Inguinal Hernia Repair in the Setting of Bowel Injury/Resection

Abstract

The use of permanent synthetic mesh in the repair of inguinal hernias is considered standard of care regardless of whether a laparoscopic or open approach is used. These prosthetics are responsible for a profound reduction in the recurrence rates of inguinal hernia repairs. There are many situations in which the utilization of mesh is considered standard of care, but there are several which warrant further discussion. In particular the utilization of meshes in contaminated fields can lead to higher rates of wound morbidity. One such situation which may lead to contamination is concomitant bowel injury or the need for resection of the bowel. This manuscript seeks to tackle this difficult situation and provide suggestions for clinical management.