切口疝修补术后补片感染并发肠瘘，是严重的并发症，可导致腹壁切口经久不愈，给患者的生活带来巨大影响。本文分析报道了1例嵌顿性切口疝患者，术中探查发现嵌顿肠管坏死，同期行坏死肠管切除及补片疝修补术，术后出现切口感染、补片感染，最终导致肠瘘及切口疝发生，病史长达4年，经再次行手术治疗后治愈。以加深读者对该病的认识，为临床治疗提供参考。

Mesh infection complicated by enteric fistula following incisional hernia repair constitutes a life-threatening complication, which often results in prolonged non-healing of the abdominal wall incision and significantly impairs patients' quality of life. This case report presents a patient with an incarcerated incisional hernia, in whom intraoperative exploration revealed necrosis of the incarcerated intestinal segment. Simultaneous resection of the necrotic intestine and mesh repair of the hernia were performed during the same operation. Postoperatively, the patient developed an incision infection and subsequent mesh infection, which eventually progressed to enteric fistula and recurrence of incisional hernia. The disease course lasted for 4 years, and the patient achieved complete recovery following reoperation. This case aims to enhance clinicians' understanding of such complications and provide valuable reference for their clinical management.