腹股沟疝无张力疝修补术后并发感染的处理措施及预防
Treatment and Prevention of Infection after Tension-Free Hernia Repair in Inguinal Hernia
摘要: 腹股沟疝进行手术修补的患者越来越多，各种术后并发症发生的概率也逐渐增多，其中术后感染的发生让人头疼不已。术后感染一旦发生，可以引起其他并发症发生率显著增高，对患者造成身体和经济上的二次伤害。医护人员充分掌握术后感染发生的处理措施及预防手段并认真贯彻落实相关流程对该疾病有重要意义，值得每一个人学习。本文将围绕疝气术后感染的处理措施及预防手段做一综述说明。
Abstract: With more and more patients undergoing surgical repair of inguinal hernia, the probability of various postoperative complications is gradually increasing, among which the occurrence of postoperative infection is very troublesome. Once the postoperative infection occurs, it can cause a significant increase in the incidence of other complications, causing secondary harm to the patient’s body and economy. It is of great significance for medical staff to fully grasp the treatment and prevention measures of postoperative infection and conscientiously implement the relevant procedures for this disease, which is worth learning for everyone. In this paper, the treatment and prevention of hernia infection after operation will be summarized.
文章引用：尹灿, 帕尔哈提·阿布都热衣木. 腹股沟疝无张力疝修补术后并发感染的处理措施及预防[J]. 临床医学进展, 2024, 14(4): 991-995. https://doi.org/10.12677/acm.2024.1441117

参考文献

[1] Cai, L.Z., Foster, D., Kethman, W.C., Weiser, T.G., et al. (2018) Surgical Site Infections after Inguinal Hernia Repairs Performed in Low and Middle Human Development Index Countries: A Systematic Review. Surgical Infections, 19, 11-20. [Google Scholar] [CrossRef] [PubMed]
[2] Yang, C. and Deng, S. (2020) Laparoscopic versus Open Mesh Repair for the Treatment of Recurrent Inguinal Hernia: A Systematic Review and Meta-Analysis. Annals of Palliative Medicine, 9, 1164-1173. [Google Scholar] [CrossRef] [PubMed]
[3] Yang, X., Aihemaiti, M., Zhang, H., et al. (2019) Mesh-Preservation Approach to Treatment of Mesh Infection after Large Incisional Ventral Hernia Repair-How I Do It. Annals of Translational Medicine, 7, Article 698. [Google Scholar] [CrossRef] [PubMed]
[4] 张绪锋, 陈春雷. 腹股沟疝术后并发症的防治研究进展[J]. 广东医科大学学报, 2021, 39(6): 765-769.
[5] Wilson, R.B. and Farooque, Y. (2022) Risks and Prevention of Surgical Site Infection after Hernia Mesh Repair and the Predictive Utility of ACS-NSQIP. Journal of Gastrointestinal Surgery, 26, 950-964. [Google Scholar] [CrossRef] [PubMed]
[6] Sanchez, V.M., Abi-Haidar, Y.E. and Itani, K.M. (2011) Mesh Infection in Ventral Incisional Hernia Repair: Incidence, Contributing Factors, and Treatment. Surgical Infections, 12, 205-210. [Google Scholar] [CrossRef] [PubMed]
[7] 马金誉, 莫楚君, 缪辉来. 预防腹股沟疝术后手术部位感染的研究进展[J]. 中国社区医师, 2023, 39(28): 8-10.
[8] Masood, A., Arshad, A.R. and Ashraf, M. (2022) Comparison between Outcome of Single Dose of Prophylactic Antibiotic versus Postoperative Antibiotic in Inguinal Hernia Surgery. Pakistan Journal of Medical Sciences, 38, 1210-1215. [Google Scholar] [CrossRef] [PubMed]
[9] 陈革, 唐健雄. 腹股沟疝术后手术部位感染的诊断和治疗对策[J]. 中华普外科手术学杂志(电子版), 2014, 8(3): 196-198.
[10] Wang, D., Fu, Y., Liu, Q., et al. (2021) Maximal Infected Mesh Removal with Methylene Blue Injection for Mesh Infection after Inguinal Hernia Repair. Surgical Infections, 22, 347-352. [Google Scholar] [CrossRef] [PubMed]
[11] Montgomery, A., Kallinowski, F. and Köckerling, F. (2016) Evidence for Replacement of an Infected Synthetic by a Biological Mesh in Abdominal Wall Hernia Repair. Frontiers in Surgery, 2, Article 178347. [Google Scholar] [CrossRef] [PubMed]
[12] Sereysky, J., Parsikia, A., Stone, M.E., Castaldi, M. and McNelis, J. (2020) Predictive Factors for the Development of Surgical Site Infection in Adults Undergoing Initial Open Inguinal Hernia Repair. Hernia, 24, 173-178. [Google Scholar] [CrossRef] [PubMed]
[13] Sørensen, L.T. (2012) Wound Healing and Infection in Surgery. The Clinical Impact of Smoking and Smoking Cessation: A Systematic Review and Meta-Analysis. Archives of Surgery, 147, 373-383. [Google Scholar] [CrossRef] [PubMed]
[14] Kohno, S., Hasegawa, T., Aoki, H., et al. (2022) Analysis of Risk Factors for Surgical Site Infection and Postoperative Recurrence Following Inguinal and Femoral Hernia Surgery in Adults. Asian Journal of Surgery, 45, 1001-1006. [Google Scholar] [CrossRef] [PubMed]
[15] Sereysky, J., Parsikia, A., Stone, M.E., et al. (2020) Predictive Factors for the Development of Surgical Site Infection in Adults Undergoing Initial Open Inguinal Hernia Repair. Hernia, 24, 173-178. [Google Scholar] [CrossRef] [PubMed]
[16] 张明芬, 张学春. 腹股沟疝无张力修补术切口感染风险因素分析[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(2): 192-194.
[17] Darehzereshki, A., Goldfarb, M., Zehetner, J., et al. (2014) Biologic versus Nonbiologic Mesh in Ventral Hernia Repair: A Systematic Review and Meta-Analysis. World Journal of Surgery, 38, 40-50. [Google Scholar] [CrossRef] [PubMed]
[18] Birolini, C., De Miranda, J.S., Utiyama, E.M., et al. (2015) A Retrospective Review and Observations over a 16-Year Clinical Experience on the Surgical Treatment of Chronic Mesh Infection. What about Replacing a Synthetic Mesh on the Infected Surgical Field? Hernia, 19, 239-246. [Google Scholar] [CrossRef] [PubMed]
[19] Berrevoet, F., Vanlander, A., Sainz-Barriga, M., et al. (2013) Infected Large Pore Meshes May Be Salvaged by Topical Negative Pressure Therapy. Hernia, 17, 67-73. [Google Scholar] [CrossRef] [PubMed]
[20] Akyol, C., Kocaay, F., Orozakunov, E., et al. (2013) Outcome of the Patients with Chronic Mesh Infection Following Open Inguinal Hernia Repair. Journal of the Korean Surgical Society, 84, 287-291. [Google Scholar] [CrossRef] [PubMed]
[21] Rosen, M.J., Krpata, D.M., Ermlich, B., et al. (2013) A 5-Year Clinical Experience with Single-Staged Repairs of Infected and Contaminated Abdominal Wall Defects Utilizing Biologic Mesh. Annals of Surgery, 257, 991-996. [Google Scholar] [CrossRef] 
[22] Guerra, O. (2014) Noncrosslinked Porcine-Derived Acellular Dermal Matrix for Single-Stage Complex Abdominal Wall Herniorrhaphy after Removal of Infected Synthetic Mesh: A Retrospective Review. The American Surgeon, 80, 489-495. [Google Scholar] [CrossRef] 
[23] Peppas, G., Makris, M.C. and Falagas, M.E. (2011) Biological Mesh for Abdominal Wall Hernia Synthetic Mesh Multidrug-Resistant Pseudomonas Aeruginosa Infection: Report of a Case. Surgery Today, 41, 717-720. [Google Scholar] [CrossRef] [PubMed]
[24] Sun, L., Chen, J., Li, J., et al. (2020) Randomized and Comparative Clinical Trial of Bovine Mesh versus Polypropylene Mesh in the Repair of Inguinal Hernias. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 30, 26-29. [Google Scholar] [CrossRef] 
[25] Delikoukos, S., Tzovaras, G., Liakou, P., et al. (2007) Late-Onset Deep Mesh Infection after Inguinal Hernia Repair. Hernia, 11, 15-17. [Google Scholar] [CrossRef] [PubMed]
[26] Meagher, H., Clarke Moloney, M. and Grace, P.A. (2015) Conservative Management of Mesh-Site Infection in Hernia Repair Surgery: A Case Series. Hernia, 19, 231-237. [Google Scholar] [CrossRef] [PubMed]
[27] Simons, M.P., Aufenacker, T., Bay-Nielsen, M., et al. (2009) European Hernia Society Guidelines on the Treatment of Inguinal Hernia in Adult Patients. Hernia, 13, 343-403. [Google Scholar] [CrossRef] [PubMed]
[28] Kulacoglu, H. (2015) Hernia, Mesh, and Topical Antibiotics, Especially Gentamycin: Seeking the Evidence for the Perfect Outcome... Frontiers in Surgery, 1, Article 124651. [Google Scholar] [CrossRef] [PubMed]
[29] Bratzler, D.W., Dellinger, E.P., Olsen, K.M., et al. (2013) Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery. American Journal of Health-System Pharmacy, 70, 195-283. [Google Scholar] [CrossRef] [PubMed]

为你推荐