腹股沟疝术后补片感染24例临床疗效

目的总结并探讨腹股沟疝修补术后补片感染的外科手术入路及处置经验。 方法回顾性分析2007年6月至2019年1月，华中科技大学附属同济医院收治的24例腹股沟疝修补术后补片感染患者的临床资料、手术方式以及愈合情况。 结果24例患者均成功清除了感染补片，未重新放置补片，均全层缝合切口，同时放置双套管引流。所有患者均顺利完成手术，一期愈合患者21例，通过2次清创愈合患者1例，通过换药二期愈合患者2例。本组患者均随访2个月至11年，术后均无复发。 结论腹股沟疝修补术后补片感染患者的处置较为复杂，综合采用去除感染补片、一期缝合，双套管冲洗引流等综合治疗能获得较为满意的疗效。

Clinical study on treatment of mesh infection after inguinal hernia hernioplasty: A report of 24 cases

ObjectiveTo summarize and discuss the surgical approach and management experience of mesh infection after inguinal hernia hernioplasty. MethodsThe clinical data, surgical methods and healing outcomes of 24 patients with mesh infection after inguinal hernia repair from Tongji Hospital, Tongji Medical College in Huazhong University of Science and Technology from June 2007 to January 2019, were retrospectively analyzed. ResultsAll the 24 patients successfully cleared the infected mesh, without replacing a new mesh. The incision was sutured in full thickness with the placement of dual-tubes drainage. There was no surgical death, 21 patients healed in one stage, 1 case healed through two debridements and 2 cases delayed healing by changing dressings. 21 patients were healed by first intention, 1 patient was cured by re-debridement, and 2 patients were healed by second intention with dressing. All patients were followed up for 2 months to 11 years without recurrence. ConclusionThe treatment of mesh infection after inguinal hernia repair is complicated. Comprehensive treatment including removal of infected mesh, primary suture and dual-tubes drainage can achieve satisfactory results.