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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (05) : 544 -547. doi: 10.3877/cma.j.issn.1674-392X.2022.05.012

临床论著

腹股沟疝无张力修补术后补片感染的外科处理
陶平1, 谢海伟1,†()   
  1. 1. 210006　南京医科大学附属南京医院（南京市第一医院）普外科
  • 收稿日期:2022-05-02 出版日期:2022-10-18
  • 通信作者: 谢海伟

Surgical treatment of mesh infection after tension free repair of inguinal hernia

Ping Tao1, Haiwei Xie1,†()   

  1. 1. Department of General Surgery, Nanjing Hospital Affiliated to Nanjing Medical University (The First Hospital of Nanjing), Nanjing 210006, China
  • Received:2022-05-02 Published:2022-10-18
  • Corresponding author: Haiwei Xie
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引用本文：

陶平, 谢海伟. 腹股沟疝无张力修补术后补片感染的外科处理[J]. 中华疝和腹壁外科杂志(电子版), 2022, 16(05): 544-547.

Ping Tao, Haiwei Xie. Surgical treatment of mesh infection after tension free repair of inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(05): 544-547.

目的

探讨腹股沟疝无张力修补术后补片感染的原因与外科处理方法。

方法

回顾性分析2010年1月至2019年1月南京医科大学附属南京医院收治的12例腹股沟疝无张力修补术后补片感染患者的临床资料，研究其感染的原因并总结外科处理的方法。

结果

12例患者均再次手术取出感染补片，患者全部治愈。术后随访9~36个月，无疝复发。

结论

补片感染是腹股沟疝无张力修补术的严重并发症，一旦发生需再次手术取出补片，治疗不增加术后疝复发率。

关键词: 疝，腹股沟, 感染, 补片, 外科处理
Objective

To investigate reasons and surgical treatment of mesh infection after tension free repair of inguinal hernia.

Methods

The clinical data of 12 patients with mesh infection after tension free repair of inguinal hernia admitted in Nanjing Hospital Affiliated to Nanjing Medical University from January 2010 to January 2019 were retrospectively analyzed. The reason and surgical treatment of mesh infection after tension free repair of inguinal hernia were analyzed and summarized.

Results

All 12 patients were cured by reoperation to remove the infected meshes. There was no recurrence of hernia during the postoperative 9~36 months of follow-up.

Conclusion

Mesh infection is a serious complication of tension free repair of inguinal hernia. The infected meshes needed to be removed by reoperation if there were mesh infections. The recurrence rate of hernia was not increased after reoperation.

Key words: Hernia, inguinal, Infection, Mesh, Surgical treatment
[1]
Delikoukous S, Tzovaras G, Laikou P, et al. Late-onset deep mesh infection after inguinal hernia repair[J]. Hernia, 2007, 11(1): 15-17.
[2]
Aufenacker T, Geldere D, Mesdag T, et al. The role of antibiotic prophylaxis in prevention of wound infection after Lichtenstein open mesh repair of primary inguinal hernia[J]. Ann Surg, 2004, 240(6): 955-960.
[3]
申英末，陈杰，王振军, 等. 疝修补材料的发展与新进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2007, 1(1): 56-59.
[4]
Falagas M E, Kasiakou SK. Mesh-related infections after hernia repair surgery[J]. Clin Microbiol infect, 2005, 11(1): 3-8.
[5]
孙立，陈杰，申英末, 等. 精索护垫补片在腹股沟疝修补术中的应用研究[J]. 中国现代医学杂志, 2012, 22(31): 101-104.
[6]
Hawn MT, Gray SH, Snyder CW, et al. Prediccors of mesh explantations after incisional hernia repair[J]. Am J Surg, 2011, 202(1): 28-33.
[7]
Blatnik JA, Krpulo DM, Novilaky YW, et al. Does a history of wound infection predict postoperative surgical sitc infection after ventral hernia repair?[J]. Am J Surg, 2012, 203(3): 370-374.
[8]
袁丽. 中国糖尿病教育者培训之思考——现状、差距与展望[J]. 中华糖尿病杂志, 2015, 7(3): 133-135.
[9]
Cobb WS, Carbonell AM, Kalbaugh CL, et al. Infection risk of open placement of intraperitoneal composite mesh[J]. Am Surg, 2009, 75(6): 762-768.
[10]
Eriksen J, Gogenur T, Rosenberg J. Choice of mesh for laparoscopic ventral hernia repair[J]. Hernia, 2007, 11(4): 471-472.
[11]
Zeb MH, Pandian TK, EI Khatib MM, et al. Risk factors for postoperative hematoma after inguinal hernia repair: an update[J]. J Surg Res, 2016, 205(1): 33-37.
[12]
杨一唯，周卫江，任培土. 腹壁疝补片修补术后感染的处理[J]. 中华普通外科杂志, 2017, 32(2): 174-175.
[13]
黄耿文，周书毅. 腹股沟疝修补术后网片感染的诊断和治疗[J/OL]. 中华疝和腹壁外科杂志(电子版), 2007, 11(2): 105-107.
[14]
顾岩. 腹壁疝人工合成补片置入所致感染的防治[J]. 外科理论与实践, 2010, 15(6): 586-589.
[15]
Johanet H, Contival N, Club C. Mesh infection after inguinal hernia mesh repair[J]. J Visc Surg, 2011, 148(5): 392-394.
[16]
Rehman S, Khan S, Pervaiz A, et al. Recurrence of inguinal herniae following removal of infected prosthetic meshes: a review of the literature[J]. Hernia, 2012, 16(2): 123-126.
[17]
Karatepe O, Ozturk A, Koculu S. To what extent is cyanoacrylate useful to prevent early wound infections in hernia surgery?[J]. Hernia, 2008, 12(6): 603-607.
[18]
Roller J, Laschke MW, Sethi S, et al. Prolene-Monocryl-composite meshes do not increase microvascular Staphylococcus aureus adherence and do not sensitize for leukocytic inflammation[J]. Arch Surg, 2008, 393(3): 349-357.
[19]
Fawole AS, Chaparala RP, Ambrose NP. Fate of the inguinal hernia following removal of infected prosthetic mesh[J]. Hernia, 2006, 10(1): 58-61.
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