title: Outcome of the patients with chronic mesh infection following open inguinal hernia repair.
abstract: OBJECTIVE
  Hernia repairs are the most common elective abdominal wall procedures performed by general surgeons. The use of a mesh has become the standard for hernia repair surgery. Herein, we discuss a management strategy for chronic mesh infections following open inguinal hernia repair with onlay prosthetic mesh.
  
  
  METHODS
  In this study, 15 patients with chronic mesh infections following open inguinal hernia repairs were included. The medical records of these patients were retrospectively reviewed and information regarding presentation, type of previous hernia repair, type of mesh, operative findings and bacteriological examination results were obtained. In all cases, the infected mesh was removed completely and the patients were treated with antibiotic regimens and local wound care.
  
  
  RESULTS
  Fifteen mesh removals due to chronic infection were performed between January 2000 and March 2012. The mean interval of hernia repair to mesh removal was 49 months. All patients were followed up for a median period of 62 months (range, 16 to 115 months). In all patients, the infections were resolved successfully and none were persistent or recurrent. However, one patient developed recurrent hernia and one developed nerve injury.
  
  
  CONCLUSIONS
  Chronic mesh infection following hernia repair mandates removal of the infected mesh, which rarely results in hernia recurrence.
authors: Department of General Surgery, Ankara University School of Medicine, Ankara, Turkey.
authors: Cihangir
authors: C
authors: Akyol
authors: Firat
authors: F
authors: Kocaay
authors: Erkinbek
authors: E
authors: Orozakunov
authors: Volkan
authors: V
authors: Genc
authors: Ilknur
authors: I
authors: Kepenekci Bayram
authors: Atil
authors: A
authors: Cakmak
authors: Semih
authors: S
authors: Baskan
authors: Ercument
authors: E
authors: Kuterdem
keywords: Device removal; Infection; Inguinal hernia; Recurrence
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