Outcomes of Incisional Surgical Site Infection without Mesh to Prevent Incisional Hernia

Dr. Shyamal Chandra Barai, Md. Shahadot Hossain Sheikh, Dr. Abu Taher, Dr. Mohammed Tanvir Jalal, Dr. Zhuma Rani Paul, Dr. Chowdhury Sazzad Hyder, Dr. Krishna Pada Saha, Dr. Mohammad Haroon
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Abstract

Background: wound infections that develop after a hernia repair can be linked to systemic issues, mesh infections, and hernia recurrence. Objective: To assess outcomes of incisional surgical site infection without mesh to prevent incisional hernia. Methodology: This was a Prospective interventional study which was conducted in Department of Colorectal Surgery Bangabandhu Sheikh Mujib Medical University fromApril, 2019- September, 2020 using a semi-structured questionnaire through face to face interview. Data were analysed using a computer programme SPSS 24.0 version. Result: the mean age of the respondents was 56.73±7.72 years. About 80% were male. The mean BMI was 25±5.5. About 16.7% had Parastomal Hernia and 8.3% had midline Incisional Hernia. 3 patients at 4th week and 1 patient at 3rd month had surgical site infection. Conclusion: Hernia operations are traditionally regarded as clean operations due to the anticipated, low likelihood of infection at the site of surgical intervention (SSI).
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切口手术部位感染不加补片预防切口疝的效果
背景:疝修补术后发生的伤口感染可能与全身问题、补片感染和疝复发有关。目的:评价不加补片的切口手术部位感染预防切口疝的效果。方法:本研究是一项前瞻性介入研究,于2019年4月- 2020年9月在Bangabandhu Sheikh Mujib医科大学结直肠外科进行,采用面对面访谈的半结构化问卷。采用SPSS 24.0软件对数据进行分析。结果:调查对象的平均年龄为56.73±7.72岁。大约80%是男性。平均BMI为25±5.5。造口旁疝16.7%,中线切口疝8.3%,第4周3例,第3个月1例发生手术部位感染。结论:疝手术因其手术部位感染(SSI)可能性低,传统上被认为是清洁手术。
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