Use of UNILENE Polypropylene mesh to repair the inguinal hernia with a dirty or contaminated wound

 Summary

UNILENE Polypropylene mesh is the technique of choice for the repair of inguinal hernias. Currently, there is controversy about this technique in patients with dirty or contaminated wounds; however, evidence in the medical literature has shown that its use may be safe. 

 

The authors present their experience with polypropylene mesh in contaminated surgery for closure of inguinal hernias.

 

Method.

A retrospective observational study was carried out in which patients over 18 years of age treated between January 2017 and December 2018 due to inguinal hernias, which required emergency surgical treatment, and who had dirty or contaminated wounds, were included. 

 

The criteria evaluated were: surgical wound infection, morbidity and mortality, need for mesh removal, and hernia recurrence.

 

Results. 

Ten patients underwent emergency surgery, requiring intestinal resection for necrosis: nine of them for strangulated hernias and one for perforated appendicitis. In one of the ten patients, the wound was considered dirty due to intestinal necrosis and perforation. 

 

The remaining nine had intestinal necrosis without perforation, for which they were considered contaminated wounds. Wound infection occurred in 1/10 patients with superficial operative site infection; mesh removal was not necessary for any patient during the entire study period. No relapses were observed and there was no mortality.

 

Conclusion.

The use of polypropylene mesh for the correction of inguinal hernias, in patients with dirty or contaminated wounds, is effective and safe, with acceptable morbidity and good short-term results.

 

Know more at www.universalsutures.com

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