无张力疝修补术后补片感染研究进展

Research progress of patch infection after tension-free hernia repair

腹股沟疝是普外科的常见病、多发病,无张力疝修补手术是目前最常用的治疗方法。补片感染是疝修补术后的常见并发症,病情复杂且持续时间长,成为困扰普外科医师的新问题。补片感染的发病因素大致可分为自身因素、手术操作、补片材质及结构等3个方面,针对感染的易感因素提前进行预防,可明显改善患者预后。关于补片感染的治疗,目前尚未形成统一标准,需根据患者的病情及临床医师的经验制订个体化的治疗方案。该文就无张力疝修补术后补片感染的发生、诊断及防治等方面的最新研究进展进行综述。

Inguinal hernia is one of the common diseases in general surgery,and tension-free hernia repair is the most common treatment for inguinal hernia.Patch infection is the common complication after hernia repair,confuses many of the general surgeons for its complex condition and long duration.The pathogenetic factors of patch infection can be roughly divided into three aspects,which include patients'physical condition,operation details,material and structure of patch.Prevention in advance of the susceptible factors of mesh infection can significantly improve the prognosis of patients.As for the treatment of patch infection,there is no unified standard yet,and individual treatment plans should be formulated according to the patient's condition and experience of the clinician.This article reviews the latest research progress of the occurrence,diagnosis,prevention and treatment of patch infection after tension-free hernia repair.