1例开放腹股沟疝无张力修补术后20年迟发性补片感染的治疗并文献复习

Treatment of Late-Onset Mesh Infection 20 Years after Tension-Free Repair of an Open Inguinal Hernia and Literature Review

摘要: 腹股沟疝是普外科的常见病与多发病，手术是腹股沟疝唯一、有效的治疗手段。随着医用材料的发展，使用合成补片进行疝修补术已取代传统手术成为目前主流的修补方式，且疗效可靠，得到了广泛的认可。然而合成补片作为异物置入体内后可能会引起相关并发症。迟发性补片感染作为补片相关并发症之一，一般发生在疝修补术后数月甚至数年，其临床表现可有发热、慢性腹股沟区疼痛、局部红肿，严重情况下可表现为窦道形成，是导致疝修补术失败的主要原因。迟发性补片感染在临床上较为少见，但其治疗非常困难。本文报道了1例腹股沟疝修补术后长达20年之久出现补片感染的患者，情况十分罕见，通过结合文献对其治疗方式进行了主要讨论，为临床治疗提供参考。

Abstract: Inguinal hernia is a common and frequent disease in general surgery, and surgery is the only and effective treatment for inguinal hernia. With the development of medical materials, hernia repair using synthetic mesh has replaced traditional surgery as the current mainstream repair method with reliable efficacy and is widely recognized. However, synthetic mesh may cause complications after being placed in the body as a foreign body. Late-onset mesh infection, as one of the mesh re-lated complications, usually occurs months or even years after hernia repair, and its clinical mani-festations may include fever, chronic inguinal pain, localized redness and swelling, and sinus for-mation in severe cases, which is the main cause of hernia repair failure. Late-onset mesh infection is rare in clinical practice, but its treatment is very difficult. In this paper, we reported a patient who developed mesh infection as long as 20 years after inguinal hernia repair, which was a very rare situation, and its treatment was mainly discussed by combining the literature to provide reference for clinical treatment.