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单纯性腹股沟疝修补术后的手术伤口感染是复发性疝的诱发因素吗?

IS POSTOPERATIVE WOUND INFECTION FOLLOWING SIMPLE INGUINAL HERNIORRHAPHY A PREDISPOSING CAUSE OF RECURRENT HERNIA?

作者信息

GLASSOW F

出版信息

Can Med Assoc J. 1964 Oct 17;91(16):870-1.

Abstract

The significance of postoperative wound infection in simple inguinal herniorrhaphy was studied in a series of almost 26,000 simple inguinal herniorrhaphies. There was a recurrence rate of about 1% in uninfected cases and 4% in infected cases. The wound infection rate was 1.8%. Of about 2500 patients with recurrent inguinal hernia admitted to the Shouldice Hospital, Toronto, following an initial operation of elsewhere, about 4% gave a history of postoperative wound infection. Postoperative wound infection after simple inguinal herniorrhaphy increased the risk of a subsequent recurrent hernia about four times. However, in more than 95% of cases other etiological factors were responsible for the recurrence. No relation between infection and type of recurrent inguinal hernia subsequently developing was demonstrable.

摘要

在一系列近26000例单纯腹股沟疝修补术中,对术后伤口感染的意义进行了研究。未感染病例的复发率约为1%,感染病例的复发率为4%。伤口感染率为1.8%。在多伦多的绍尔代斯医院收治的约2500例初次手术在其他地方进行后复发腹股沟疝的患者中,约4%有术后伤口感染史。单纯腹股沟疝修补术后的伤口感染使随后复发疝的风险增加约四倍。然而,在超过95%的病例中,其他病因因素导致了复发。未发现感染与随后发生的复发性腹股沟疝类型之间存在关联。

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