Abstract:
Objective To explore the experience of surgical treatment of delayed deep infection after tension-free repair of inguinal hernia.
Methods The clinical data of 30 patients with delayed deep infection after tension-free inguinal hernia repair in Xinghu Hospital of Suzhou Industrial Park from June 2012 to June 2018 were retrospectively analyzed, and the general situation of the patients was analyzed. All 30 patients underwent surgical treatment, including debridement, mesh removal, open wound, negative pressure sealing drainage, regular dressing change and observed the healing of patients after treatment.
Result All patients were treated with debridement and the meshes were removed. All 30 patients were primarily healed. The hospitalization time was 10 to 35 days. The average hospitalization time was (22.3±2.4) days. The patients were followed up for 8 to 12 months after debridement. The average time was (9.2±1.5) months. There was no recurrence of hernia.
Conclusion Delayed deep infection after tension-free inguinal repair can be effectively treated by surgical removal of meshes, open wounds, negative pressure sealing drainage, regular dressing change and timely symptomatic treatment. Perfect preoperative examination, strict aseptic operation during operation, standardized operation and appropriate mesh selection are the key to prevent mesh infection.
Key words:
Hernia, inguinal,
Herniorrhaphy,
Delayed deep infection,
Negative pressure sealing drainage,
Prevention
Chun Zhao, Hongqin Yao. Surgical treatment of delayed deep infection after tension-free repair of inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(05): 425-428.