The Management of Mesh Infection After Laparoscopic Inguinal Hernia Repair

被引：10

作者：

Yang, Huiqi ^{[1
]}

Liu, Yiting ^{[1
]}

Chen, Jie ^{[1
]}

Shen, Yingmo ^{[1
]}

机构：

[1] Capital Med Univ, Beijing Chaoyang Hosp, Dept Hernia & Abdominal Wall Surg, Jingyuan Rd 5, Beijing 100040, Peoples R China

来源：

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2019年 / 29卷 / 01期

关键词：

mesh infection; laparoscopic; inguinal hernia repair;

D O I：

10.1097/SLE.0000000000000614

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We present our experience in managing mesh infection after laparoscopic inguinal hernia repair. We analyzed 19 patients with extensive mesh infection treated between 2012 and 2017 via laparoscopic mesh excision after preoperative workup. After mesh removal and insertion of a drain into the preperitoneal space, the peritoneal flap was closed with 3/0 absorbable consecutive suture. The operative course in all patients was uneventful. Sigmoidectomy for a fistula was required in 1 patient. Two patients required a second laparoscopic surgery for infection on the contralateral side and residual mesh around the pubic bone. In total, 3 cases of recurrence were identified during follow-up. Laparoscopic mesh excision is an effective and minimally invasive method for the management of infection that also avoids unnecessary disruption of healthy layers of the abdominal wall.

引用

页码：40 / 42

页数：3

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