ArticleHernia : the journal of hernias and abdominal wall surgery2018
Comparison of complete versus partial mesh removal for the treatment of chronic mesh infection after abdominal wall hernia repair.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Implications of the presence of the vermiform appendix inside an inguinal hernia (Amyand's hernia): a systematic review of the literature.Hernia : the journal of hernias and abdominal wall surgery · 2020Pooled it
- Recurrence of infection and hernia following partial versus complete removal of infected hernia mesh: a systematic review and cohort meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2020Pooled it
- Staged approach to chronic mesh infection following hernia repair: a single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Long-term outcome of prophylactic biosynthetic mesh reinforcement at the time of loop ileostomy reversal for colorectal cancer- results of a case-matched study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Quality of life assessment of patients after removal of late-onset infected mesh following open tension-free inguinal hernioplasty: 3-year follow-up.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- What is the outcome of late-onset infected mesh removal after open tension-free inguinal hernioplasty: 3-year follow-up.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Hernia mesh infection treatment following the repair of abdominal wall hernias: A single-center experience.Frontiers in surgery · 2022Article
- Long-term follow-up of prophylactic mesh reinforcement after emergency laparotomy. A retrospective controlled study.BMC surgery · 2021Article
- Poly-4-hydroxybutyrate (Phasix™) mesh onlay in complex abdominal wall repair.Surgical endoscopy · 2021Article
- Mesh Repair in Crohn's Disease: A Case-Matched Multicenter Study in 234 Patients.World journal of surgery · 2020Article
- Article
- The influence of mesh removal during laparoscopic repair of recurrent ventral hernias on the long-term outcome.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
- Total or partial removal of infected mesh? Invited comment.Hernia : the journal of hernias and abdominal wall surgery · 2018Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTreatment of chronic mesh infections (CMI) after parietal repair is difficult and not standardized. Our objective was to present the results of a standardized surgical treatment including maximal infected mesh removal.
methodsPatients who were referred to our center for chronic mesh infection were analyzed according to CMI risk factors, initial hernia prosthetic cure, CMI characteristics and treatments they received to achieve a cure.
resultsThirty-four patients (mean age 54 ± 13 years; range 23-72), were included. Initial prosthetic cure consisted of 26 incisional hernias and eight groin or umbilical hernias of which 21% were considered potentially contaminated because of three intestinal injuries, two stomas and two strangulated hernias. The mesh was synthetic in all cases. CMI appeared after a mean of 83 days (range 30-6740) and was characterized by chronic leaking in 52 cases (50%), an abscess in 22 cases (21%) and synchronous hernia recurrence in 17 cases (16.5%). Eighty-six reinterventions were necessary, including 36 mesh removals (42%), and 13 intestinal resections for entero-cutaneous fistula (15%). The CMI persistence rate was 81% (35 reinterventions out of 43) when mesh removal was voluntarily limited to infected and/or not incorporated material, but was 44% when mesh removal was voluntarily complete (19 reinterventions out of 43; p < 0.001). On average, 3.4 interventions (1-11) were necessary to achieve a cure, after 2.8 years (0-6). Fourteen incisional hernia recurrences occurred (41%).
conclusionsTreatment of chronic mesh infection is lengthy and resource-intensive, with a high risk of hernia recurrence. Maximal mesh removal is mandatory.
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