TAPP 術后補片感染的腹腔鏡手術個體化治療_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

羅云 ¹ , 朱長康 ¹ , 吳定泉 ¹ , 周良弼 ¹ , 劉彬 ¹ , 李桂忠 ¹ , 黃龍 ¹ , 萬治力 ¹ , 陳敬 ² ,  王崇樹 ²

1. ;
2. ;

Corresponding?author：

王崇樹, Email: chongshu-wang@163.com

Keywords：

腹股溝疝; 經腹腹膜前疝修補術; 補片感染; 腹腔鏡手術

DOI：

10.7507/1007-9424.202010114

Video：

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目的探討腹腔鏡經腹腹膜前疝修補術（TAPP）后補片感染的防治策略。方法回顧性分析 2 例 TAPP 術后補片感染患者的臨床資料及手術治療情況。結果在病例 1 中發現感染灶中有醫用膠，在病例 2 中發現感染灶是包裹膿液的殘留疝囊；通過腹腔鏡完全取出感染補片后，2 例患者均痊愈。結論醫用膠異物及殘留的疝囊均可能是補片感染的危險因素之一。經腹腔鏡完全取出補片是治療 TAPP 術后補片感染的安全、可靠的方法。

Citation： 羅云, 朱長康, 吳定泉, 周良弼, 劉彬, 李桂忠, 黃龍, 萬治力, 陳敬, 王崇樹. TAPP 術后補片感染的腹腔鏡手術個體化治療. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(6): 805-808. doi: 10.7507/1007-9424.202010114 Copy

1.	Burger JW, Luijendijk RW, Hop WC, et al. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg, 2004, 240(4): 578-583.
2.	Liu FD, Li JY, Yao S, et al. A retrospective analysis of surgical treatment of mesh infection after repair of ventral hernia or defect. Genet Mol Res, 2015, 14(4): 14387-14395.
3.	Vasilakis V, Cook K, Wilson D. Surgical resection and scarification for chronic seroma post-ventral hernia mesh repair. Am J Case Rep, 2014, 15: 526-529.
4.	Guillaume O, Pérez-Tanoira R, Fortelny R, et al. Infections associated with mesh repairs of abdominal wall hernias: Are antimicrobial biomaterials the longed-for solution? Biomaterials, 2018, 167: 15-31.
5.	楊慧琪, 劉亦婷, 陳杰, 等. 腹股溝疝修補術后補片感染的個體化手術治療. 中華普通外科雜志, 2019, 34(9): 795-797.
6.	Serbetci K, Kulacoglu H, Devay AO, et al. Effects of resterilization on mechanical properties of polypropylene meshes. Am J Surg, 2007, 194(3): 375-379.
7.	伊斯馬依力·艾麥提, 買買提吐爾遜·吐爾迪, 徐祺林, 等. 腹股溝疝修補術后補片感染的危險因素初步分析. 臨床外科雜志, 2018, 26(8): 62-64.
8.	Narkhede R, Shah NM, Dalal PR, et al. Postoperative Mesh infection-still a concern in laparoscopic era. Indian J Surg, 2015, 77(4): 322-326.
9.	Liang MK, Goodenough CJ, Martindale RG, et al. External validation of the ventral hernia risk score for prediction of surgical site infections. Surg Infect (Larchmt), 2015, 16(1): 36-40.
10.	Yabano?lu H, Arer ?M, ?al?skan K. The effect of the use of synthetic mesh soaked in antibiotic solution on the rate of graft infection in ventral hernias: a prospective randomized study. Int Surg, 2015, 100(6): 1040-1047.
11.	Stremitzer S, Bachleitner-Hofmann T, Gradl B, et al. Mesh graft infection following abdominal hernia repair: risk factor evaluation and strategies of mesh graft preservation. A retrospective analysis of 476 operations. World J Surg, 2010, 34(7): 1702-1709.
12.	Sanchez VM, Abi-Haidar YE, Itani KM. Mesh infection in ventral incisional hernia repair: incidence, contributing factors, and treatment. Surg Infect (Larchmt), 2011, 12(3): 205-210.
13.	Mavros MN, Athanasiou S, Alexiou VG, et al. Risk factors for mesh-related infections after hernia repair surgery: a meta-analysis of cohort studies. World J Surg, 2011, 35(11): 2389-2398.
14.	Harrell AG, Novitsky YW, Kercher KW, et al. In vitro infectability of prosthetic mesh by methicillin-resistant Staphylococcus aureus. Hernia, 2006, 10(2): 120-124.
15.	Tolino MJ, Tripoloni DE, Ratto R, 等. 腹壁疝補片修補相關感染: 病理學、治療和結局. 中國實用外科雜志, 2010, 30(12): 1057-1062.
16.	馬坤潤, 閆治波, 張光永. 腹外疝修補術后補片感染的防治及研究進展. 腹腔鏡外科雜志, 2017, 22(2): 158-160.
17.	Taylor SG, O’Dwyer PJ. Chronic groin sepsis following tension-free inguinal hernioplasty. Br J Surg, 1999, 86(4): 562-565.
18.	孫立, 申英末, 陳杰, 等. 腹股溝疝補片修補術后補片感染外科處理方法的研究. 中國普外基礎與臨床雜志, 2013, (12): 1341-1343.
19.	Yang H, Liu Y, Chen J, et al. The management of mesh infection after laparoscopic inguinal hernia repair. Surg Laparosc Endosc Percutan Tech, 2019, 29(1): 40-42.

1. Burger JW, Luijendijk RW, Hop WC, et al. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg, 2004, 240(4): 578-583.
2. Liu FD, Li JY, Yao S, et al. A retrospective analysis of surgical treatment of mesh infection after repair of ventral hernia or defect. Genet Mol Res, 2015, 14(4): 14387-14395.
3. Vasilakis V, Cook K, Wilson D. Surgical resection and scarification for chronic seroma post-ventral hernia mesh repair. Am J Case Rep, 2014, 15: 526-529.
4. Guillaume O, Pérez-Tanoira R, Fortelny R, et al. Infections associated with mesh repairs of abdominal wall hernias: Are antimicrobial biomaterials the longed-for solution? Biomaterials, 2018, 167: 15-31.
5. 楊慧琪, 劉亦婷, 陳杰, 等. 腹股溝疝修補術后補片感染的個體化手術治療. 中華普通外科雜志, 2019, 34(9): 795-797.
6. Serbetci K, Kulacoglu H, Devay AO, et al. Effects of resterilization on mechanical properties of polypropylene meshes. Am J Surg, 2007, 194(3): 375-379.
7. 伊斯馬依力·艾麥提, 買買提吐爾遜·吐爾迪, 徐祺林, 等. 腹股溝疝修補術后補片感染的危險因素初步分析. 臨床外科雜志, 2018, 26(8): 62-64.
8. Narkhede R, Shah NM, Dalal PR, et al. Postoperative Mesh infection-still a concern in laparoscopic era. Indian J Surg, 2015, 77(4): 322-326.
9. Liang MK, Goodenough CJ, Martindale RG, et al. External validation of the ventral hernia risk score for prediction of surgical site infections. Surg Infect (Larchmt), 2015, 16(1): 36-40.
10. Yabano?lu H, Arer ?M, ?al?skan K. The effect of the use of synthetic mesh soaked in antibiotic solution on the rate of graft infection in ventral hernias: a prospective randomized study. Int Surg, 2015, 100(6): 1040-1047.
11. Stremitzer S, Bachleitner-Hofmann T, Gradl B, et al. Mesh graft infection following abdominal hernia repair: risk factor evaluation and strategies of mesh graft preservation. A retrospective analysis of 476 operations. World J Surg, 2010, 34(7): 1702-1709.
12. Sanchez VM, Abi-Haidar YE, Itani KM. Mesh infection in ventral incisional hernia repair: incidence, contributing factors, and treatment. Surg Infect (Larchmt), 2011, 12(3): 205-210.
13. Mavros MN, Athanasiou S, Alexiou VG, et al. Risk factors for mesh-related infections after hernia repair surgery: a meta-analysis of cohort studies. World J Surg, 2011, 35(11): 2389-2398.
14. Harrell AG, Novitsky YW, Kercher KW, et al. In vitro infectability of prosthetic mesh by methicillin-resistant Staphylococcus aureus. Hernia, 2006, 10(2): 120-124.
15. Tolino MJ, Tripoloni DE, Ratto R, 等. 腹壁疝補片修補相關感染: 病理學、治療和結局. 中國實用外科雜志, 2010, 30(12): 1057-1062.
16. 馬坤潤, 閆治波, 張光永. 腹外疝修補術后補片感染的防治及研究進展. 腹腔鏡外科雜志, 2017, 22(2): 158-160.
17. Taylor SG, O’Dwyer PJ. Chronic groin sepsis following tension-free inguinal hernioplasty. Br J Surg, 1999, 86(4): 562-565.
18. 孫立, 申英末, 陳杰, 等. 腹股溝疝補片修補術后補片感染外科處理方法的研究. 中國普外基礎與臨床雜志, 2013, (12): 1341-1343.
19. Yang H, Liu Y, Chen J, et al. The management of mesh infection after laparoscopic inguinal hernia repair. Surg Laparosc Endosc Percutan Tech, 2019, 29(1): 40-42.

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