Chichom Mefire Alain, Guifo Marc Leroy
Faculty of Health Sciences, University of Buea and Regional Hospital Limbe, Limbe, Cameroon.
Pan Afr Med J. 2011;10:18. doi: 10.4314/pamj.v10i0.72228. Epub 2011 Oct 10.
Mesh repair is now the gold standard technique of repair on incisional hernias. Infection of the mesh is a challenging complication of this type of repair. The risk of mesh infection has been shown to be greater in case of complicated hernia. We present the case of a 64 years old female who presented with an incarcerated incisional hernia with bowel infarction. Treated with a non absorbable mesh repair, she developed mesh infection. The infection was successively treated with simple drainage. This case and review of relevant literature seem to be an indication that mesh repair could still be considered in cases of complicated hernia. Simple drainage usually helps manage the cases of mesh infection.
网片修补术目前是切口疝修补的金标准技术。网片感染是这类修补术具有挑战性的并发症。在复杂疝的情况下，网片感染的风险已被证明更高。我们报告一例64岁女性患者，她因绞窄性切口疝伴肠梗死就诊。采用不可吸收网片修补术后，她发生了网片感染。感染先后通过单纯引流进行治疗。该病例及相关文献回顾似乎表明，在复杂疝病例中仍可考虑网片修补术。单纯引流通常有助于处理网片感染病例。
