Surgical site ınfection following ventral hernia repair: Evaluation of different prosthetic materials’ ımpact

Abstract

Introduction: Regulations of antisepsis were described by Joseph Lister in 1867; however, surgical site infection is still a common problem in surgical patients despite of the developments in medicine. It is estimated that 5% of 30 million surgeries performed each year are complicated with SSI. In this study we investigated the wound infection rates for 3 different surgical approach for ventral hernias. Patients and Methods: This was a clinical study done in the department of surgery in a tertiary care hospital. A total of 54 patients included the study. Patients who underwent hernia repair with dual mesh formed the DM group(17 patients), who underwent repair by primary suturation formed RPS group (RPS:16 patients), whereas those who underwent repair with prolene mesh placement formed the PMR (PMR:21 patients) groups. Results: In PMR group 4 patient out of 21 developed wound infection, and in RPS group 1 out of 16 patients, in DM group no patient developed wound infection with a p-value of 0.032 which is statistically significant. Discussion: It is very important to reduce aggressive dissection, prevent seroma formation and use of optimal prosthetic alternative. In this study the data showed that, ventral herniorraphy with prolene mesh carries higher risk of wound infection tha using dual mesh.