Surgical site infection after ventral hernia repair with synthetic mesh

Katherine G. Lamond, Jonathan P. Pearl

Research output: Chapter in Book/Report/Conference proceedingChapter


Surgical site infections (SSIs) are common after complex ventral hernia repairs and result in prolonged hospital stays and additional morbidity. There are many modifiable risk factors that might lower the risk of infection, ranging from patient preparation to surgical technique. When infection occurs, treatment varies from local therapy to radical resection and reconstruction. Superficial SSI without mesh involvement can be treated with drainage and antibiotics, but when deep infections occur in the setting of synthetic mesh, the infected mesh is usually removed. Mesh may be salvageable when the infection is localized, but many mesh infections require complete removal and abdominal wall reconstruction. These complicated operations carry a high risk of subsequent surgical site occurrences and a substantial incidence of recurrent hernia. As techniques evolve, the goal in infected mesh cases is to clear the septic source and provide a durable abdominal wall reconstruction.

Original languageEnglish (US)
Title of host publicationAbdominal Wall Defects
Subtitle of host publicationPrevalence, Surgical Management Strategies and Clinical Care Outcomes
PublisherNova Science Publishers, Inc.
Number of pages9
ISBN (Electronic)9781629487106
ISBN (Print)9781629486727
StatePublished - Jan 1 2014
Externally publishedYes

ASJC Scopus subject areas

  • General Social Sciences


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