{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T21:01:30Z","timestamp":1793048490868,"version":"4.5.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>\n                    Chronic mesh infections after inguinal hernia repair present significant clinical challenges due to biofilm-mediated resistance, involvement of multidrug-resistant and atypical pathogens, and gaps in preventive strategies. Our case series of four patients highlights critical research gaps, including the overlooked role of atypical pathogens such as\n                    <jats:italic>Mycobacterium tuberculosis<\/jats:italic>\n                    , diagnostic challenges in detecting slow-growing or resistant organisms and perioperative sterilisation lapses, especially inconsistent Glutaraldehyde use during late-day operations. Many patients suffered with persistent sinuses and recurrent hernias months after surgery. Microbiological analyses identified\n                    <jats:italic>Pseudomonas aeruginosa, Klebsiella pneumoniae, Mycobacterium tuberculosis<\/jats:italic>\n                    and mixed flora. Complete mesh removal and culture-directed antimicrobial therapy resolved all cases within 8\u201312 months. Our study underscores the need for robust sterilisation protocols, advanced diagnostic measures and biofilm-resistant biomaterials.\n                  <\/jats:p>","DOI":"10.1177\/00494755241313152","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T03:39:58Z","timestamp":1736739598000},"page":"134-138","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Inguinal hernia mesh infections: Chronic challenges, atypical pathogens and lessons in sterilisation"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9641-4384","authenticated-orcid":false,"given":"Debaraj S","family":"Purkayastha","sequence":"first","affiliation":[{"name":"Junior Resident, Department of General Surgery, IPGMER and SSKM Hospital, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anowar A","family":"Mallick","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of General Surgery, IPGMER and SSKM Hospital, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam","family":"Das","sequence":"additional","affiliation":[{"name":"Professor, Department of General Surgery, IPGMER, and SSKM Hospital, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satakshi S","family":"Purkayastha","sequence":"additional","affiliation":[{"name":"Junior Resident, Department of General Medicine, Silchar Medical College and Hospital, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004735"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1159\/000487278"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001793"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/iub.2266"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/apm.12673"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2011.033"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2010.10.011"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-020-02142-5"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1528083717690613"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2015.078"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003769.pub4"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2013.01.047"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-016-1536-0"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msec.2020.110780"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.engreg.2020.05.002"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-015-1304-x"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2023.01.019"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/head.12246"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-022-05248-6"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-11038-7_3"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2013.016"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.3390\/antibiotics11010069"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhazmat.2022.130112"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2020.602057"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2024.1458267"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-023-04849-6"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.4068\/cmj.2018.54.1.1"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmm.2022.151558"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/resp.13304"},{"key":"e_1_3_3_31_2","first-page":"56","article-title":"A state-of-the-art guide about the effects of sterilization processes on 3D-printed materials for surgical planning and medical applications: a comparative study","volume":"9","author":"Valls-Esteve A","unstructured":"Valls-Esteve A, Tejo-Otero A, Rubio-Palau J, et al. A state-of-the-art guide about the effects of sterilization processes on 3D-printed materials for surgical planning and medical applications: a comparative study. Int J Bioprinting 2023 May 17; 9: 56.","journal-title":"Int J Bioprinting"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-018-04095-8"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-021-02439-z"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b61d9a"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755241313152","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755241313152","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755241313152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:36:52Z","timestamp":1777642612000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755241313152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,13]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/00494755241313152"],"URL":"https:\/\/doi.org\/10.1177\/00494755241313152","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,13]]}}}