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Cited by 9

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Surgical Site Infection: The Scourge of Abdominal Wall Reconstruction

Whitehead-Clarke, Thomas, Windsor, Alastair·2021·Surgical Infections
DOI 10.1089/sur.2020.325
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Abstract

Background: Surgical site infection (SSI) is a well-recognized and potentially catastrophic complication of abdominal wall reconstruction (AWR). The authors present a review of the literature surrounding SSI in AWR, exploring prevention and treatment strategies as well as risk factors. Methods: A comprehensive review of the current literature was undertaken. Evidence was reviewed and summarized with particular focus on prevention and treatment strategies available to hernia surgeons. Results: Patient risk factors for SSI are well described in the literature and include obesity, smoking, and other comorbidities. Contaminated hernias and cases involving enterocutaneous fistulae are also at higher risk of SSI. Surgical decisions such as type of mesh, plane of mesh placement, and fascial release may all contribute to SSI risk. To treat established mesh infection, conservative management with antibiotic agents and negative pressure therapy is a reasonable option in some cases. Removal of prosthesis appears to provide favorable results, however, repeat surgery can be problematic Conclusions: Surgical site infection remains an important pathology in the world of AWR. Surgeons have a wealth of tools in their arsenal to prevent and treat SSI and should be aware of the emerging evidence in the fast-moving specialty of hernia surgery. Complex cases should be handled by surgeons and centers with expertise in treating such patients.

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Metadata

Authors
Whitehead-Clarke, T., & Windsor, A.
Affiliations
  • Division of Surgery and Interventional Science, University College, London, United Kingdom.
  • Princess Grace Hospital, HCA Healthcare, London, United Kingdom.
Venue
Surgical Infections
Publisher
SAGE Publications
Published
2021-04-26
Volume
22
Issue
4
Pages
357-362
ISSN
  • 1096-2964
  • 1557-8674
DOI
10.1089/sur.2020.325
Cited by
9
References
1
Language
en
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)

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