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岭南现代临床外科 ›› 2018, Vol. 18 ›› Issue (04): 390-392.DOI: 10.3969/j.issn.1009-976X.2018.04.005

• 论著与临床研究 • 上一篇    下一篇

无张力腹股沟疝术后切口深部感染手术治疗体会

王定平, 陈焕新   

  1. 遂宁市第一人民医院
  • 通讯作者: 王定平

Experience in surgical treatment of deep incision infection after tension-free inguinal hernia repair

WANG Dingping,CHEN Huanxin   

  1. Department of General Surgery,the First People s Hospital of Suining City,Suining,Sichuan 629000, China
  • Online:2018-08-20 Published:2018-08-20

摘要: [摘要] 目的 探讨腹股沟疝无张力修补术后补片感染手术治疗方法及时机。方法 回顾分析了 2010 年 6 月~2017 年 3 月我院收治的 11 例无张力疝修补术后切口深部感染患者临床资料。其中7 例我院初次手术,4 例由下级基层医院转入,其中平片?网塞修补8 例,平片修补1 例腹膜前间隙修补2 例。所有患者均经过严格保守治疗时间超过3 个月仍未治愈而行补片取出局部清创一期缝合。结果 一期愈合8 例,3 例延期愈合。术后随访6 个月~22 个月,未见切口红肿、疼痛,未见疝复发病例。结论 无张力疝感染原因多样,充分的术前准备、严格无菌操作加上术后仔细观察可能会降低感染发生率。适当延长保守治疗可能减少疝复发。

关键词: 手术治疗, 切口感染, 无张力疝, 疝修补术

Abstract: [Abstract] Objective To analyze the case data on surgical treatment of patch infections afterlaparoscopic inguinal hernia repair. Methods The clinical data of 11 patients with mesh infections after tension-free hernia repair in our hospital from June 2010 to March 2017 were retrospectively analyzed. Four of 11 cases were transferred from lower?level basic hospitals. The surgical procedure included“flat mesh”+ plug hernioplasty in 8 cases,repair of anterior peritoneal space in two cases,plug hernioplasty in one cases. All patients were treated with conservative treatment for more than 3 months, and underwent the local debridement,patch removal and dressing. Results Wounds were primarily closed in 8 cases and 3 cases were delayed healing. Followed up for 6 months to 22 months after operation,no incision redness,pain,and no recurrence of hernia was found. Conclusion There are many reasons for tension-free hernia infection. Sufficient preoperative preparation,strict aseptic procedures,and careful postoperative observation are necessary for reducing the infection. Prolonged conservative treatment may be beneficial to reduce hernia recurrence.

Key words: surgical treatment, hernia repair, tension?free inguinal hernia, incision infection