Risk Factors for Mesh Related Wound Infection after Ventral Hernia Repair Surgery
DOI:
https://doi.org/10.32007/jfacmedbagdad.571300Keywords:
ventral hernia , mesh ,wound infection.Abstract
Background: Mesh infection after hernia repair is a devastating complication. Preoperative prediction of high risk patients may be useful to avoid infections. This study aims at evaluating risk factors for mesh related wound infection in our setting.
Patients and methods: This prospective cohort analysis study included 120 patients underwent ventral hernioplasty with polypropylene mesh from October 2009 to February 2013 at Baghdad Teaching Hospital. Clinical data analyzed to determine risk factors of mesh related wound infection.
Results: After one year follow up for each of 120; 21 patients (17.5%) developed mesh related wound infection. Predictors of infection were: age ≥ 45 years, BMI≥35 kg/m2, diabetes mellitus, past history of previous surgical repair, presence of more than one sac or defect, defect size larger than 5 cm, type of hernia sac content (small bowel), small bowel anastomoses, and increased duration of surgery.
Conclusion: Clinical history and examination preoperatively can predict high risk patients to develop postoperative infection.
Downloads
Downloads
Published
Issue
Section
License
Permit others to copy and distribute the manuscript; to extract, revise, and create another derivative
works of or from the manuscript (e.g., a translation); to incorporate the manuscript into a
collective work; and to text or data mine the article, even for commercial purposes, provided that
the author(s) is/are credited; the article's modifications should not harm the author's honor or
reputation; and the article should not be altered in a way that would cause the author to lose them
reputation. The Creative Commons Attribution 4.0 International License (CC BY 4.0) has more
information.