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Case Reports in Surgery
Volume 2017, Article ID 4385913, 4 pages
https://doi.org/10.1155/2017/4385913
Case Report

Late Ps. aeruginosa Inguinal Mesh Infection 12 Years after the Initial Operation: Report of the Case and Short Review of the Literature

1Department of Laparoscopic Surgery and Surgical Oncology, Neo Athinaion Hospital, Athens, Greece
2Department of Anatomy and Surgical Anatomy, Medical School, University of Athens, Athens, Greece

Correspondence should be addressed to Dimitrios Filippou; moc.liamtoh@uoppilif_d

Received 12 June 2017; Revised 12 August 2017; Accepted 20 August 2017; Published 27 September 2017

Academic Editor: Gabriel Sandblom

Copyright © 2017 Dimitrios Filippou. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Inguinal hernia mesh repair is one of the most frequent operations performed worldwide. The Lichtenstein technique and its various modifications are the most popular operations for groin hernia repair. The rate of surgical site infection (SSI) following inguinal hernia repair ranges between 0 and 14% in various series. Most of these infections developed early postoperatively. The incidence of late mesh infection following open inguinal hernia repair still remains unclear and highly variable. Late deep mesh infections are relatively rare specially after more than 10 years. The most common pathogens reported in the literature are E. coli and St. aureus. The infection is treated by conservative means initially but in case of failure then the mesh should be removed surgically. A unique case of a patient with very late (chronic) mesh infection is presented. The infection was due to Pseudomonas aeruginosa, which occurred 14 years after the initial operation and presented as subcutaneous fistula.