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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
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/OL]. 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/OL]. 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。

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.

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