腹腔镜手术治疗腹腔镜腹股沟疝修补术后补片感染16例疗效分析  

Clinical efficacy on laparoscopic treatment of mesh infection after laparoscopic inguinal hernia repair:A report of 16 cases

作　　者：刘伟[1] 侯泽辉 甘文昌[2] 马宁[2] 周太成[2] 李英儒[2] 陈双[2] 江志鹏[2] LIU Wei;HOU Ze-hui;GAN Wen-chang(Department of Endoscopic Surgery,the Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,China)

机构地区：[1]中山大学附属第六医院内镜外科,广东广州510655 [2]中山大学附属第六医院胃肠、疝和腹壁外科,广东广州510655

出　　处：《中国实用外科杂志》2020年第10期1190-1193,共4页Chinese Journal of Practical Surgery

基　　金：国家临床重点专科(No.201806020036)。

摘　　要：目的分析腹腔镜手术治疗腹腔镜腹股沟疝修补术后补片感染的临床疗效并总结诊治经验。方法回顾性分析2017年2月至2019年6月中山大学附属第六医院胃肠、疝和腹壁外科收治的16例腹腔镜腹股沟疝修补术后补片感染病人的临床资料,均再次行腹腔镜手术取出感染补片。结果16例病人均顺利完成手术,感染补片均完整取出,手术时间为127.8(81~212)min,术中失血56.3(20~100)mL,术后无严重并发症发生,病人均顺利恢复出院。随访7~36个月,1例仅取出感染侧补片的双侧疝病人出现对侧补片感染,予再次手术取出补片后治愈。随访过程中无肠瘘、膀胱瘘、疝复发等并发症发生。结论采用腹腔镜手术取出腹膜前感染补片,具有补片完整取出率高、感染复发率低、副损伤少、术后恢复快等优点,值得临床应用及推广。ObjectiveTo summarize and discuss the management experience of mesh infection after laparoscopicinguinal hernia repair.MethodsThe clinical materials,surgical methods and postoperative outcomes of 16 patientswith mesh infection after laparoscopic inguinal hernia repair at the Sixth Affiliated Hospital of Sun Yat-sen Universityfrom February 2017 to June 2019 were analyzed retrospectively.ResultsAll the 16 patients underwent laparoscopicmesh excision successfully.Infected meshes were completely removed.The average operation time was 127.8(81-212)min,with an average blood loss of 56.3(20-100)m L.No serious complication occurred after the operation,and thepatients were successfully discharged.During the follow-up period of 7 to 36 months,one patient with bilateral herniawho only took out the infected side mesh developed contralateral mesh infection and was cured after taking out the meshagain.No case of complications such as intestinal fistula,bladder fistula and hernia recurred during follow-up.ConclusionThe removal of the preperitoneal infection mesh through laparoscopic surgery has the advantages of highrate of complete mesh removal,low infection recurrence rate,less side injury,and rapid postoperative recovery.It isworthy of clinical application and promotion.

关 键 词：补片感染 腹股沟疝 腹腔镜 并发症 

分 类 号：R6[医药卫生—外科学]