Complications of Abdominal Wall Hernia Repair Using Mesh: A Single Cohort Study

Main Article Content

Chathik H. Werasuriya
Lykorgos K. Alexakis
Hsan Bairu
Ahidul Hilal

Keywords

Hernia, Mesh, Abdominal Wall, Operation

Abstract

Introduction


A hernia is when a viscus or a portion of a viscus protrudes through an irregular opening in the walls of the cavity it is contained in. This study's objective was to examine the effectiveness of mesh-based hernia repair with a focus on infection and recurrence rates.


Methods


This is a single cohort study conducted over 4 years. Patients with inguinal hernia received regional anesthesia while others have been given general anesthesia. Polypropylene mesh was used for all of them. They received preoperative antibiotics (1 gram of ceftriaxone). They were followed up for three years.


Results


During 4 years, 270 patients were enrolled in the study. The mean age of patients was 48 years. One hundred fifty patients (55.5%) were male and 120 of them (44.5%) were female. One hundred forty-two patients (52.6%) had an inguinal hernia. Ninety patients (33.3%) had umbilical hernias, 20 patients (7.4%) had epigastric hernias and 8 patients (3%) had incisional hernias. Five cases (1.8%) developed recurrence. Two patients (0.7%) had an infection.


Conclusion


Abdominal wall hernia repair using mesh is safe with very low complication rates.

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References

1. Ismael DN, Hammood ZD, Kakamad FH, Qadr GA. Obstructed inguinal hernia containing female reproductive organ: A rare presentation. International Journal of Case Reports and Images. 2017;8(12):822–825. doi:10.5348/ijcri-2017130-CR-10869
2. Falah SQ, Jamil M, Munir A, Khan MI. Frequency of complications following Lichtenstein repair of inguinal hernia. Gomal Journal of Medical Sciences. 2015;13(1):9-11. doi:N/A
3. Ponten JE, Thomassen I, Nienhuijs SW. A collective review on mesh-based repair of umbilical and epigastric hernias. Indian Journal of Surgery. 2014;76:371-7. doi:10.1007/s12262-013-0920-6
4. Falagas ME, Kasiakou SK. Mesh-related infections after hernia repair surgery. Clinical microbiology and infection. 2005;11(1):3-8.
doi:10.1111/j.1469-0691.2004.01014.x
5. Jamadar DA, Jacobson JA, Girish G, Balin J, Brandon CJ, Caoili EM, et al. Abdominal wall hernia mesh repair: sonography of mesh and common complications. Journal of Ultrasound in Medicine. 2008;27(6):907-17.
doi:10.7863/jum.2008.27.6.907
6. Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Annals of surgery. 2004;240(4):578–85. doi:10.1097/01.sla.0000141193.08524.e7
7. Rana KV, Singh G, Deshpande NA, Bharathan VK, Sridharan S. Postoperative complications of mesh hernioplasty for incisional hernia repair and factors affecting the occurrence of complications. Medical Journal of Dr. DY Patil University. 2013;6(1):25-31. doi:10.4103/0975-2870.108634
8. Butler CE, Navarro FA, Orgill DP. Reduction of abdominal adhesions using composite collagen‐GAG implants for ventral hernia repair. Journal of Biomedical Materials Research. 2001;58(1):75-80. doi:10.1002/1097-4636(2001)58:1<75::AID-JBM110>3.0.CO;2-J
9. Jansen PL, Klinge U, Jansen M, Junge K. Risk factors for early recurrence after inguinal hernia repair. BMC surgery. 2009;9:1-5. doi:10.1186/1471-2482-9-18
10. Khalil RA, Alawad AA. Incidence of complications following open mesh repair for inguinal hernia. International Journal of Medicine. 2014;2(2):60-2. doi:10.14419/ijm.v2i2.3280