The repair of an abdominal wall hernia is a generally clean procedure with a low risk of infectious complications. However, when wound infections do occur following a hernia repair, they can be associated with hernia recurrence, mesh infections, and systemic complications [1,2].
Abdominal wall hernia repairs can be divided into two broad categories:
●Ventral hernia repair – includes incisional, ventral, epigastric, spigelian, peristomal, and umbilical hernias. (See "Overview of abdominal hernias".)
●Groin hernia repairs – includes inguinal and femoral hernias. (See "Classification, clinical features and diagnosis of inguinal and femoral hernias in adults".)
Risk factors for and strategies to reduce the risk of infection after abdominal wall hernia repair are reviewed here. An overview of antibiotic prophylaxis and other control measures to prevent surgical site infection are discussed elsewhere. (See "Antimicrobial prophylaxis for prevention of surgical site infection in adults" and "Adjunctive measures for prevention of surgical site infection in adults".)