BACKGROUND: Stratification of risks of postoperative wound/mesh infection after hernia repair remains a challenge. We aimed to determine the role of a previous wound infection on surgical site infection in patients undergoing open ventral hernia repair. METHODS: All patients undergoing open ventral hernia repair in a clean setting were evaluated from a prospectively maintained database. The primary end point was the development of a postoperative surgical site infection. RESULTS: A total of 146 patients were included in the analysis, and 22 patients had a history of previous wound infection. The rate of surgical site infection did not differ between those with or without a history of wound infection (14% vs 9%; P = .444). Patients with a history of chronic obstructive pulmonary disease or smoking were at an increased risk of developing a surgical site infection. CONCLUSIONS: For patients undergoing open ventral hernia repair, a history of previous wound infection is not predictive of postoperative surgical site infection.
BACKGROUND: Stratification of risks of postoperative wound/mesh infection after hernia repair remains a challenge. We aimed to determine the role of a previous wound infection on surgical site infection in patients undergoing open ventral hernia repair. METHODS: All patients undergoing open ventral hernia repair in a clean setting were evaluated from a prospectively maintained database. The primary end point was the development of a postoperative surgical site infection. RESULTS: A total of 146 patients were included in the analysis, and 22 patients had a history of previous wound infection. The rate of surgical site infection did not differ between those with or without a history of wound infection (14% vs 9%; P = .444). Patients with a history of chronic obstructive pulmonary disease or smoking were at an increased risk of developing a surgical site infection. CONCLUSIONS: For patients undergoing open ventral hernia repair, a history of previous wound infection is not predictive of postoperative surgical site infection.
Authors: R B Baucom; J Ousley; O O Oyefule; M K Stewart; S E Phillips; K K Browman; K W Sharp; M D Holzman; B K Poulose Journal: Hernia Date: 2016-08-08 Impact factor: 4.739