGICA EN PACIENTES INTERVENIDOS DE EVENTRACIÓN. ESTUDIO PILOTO COMPARATIVO DE APÓSITO QUIRÚRGICO CONVENCIONAL FRENTE A TERAPIA DE PRESIÓN NEGATIVA DE UN SOLO USO.

Investigador Principal: ASCENSIÓN FRANCO BERNAL

PICO

UTILIDAD DE UNA MALLA SUPRAAPONEURÓTICA COMO PROFILAXIS DE LA EVENTRACIÓN DE LINEA MEDIA TRAS RESECCIÓN ONCOLOGICA COLORRECTAL. ESTUDIO PROSPECTIVO ALEATORIZADO MONOCÉNTRICO.

Investigador Principal: MATTEO FRASSON

PEACE . 2016

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