Conservative Approach for Salvaging Infected Prosthetic Mesh after Hernia Repair

The possibility of a mesh-related infection occurring weeks or even years after hernia repair, should be considered in any patient with fever of unknown origin, or symptoms and/or signs of inflammation of the abdominal wall following hernia repair. An approach that combines medical and surgical management is necessary for cases of mesh infection. Thirty-two patients with mesh related infection were managed conservatively with intention not to remove the mesh unless failure to gain healing, analysis of causes of mesh removal was done. Our results shows a positive relationship between the medical condition of the patients and the occurrence of mesh site infection and causes of mesh removal includes Floating mesh, general septicemia and discharging sinus.