کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5731163 1611475 2017 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Clinical SciencePredictors of mesh infection and explantation after abdominal wall hernia repair
ترجمه فارسی عنوان
علم بالینی پیشگویی از عفونت مش و توضیح پس از اصلاح دیواره فک پایین شکم
کلمات کلیدی
عفونت مش توضیح مش، بیوفیلم، فتق دیواره شکم، تعمیر فک پروتز عفونت،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundThe main objective was to identify predictive factors associated with prosthesis infection and mesh explantation after abdominal wall hernia repair (AWHR).MethodsThis is a retrospective review of all patients who underwent AWHR from January 2004 to May 2014 at a tertiary center. Multivariate analysis identified predictors of mesh infection and explantation after AWHR.ResultsFrom 3,470 cases of AWHR, we reported 66 cases (1.9%) of mesh infection, and 48 repairs (72.7%) required mesh explantation. Steroid or immunosuppressive drugs use (odds ratio [OR] 2.22; confidence interval [CI] 1.16 to 3.95), urgent repair (OR 5.06; CI 2.21 to 8.60), and postoperative surgical site infection (OR 2.9; CI 1.55 to 4.10) were predictive of mesh infection. Predictors of mesh explantation were type of mesh (OR 3.13; CI 1.71 to 5.21), onlay position (OR 3.51; CI 1.23 to 6.12), and associated enterotomy in the same procedure (OR 5.17; CI 2.05 to 7.12).ConclusionsImmunosuppressive drugs use, urgent repair, and postoperative surgical site infection are predictive of mesh infection. Risk factors of prosthesis explantation are polytetrafluoroethylene mesh, onlay mesh position, and associated enterotomy in the same procedure.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 213, Issue 1, January 2017, Pages 50-57
نویسندگان
, , , , , , ,