LA UDES PUBLICA
Fecha de publicación:
2022-07-01
Tipo:
Review
Identificación:
SCOPUS_ID:85122126849
eID:
2-s2.0-85122126849
Nombre de la revista:
American Journal of Surgery
Título del artículo:

Systematic review and meta-analysis of risk factors for Mesh infection following Abdominal Wall Hernia Repair Surgery

Background: Surgical Mesh Infection (SMI) after Abdominal Wall Hernia Repair (AWHR) represents a catastrophic complication. We performed a systematic review and meta-analysis to analyze the risk factors for SMI in the context of AWHR. Methods: PubMed, Embase, Scielo, and LILACS were searched without language or time restrictions from inception until June 2021. Articles evaluating the association between demographic, clinical, laboratory and surgical characteristics with SMI in AWHR were included. Results: 23 studies were evaluated, comprising a total of 118,790 patients (98% males; mean age 56.5 years) with a mesh infection pooled prevalence of 4%. Significant risk factors for SMI were type 2 diabetes mellitus, obesity, smoking history, steroids use, ASA III/IV, laparotomy vs laparoscopy, emergency surgery, duration of surgery and onlay mesh position vs sublay. The quality of evidence was regarded as very low–moderate. Conclusion: Several factors, highlighting sociodemographic characteristics, comorbidities, and the clinical scenario, may increase the risk of developing mesh infections in AWHR. The recognition and mitigation of these may significantly reduce mesh infection rates in this context.

Autor(es) UDES:
Quiroga-Centeno C.A.
Otros Autores:
Quiroga-Centeno A.C., Guerrero-Macías S., Navas-Quintero O., Gómez-Ochoa S.A.
Autor Principal:
Quiroga-Centeno A.C.
Áreas del conocimiento:
Surgery
Acerca de la revista donde se publicó este artículo:

American Journal of Surgery

Cuartil Q1
Ranking
5458
Tipo
Journal
ISSN
00029610
eISSN
18791883
Región
Northern America
País
United States
Volumen
224
Rango de páginas
239-246
Cobertura
1917, 1919, 1926-2022
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