A Retrospective Study: Complete vs Partial Mesh Removal for Mesh Infection After Hernioplasty - Clinical Outcomes and Pathogen Analysis
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 主要终点
- Hernia Recurrence Rate
研究概览
简要总结
Background: Mesh infection after tension-free inguinal hernia repair (IHR) is rare and challenging. When conservative treatment fails, surgery is often required. This study compared clinical outcomes of complete versus partial mesh removal in affected patients.
Materials and Methods: We retrospectively analyzed patients who underwent surgery for mesh infection after IHR in our hospital between January 2016 and December 2025. Baseline data, perioperative indicators, postoperative complications, and microbiological results were compared between the complete and partial removal groups.
详细描述
We conducted a single-center, retrospective case series analysis. We included patients who developed mesh infection after tension-free IHR and underwent surgical treatment at our center between January 2016 and December 2025. Patients with mesh infection after incisional, parastomal, or umbilical hernia repair were excluded. We also excluded patients who improved with conservative treatment and did not undergo surgery.
We collected the following data: demographic characteristics, comorbidities, laboratory and imaging results, characteristics of the primary hernia surgery, infection characteristics, intraoperative data, and postoperative outcomes. All data were entered into a standardized database. Follow-up was conducted through outpatient visits and telephone interviews. The last follow-up was on October 30, 2025.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients who underwent tension-free inguinal hernioplasty with mesh placement.
- •Patients diagnosed with mesh infection requiring surgical re-intervention.
- •Patients who underwent complete or partial mesh removal surgery.
- •Availability of complete medical records and follow-up data.
排除标准
- •Patients with mesh infection managed conservatively (without surgical removal).
- •Patients with missing critical data (e.g., intraoperative findings, pathogen results, or follow-up).
- •Patients with concomitant procedures that could confound outcomes (e.g., simultaneous other hernia repair).
- •Patients lost to follow-up immediately after discharge (no postoperative assessment).
结局指标
主要结局
Hernia Recurrence Rate
时间窗: From date of surgery to December 2025
Presence of clinically or radiologically confirmed recurrent inguinal hernia at the site of previous hernioplasty following mesh removal surgery.
Infection Recurrence Rate
时间窗: From date of surgery to December 2025
Recurrence of surgical site infection at the same location after initial surgical treatment for mesh infection, confirmed by clinical signs (e.g., erythema, purulent drainage, sinus tract formation) and/or positive microbiological culture.
次要结局
未报告次要终点