Reoperation of mesh infection after tension-free herniorrhaphy

Objective To investigate the prevention and the timing of reoperation and treatment of mesh infection after tension-free herniorrhaphy for inguinal hernia.Methods There were 18 mesh infections admitted from Jan.2003 to Dec.2012.Originally 13 cases were treated by Lichtentein repair,5 cases by mesh plug.Flat knitted polypropylene was used in 16 cases,polytef in 2 cases.Meshes were completely removed in 3 cases,partially removed in 15 cases.Tube drainage and suction were used and incision was sutured one stage.Results All the patients were reoperated and cured,with no perioperative death,no pain,no scrotal edema and urinary retention.16 cases were healed by first intention,the other 2 cases with delayed healing.Patients were followed up from 6 months to 3 (1.8 ± 0.4) years,with no recurrence of hernia and wound infection.Conclusions Treatment of mesh infection after tension-free herniorrhaphy for inguinal hernia relies mainly on prevention.Reoperation and mesh removal offers a chance of healing for cases intractable to conservative therapy. Key words: Hernia,inguinal;  Reoperation;  Wound infection;  Herniorrhaphy