腹股沟疝补片修补术后感染和窦道形成1例  

Treatment of mesh infection and sinus formation after inguinal hernia(an experience of one case)

作　　者：汤福鑫 甘文昌[1] 吴慧莹 陈双[1] TANG Fuxingxin;GAN Wenchang;WU Huiying;CHEN Shuang(Department of Gastroenterology Surgery and Hernia Surgery,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 501655,China)

机构地区：[1]中山大学附属第六医院胃肠腹壁疝外科,广州510655

出　　处：《岭南现代临床外科》2018年第2期230-232,共3页Lingnan Modern Clinics in Surgery

摘　　要：总结我科最近一例补片感染并窦道形成患者的临床资料,分析窦道形成原因及总结手术治疗技巧。术中采用美蓝染色标记窦道,窦道完全切除,术后放置引流7天,每日换药,术后11天愈合。采用美蓝染色标记、完整切除窦道、清除残余补片及线头、严格无菌操作及术后妥善安置引流是手术以及窦道愈合的关键。Objective The clinical data of one case of mesh infection and the formation of the sinus tract was summarizedand to analyze the reasons of the sinus tract formation and surgical treatment tech?niques.The sinus tract was excised completely through methylthionine chloride stainingguiding.Drainage was placed 7 days postoperativelyand daily dressing change.W ound healed in 11 days after operation.In this case,chronic infection is a major cause of the sinus tract formation.The experience to success sug?gests that complete removal of the sinus tract,methylthionine chloride staining and proper drainage are the key to treat chronic wound and sinus.

关 键 词：腹股沟疝 慢性感染 人工补片 窦道 

分 类 号：R656.21[医药卫生—外科学]