A Hospital Based Retrospective Observational Assessment of Mesh Related Infections

Description

Abstract (English)

Aim: The aim of this study was to analysis of mesh related infections in Bihar region.
Methods: A retrospective observational study was conducted in the department of General Surgery for 2 years
and 100 patients were included in the study.
Results: Mesh infection was more common in males. Among 100 patients, 82 were males and 18 female
patients. Majority of the patients were in the age group 40-50 followed by 50-60 age groups. The time of
presentation after surgery was more after 5 months and 40% had co-morbidities. Antibiotic has used according
to the protocol of our hospital; it was followed in 96 patients in the first surgery i.e., hernia repair surgery.
Parenteral cephalosporin was used in 96 patients and amoxicillin- clavulanic acid in 4 patients. Antibiotic has
repeated if the procedure was beyond 2 hours. After postoperative day 2, patients were switched over to oral
antibiotics for three days. Likewise, during the second admission, i.e., when the patient was admitted with mesh
infection, 96 patients were given cephalosporin, and 4 patients were given Piperacillin tazobactam.
Polypropylene mesh was used in 85 patients, and the composite mesh was used in 15 patients who underwent
IPOM.
Conclusion: Most of the patients took more than 5 months to report infection. Comorbidities were present in
40% patients and risk for complications after hernia repair is increased among patients with comorbid
conditions. So, the proper selection of the patient, ensuring good control of comorbid medical conditions will
prevent mesh infections.