Ahmad Sajjad, Mufti Tariq Saeed, Zafar Arshad, Akbar Ismail
Department Surgery, Ayub Medical College, Abbottabad, Pakistan.
J Ayub Med Coll Abbottabad. 2007 Oct-Dec;19(4):75-7.
Mesh Hernioplasty is the preferred surgical procedure for abdominal wall hernias and infection remains one of the most common complications of this technique. In some patients the mesh may need removal to overcome infection, where as others may be salvaged by conservative treatment. This study was conducted to assess the outcome of conservative management for mesh site infection in abdominal wall hernia repairs.
This study was carried out in Ayub Teaching Hospital Abbottabad Pakistan from Jan 2006 to Dec 2007. Thirteen consecutive cases were included, who developed mesh site infection after abdominal wall hernia repair. Pus or purulent fluid was sent for culture and sensitivity. All patients were treated by intravenous antibiotics and local wound care. Treatment was taken as successful when there was complete resolution of infection and healing of the wound.
There were 7 inguinal (53.84%), 4 para-umbilical (30.76%) and 2 incisional hernias (15.38%). Eight patients were males (61.53%) and 5 females (38.46%). Median age of the patients was 40 years (range 28 to 52 years). Staphylococcus aureus was the most commonly found organism causing infection in 8 patients, (76.9%). Mean hospital stay was 22 days (range 18-26 days). All cases were effectively treated conservatively without removing the mesh. Polypropylene mesh was used in all of these cases.
Conservative management is likely to be successful in mesh site infection in abdominal wall hernia repairs.
补片疝修补术是治疗腹壁疝的首选手术方法，感染仍是该技术最常见的并发症之一。在一些患者中，可能需要取出补片以控制感染，而其他患者可能通过保守治疗得以治愈。本研究旨在评估腹壁疝修补术后补片部位感染的保守治疗效果。
本研究于2006年1月至2007年12月在巴基斯坦阿伯塔巴德的阿尤布教学医院进行。连续纳入13例腹壁疝修补术后发生补片部位感染的患者。采集脓液或脓性液体进行培养和药敏试验。所有患者均接受静脉抗生素治疗和局部伤口护理。当感染完全消退且伤口愈合时，治疗视为成功。
腹股沟疝7例（53.84%），脐旁疝4例（30.76%），切口疝2例（15.38%）。男性8例（61.53%），女性5例（38.46%）。患者的中位年龄为40岁（范围28至52岁）。金黄色葡萄球菌是最常见的感染病原体，8例患者感染该菌（76.9%）。平均住院时间为22天（范围18 - 26天）。所有病例均通过保守治疗有效治愈，未取出补片。所有病例均使用聚丙烯补片。
腹壁疝修补术后补片部位感染采用保守治疗可能成功。
