The effect of patient factors on the incidence of surgical site infection in incisional hernia operations / Mohamed Maged Ahmed Shaltout ; Supervised Mustafa Soliman , Hany Armia

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery

Background: Incisional hernia is a complication in 11 - 20 % of patients after laparotomy . Repair of incisional hernia is a frequent operation in surgery with recurrence rates between 14 {u2013} 50% with traditional repair and between 0 {u2013} 10% with mesh repair. The mesh is considered to be a foreign body after hernia operations, if infection occurs, it could be a severe problem. So SSIs after mesh hernioplasty should be avoided and if occured ,should be treated early and properly. Among surgical patients, SSIs were the most common nosocomial infection, accounting for 38% of all such infections. Of these SSIs, two thirds were confined to the incision, and one third involved organs or spaces accessed during the operation. When surgical patients with nosocomial SSI died, 77% of the deaths were reported to be related to the infection, and the majority (93%) were serious infections involving organs or spaces accessed during the operation. Aim of the work: Surgical site infection after incisional hernia operations has serious consequences. The aim of our work is to study the effect of different patient factors and comorbidities on the incidence of surgical site infection in incisional hernia operations. Subjects and methods: The prospective study includes twenty patients with incisional hernias. All patients underwent open surgical repair and follow up for the occurrence of SSI in department of surgery, Kasr El- Ainy hospitals. Surgical site infection(SSI) ocurred in eleven cases (SSI group) after surgery. Nine cases had no SSI (non SSI group)

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