It is well known that hernia is repaired through surgery, sometimes in the traditional open methods and mostly in the new laparoscopic methods, both of which make widespread use of meshes.
And it is this use of mesh that leads to post operative hernia infections.
The possibility of mesh related infections remains there even weeks after and at times years after the surgery has taken place.
Inguinal groin Hernioplasty done through a polypropylene mesh technique that is easy, hassle free can at times result in groin sepsis for which the mesh has to be removed. But it is a rare complication.
An even more unexpected occurrence is deep seated late onset prosthetic infection. However the true incidence of this latter problem has not yet been established.
There does not seem to be any correlation between late graft infection and antibiotic prophylaxis or infection caused by superficial wounds. It also isn’t caused by the fixation material or by the kind of mesh that has been inserted.
However there is cause to believe that synthetic materials used in mesh are the primary reasons behind an increasing number of mesh infections.
Symptoms of hernia infections
There might be a fever of unknown origin. There might also be inflammation and swelling of the wall of the abdomen accompanied by inflammation symptoms. These will usually follow post hernia repair, but the time period will vary from person to person for some people have reported infections within weeks and with others, the infections had raised their ugly heads years later, as mentioned earlier.
The rate of incidence of post operative hernia infections is one percent to eight percent and all of them are due to the use of mesh.
Chances of mesh related infections are aggravated or influenced by infection prevention strategy, surgical technique, mesh type used and underlying co-morbidities.
Treatment of hernia infections
Mesh infection can be treated through a combination of surgical and medical management and an antimicrobial treatment regimen. Staphylococcus aureus and staphylococcus spp. coverage must be included in the latter treatment option.