caa a22 4500 606247823 CHVBK 20210128101347.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s12262-015-1304-x doi (NATIONALLICENCE)springer-10.1007/s12262-015-1304-x Postoperative Mesh Infection—Still a Concern in Laparoscopic Era [Elektronische Daten] [Rajvilas Narkhede, N. Shah, P. Dalal, Chirantan Mangukia, Shreyas Dholaria] Introduction of synthetic mesh was a landmark breakthrough in the management of hernia repair and has significantly reduced recurrence rates. But in addition to the benefits, some more problems have come in picture major being ‘mesh infection'. Prolene mesh has shown promise when used in abdominal and inguinal hernia repair, especially when used in planned surgeries. This material, derived from monofilament polypropelene, is found to be biologically inert in almost every person. Being a foreign material, a slightest breach in asepsis can lead to favourable environment for bacterial proliferation and form a ‘biofilm'. This phenomenon especially after laparoscopic surgeries gives rise to chronic discharging sinus at the port site, abscess formation around mesh and even sepsis. It appears that laparoscopic hernia repair is a promising method but having chances of mesh infection owing to difficult approach and lack of uniformity in sterilization of laparoscopic instruments. Slightest breach in sterility or protocols might lead to such a large ventral wall sinus, increasing morbidity and cost of treatment. Treatment of infected mesh is possible by local debridement, irrigation, mesh removal and systemic antibiotics culminating in increased morbidity over duration of disease, but still it would be worth emphasizing—‘Prevention is better than cure'. Association of Surgeons of India, 2015 Mesh infection nationallicence Mesh rejection nationallicence TEP nationallicence Ventral wall sinus nationallicence Atypical mycobacteria nationallicence Complication of meshplasty nationallicence Narkhede Rajvilas Department of General Surgery, B J Medical College, Ahmedabad, India aut Shah N. Department of General Surgery, B J Medical College, Ahmedabad, India aut Dalal P. Department of General Surgery, B J Medical College, Ahmedabad, India aut Mangukia Chirantan Department of General Surgery, B J Medical College, Ahmedabad, India aut Dholaria Shreyas Department of General Surgery, B J Medical College, Ahmedabad, India aut Indian Journal of Surgery Springer India 77/4(2015-08-01), 322-326 0972-2068 77:4<322 2015 77 12262 https://doi.org/10.1007/s12262-015-1304-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-015-1304-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Narkhede Rajvilas Department of General Surgery, B J Medical College, Ahmedabad, India aut NATIONALLICENCE 700 1- Shah N. Department of General Surgery, B J Medical College, Ahmedabad, India aut NATIONALLICENCE 700 1- Dalal P. Department of General Surgery, B J Medical College, Ahmedabad, India aut NATIONALLICENCE 700 1- Mangukia Chirantan Department of General Surgery, B J Medical College, Ahmedabad, India aut NATIONALLICENCE 700 1- Dholaria Shreyas Department of General Surgery, B J Medical College, Ahmedabad, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77/4(2015-08-01), 322-326 0972-2068 77:4<322 2015 77 12262