ReviewDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2011
[Management of mesh-related infections].
Review in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01520168 (The 2005 Composix Kugel Mesh Recall Leaves Unresolved Problems of Patient Management), which is not on this map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The 2005 Composix Kugel Mesh Recall Leaves Unresolved Problems of Patient Management: Taking Stock After 5-year Follow up
Who cites it
17 citing papers in PubMed, 38 citations in OpenAlex.
- Lessons and challenges during a 5-year follow-up of 21 Composix Kugel implantations.Hernia : the journal of hernias and abdominal wall surgery · 2013Trial
- Trial
- Defect Coverage after Forequarter Amputation-A Systematic Review Assessing Different Surgical Approaches.Journal of personalized medicine · 2022Review
- [Management of late onset septic complications after IPOM implantation: case series from a hernia center].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Article
- Experimental study on the use of a chlorhexidine-loaded carboxymethylcellulose gel as antibacterial coating for hernia repair meshes.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- In vitro assessment of an antibacterial quaternary ammonium-based polymer loaded with chlorhexidine for the coating of polypropylene prosthetic meshes.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- [Technical principles of incisional hernia surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Article
- [Indications for laparoscopic treatment of large incisional hernias].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015Review
- [Use of biological meshes in abdominal wall reconstruction. Results of a survey in Germany].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015Article
- Gentamicin for prevention of intraoperative mesh contamination: demonstration of high bactericide effect (in vitro) and low systemic bioavailability (in vivo).Hernia : the journal of hernias and abdominal wall surgery · 2014Article
- Reconstruction option of abdominal wounds with large tissue defects.BMC surgery · 2014Article
- Importance of recurrence rating, morphology, hernial gap size, and risk factors in ventral and incisional hernia classification.Hernia : the journal of hernias and abdominal wall surgery · 2014Article
- [Intervention-specific complications of hernia surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014Review
- Early repair of open abdomen with a tailored two-component mesh and conditioning vacuum packing: a safe alternative to the planned giant ventral hernia.Hernia : the journal of hernias and abdominal wall surgery · 2012Article
- [Forequarter amputation of the right upper chest: limitations of ultra radical interdisciplinary oncological surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2011Article
- Don't be scared: insert a mesh!The Pan African medical journal · 2011Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Infections of an implanted hernia mesh are a major challenge. The incidence of mesh infections after incisional hernia repair is about 1% for endoscopic techniques and can be more than 15% in open techniques. Intraoperative mesh contamination is considered to be the primary cause. All woven or knitted hernia meshes have recesses where bacteria may adhere and establish colonies. The bacterial spectrum for mesh infection includes skin pathogens, such as Staphylococcus aureus (including MRSA), Streptococcus spp., as well as E. coli, Enterococcus and Mycobacteria. The therapy approach needs to be tailored to the morphological findings and the treatment for uncomplicated phlegmon is broad spectrum antibiotic therapy. If there is encapsulated fluid accumulation, CT-controlled drainage and daily infusion of antiseptics via the drain is a good option. For dermal necrosis, mesh fistula, exposed mesh or enterocutaneous fistula, a precise CT evaluation is necessary to tailor the operation. Vacuum systems are gaining increased acceptance in conditioning the local findings. For most patients the therapeutic concept will be based on individual decisions. If parts of a formerly infected mesh remain in the patient, a lifelong follow-up is necessary.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.