Can the wounds after infected meshes removal be sutured primarily: a retrospective study
10.3760/cma.j.issn.1007-631X.2017.04.014
- VernacularTitle:腹股沟疝无张力修补术后补片感染清创及伤口Ⅰ期缝合治疗
- Author:
Fenglin ZHAO
;
Changfu QIN
;
Jie CHEN
;
Yiting LIU
;
Baoshan WANG
;
Li SUN
;
Shuo YANG
;
Fan WANG
;
Sujun LIU
;
Yingmo SHEN
- Keywords:
Hernia,inguinal;
Herniorrhaphy;
Mesh infection;
Debridement;
Primary suture
- From:
Chinese Journal of General Surgery
2017;32(4):332-335
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of debridement and primary suture for mesh-related infections after tension-free inguinal hernia repair.Methods From January 2007 to December 2013,208 cases with nesh infections following inguinal hernia repairs were treated with debridement in Department of Hernia and Abdominal Wall Surgery of Beijing Chaoyang Hospital,147 cases were treated with primary suture (suture group) and 61 cases were treated with dressing change (open group).Results The mean time of mesh infection was (8.37 ± 6.89) months.The results of bacterial culture in the two groups were similar.First grade healing rate of suture group was 80.95％ (119/147),compared to zero percent in open group.Length of stay [(20.86 ± 7.90) d vs.(31.82 ± 11.50) d,t =3.47,P =0.034] and hospital cost [(3 200 ± 5 800) yuan vs.(26 500 ± 6 600) yuan,t =4.51,P =0.02] in suture group were less than in open group.No patients developed recurrent hernia in suture group compared with one recurrence in open group.Conclusions Debridement and primary suture for mesh-related infections after tension-free inguinal hernia repair could increase the rate of first grade healing,shorten average length of hospital stay and reduce total costs.
