Groin Sepsis in india

Groin sepsis can develop from infected mesh, so doctors often start the patient on antibiotics before hernia surgery as a preventive. Antibiotics are given orally or through an IV one hour before the procedure, and are discontinued after 24 hours unless an active infection was found during surgery.

A deep-seated infection can cause chronic groin sepsis, and mesh removal is necessary for resolution. Removing the mesh leaves weakness at the repair site, increasing the chance of another hernia.

Prosthetic mesh had been used to repair 2,139 inguinal hernias, and patients whose mesh was removed after infection were followed up. Fourteen had deep-seated wound infection, and mesh removal was necessary to resolve sepsis. They experienced no complications during mesh removal.

After a median follow-up period of 44 months, two patients had recurrences without symptoms. None of the patients reported groin pain.

Hernia recurrence is rare after mesh removal for chronic groin sepsis, suggesting that the success of a mesh repair might depend on how well the abdominal wall reacts to the prosthetic material in the mesh, rather than on the physical presence of the mesh.

Researchers concluded that when there’s a deep-seated infection, immediate removal of the mesh is necessary to resolve chronic groin sepsis.

Peristomal Hernia in india

A peristomal hernia can develop after a colostomy or ileostomy, causing an enlargement of the opening in the abdominal muscle that collects body waste. This enlargement can cause abdominal contents to protrude along the site of the stoma, which is an artificial opening made in the abdominal wall for those procedures.

Inserting mesh around a stoma increases risk of contamination from stoma bacteria. It’s possible to place the mesh too tightly around the bowel as it exits the abdomen, preventing bowel contents from emptying properly through the stoma after the surgery. If the stoma lies against the mesh, over time the mesh can erode into the bowel wall, necessitating removal of the mesh.

Placing the mesh too loosely around the stoma might not entirely close the hernia defect, and another hernia could occur.

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