To assess clinical characteristics of patients with mesh infections, evaluate outcomes following mesh explantation, analyze recurrence rates, and propose treatment protocols, emphasizing the significance of these findings in the context of existing literature.
Key Findings:
Sixty-four patients with mesh infections were included, predominantly male (64%) with a mean age of 46.5 years. Pus discharge was the most common symptom (87.5%), with a mean onset of symptoms at 21.7 months post-repair. Majority of infections occurred after ventral hernia repairs (61%). A staged approach was used for 63 out of 64 patients, with 65% undergoing complete mesh explantation, highlighting the need for specialized care.
Interpretation:
The staged approach for managing chronic mesh infections is effective, with a significant proportion of patients achieving successful outcomes, defined as resolution of symptoms and absence of complications, without major complications.
Limitations:
Retrospective design may introduce bias, and limited generalizability due to single-center study; potential biases in data collection should also be acknowledged.
Conclusion:
The study supports a staged approach for managing chronic mesh infections, highlighting the need for specialized care in complex cases and the implications for future clinical practice.
