腹股沟疝无张力修补术后补片感染的诊疗分析

A retrospective analysis of treatment for mesh infection after tension-free inguinal hernia repair

目的探讨腹股沟疝无张力修补术后补片感染的诊疗方式。方法回顾性分析2010年1月~2017年12月我院胃肠外科收治的17例腹股沟疝无张力修补术后补片感染病人的临床资料。结果 17例病人行手术治疗,清创、取出补片并一期缝合关闭伤口,同时行闭式引流,15例病人甲级愈合,2例病人行二次清创,切口换药后愈合,随访超过18个月均无疝的复发。结论腹股沟疝无张力修补术后补片感染在非手术治疗无效情况下,通过手术进行清创、取出补片并合理引流是有效的治疗手段。

Objective To analyze the treatment methods of the mesh infection after tension-free repair of inguinal hernia.Methods The clinical data of 17 patients with mesh infection after tension-free repair of inguinal hernia from January 2010 to December 2017 in department of gastrointestinal surgery of Wuhan Tongji Hospital were retrospectively analyzed.Results 17 cases were treated with debridement,mesh removing,primary suture and closed drainage.15 cases were first grade healing,2 case were under reoperation for second debridement and second grade healing finally,no recurrence of hernia was found after 18 months of follow-up.Conclusion The treatments of debridement,mesh removing,primary suture and closed drainage are effective means in cases of mesh infection after tension-free repair of inguinal hernia,in which non-surgical treatments are failed.