Environmental Risk Factors of Mesh Infection After Abdominal Wall Hernia Repair

Central Hospital, Nancy, France

Status: Unknown

Conditions: Surgical Site Infection

Treatments: Procedure: wall hernia repair

Study type: Observational

Funder types: Other

Identifiers

NCT04174976

2019PI187

Details and patient eligibility

About

Mesh infection is the main complication in abdominal hernia repair. In case of infection, a conservative management of mesh is not always possible. The removal of the mesh (occurring in 5.1% to 8% of wall hernia repair) increases the risk of recurrence and surgical morbidity.

Within our digestive surgery department (CHRU de Nancy), an infection rate of 10.7% (32 cases out of 298 patients with wall hernia repair) was observed between January 2016 and December 2018. This rate is higher than those usually described in the literature.

Several studies have identified predictors of mesh infection and explantation after abdominal wall hernia repair. The influence of the operating environment (temperature, hygrometry, pressure, number of people present, etc.) has, to our knowledge, never been studied.

If the risk of prosthesis infection is influenced by one or more of these extrinsic characteristics, it is possible to act on these practices to reduce this risk.

The main purpose of this study is to identify the characteristics specific to the intervention and the operating environment associated with mesh infection after abdominal wall hernia reconstruction

Full description

It's a prospective, mono-centric study carried out on a cohort of patients followed in the digestive surgery department of the CHRU of Nancy

All patients who underwent a wall hernia repair between 28/12/2017 and 28/12/2020 in the digestive and general surgery department of the CHU of Nancy were included.

During the operative time, the nurses have to fill a survey with characteristics specific to the intervention and the operating environment.

Patients in this study have been followed for at least one year at the Nancy CHRU in order to be aware of the occurence of mesh infection and surgery for mesh explantation.

Enrollment: 300 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• All patients admitted for wall hernia repair with mesh between 28/12/2017 and 28/12/2020

Exclusion criteria

• Emergency surgery
• Laparoscopic
• Pregnancy
• Adults under legal guardianship

Trial design

300 participants in 1 patient group

Wall hernia repair

Description:

All patients admitted for wall hernia repair with mesh between 28/12/2017 and 28/12/2020. .

Treatment:

Procedure: wall hernia repair