6533b85bfe1ef96bd12bb621

RESEARCH PRODUCT

Deep SSI after mesh-mediated groin hernia repair: Management and outcome in an Emergency Surgery Department

Gaspare GulottaC RaspantiP De MarcoCalogero PorrelloGiuseppe ProfitaS CampanellaGiuseppe SalamoneN FalcoGianfranco CocorulloRoberta TutinoL LicariRoberto GulloG Augello

subject

Malemedicine.medical_specialtymedicine.medical_treatmentPhysical examinationHernia InguinalProsthesisClinical PracticeEmergency surgeryMesheBiopsymedicineHumansSurgical Wound InfectionHerniorrhaphymedicine.diagnostic_testGroinbusiness.industryGeneral surgeryDeep SSI; Groin hernia; Meshes; SurgeryFasciaMiddle AgedSurgical MeshHernia repairGroin herniaSurgerymedicine.anatomical_structureTreatment OutcomeRadiological weaponDeep SSISurgerybusinessEmergency Service Hospital

description

Aim. Mesh-mediated groin hernia repair is considered the goldstandard procedure. It has low recurrence rate. Rarely a deep Surgical Site Infection (SSI) is seen when a synthetic prosthesis is used. Case report. We describe a rare case of bilateral deep SSI after mesh- mediated groin hernia repair. Diagnosis was performed through the physical examination and radiological exams. Microbiological samples identified a methicillin-resistant Staphylococcus aureus responsible of the infection. Target therapy was performed and re-operation performed in order to remove the infected prosthesis and to apply a biological one to create the fibrous scaffold. During follow-up time, right side recurrence was observed. Tru-cut biopsy of fascia was obtained in order to identify the responsible of the recurrence. Conclusion. Combination of antibiotic therapy and surgical reoperation seems to be the correct way to approach the deep SSI after mesh- mediated groin hernia repair. The use of biological mesh after synthetic removal seems to improve the final outcome.

yearjournalcountryeditionlanguage
2017-05-02
https://iris.unipa.it/handle/10447/244737