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Volume 351:193-195 July 8, 2004 Number 2
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Infections Associated with Surgical Implants

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by Darouiche, R. O.
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To the Editor: Dr. Darouiche (April 1 issue)1 discusses the treatment of infections associated with surgical implants but does not point out that postherniorrhaphy mesh infections constitute a significant proportion of such infections. Approximately 1 million inguinal and 20,000 ventral herniorrhaphies are performed yearly in the United States, and approximately 95 percent of these repairs involve mesh implants. The infection rate is estimated to be between 3 and 4 percent for inguinal herniorrhaphies and between 6 and 8 percent for ventral herniorrhaphies. Accordingly, some 30,000 to 50,000 postherniorrhaphy infections will occur each year, the majority of them involving mesh implants.2

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