Låg risk för sårinfektion efter användning av nät på inklämda ljumskbråck. Metaanalys av sju prospektiva studier med 311 patienter
Engelsk titel: Low wound infection risk when using surgical meshes in incarcerated inguinal hernia. Meta-analysis of seven prospective studies with 311 patients
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Författare:
Videhult P
;
Magnusson J
;
Thorell A
Email: pervidehult@yahoo.se
Språk: Swe
Antal referenser: 14
Dokumenttyp:
Artikel
;
Metaanalys
UI-nummer: 09091378
Sammanfattning
Due to fear of wound infections, many surgeons hesitate to use synthetic plastic hernia mesh in patients operated for incarcerated or strangulated inguinal hernias. The purpose of this Meta-analysis was to evaluate recurrence- and infection rates in prospective studies using synthetic hernia meshes in open repair of incarcerated or strangulated inguinal hernias. Pub-Med search for prospective studies using synthetic mesh repair for incarcerated or strangulated inguinal hernias. Seven prospective studies comprising a total of 311 patients operated with synthetic mesh due to incarcerated hernia were identified. No study had included patients with peritonitis or massive spillage of intestinal content. Intestinal resection was performed on 43 patients (14 %). All patients received postoperative antibiotic treatment. Eight patients (2.6 %) developed a postoperative infection that resolved on antibiotics. None of these had had an intestinal resection performed. Four patients (1.3 %) had hernia recurrence during a mean follow-up period of 42 months. No mesh had to be removed. Synthetic mesh in combination with postoperative antibiotics is safe to use in open repair of incarcerated or strangulated inguinal hernias as long as the patient is not suffering from peritonitis or massive intestinal spillage. This routine seems to be associated with an acceptable low rate of postoperative infections and recurrences.