Meagher H, Clarke Moloney M, Grace P A
Department of Nursing, University Hospital Limerick, Limerick, Ireland.
Hernia. 2015 Apr;19(2):231-7. doi: 10.1007/s10029-013-1069-8. Epub 2013 Mar 16.
The aim of this study is to assess the outcome of conservative management of infected mesh grafts following abdominal wall hernia repair.
This study retrospectively examined the charts of patients who developed mesh-site infection following surgery for abdominal hernia repair to determine how effective conservative management in the form of antibiotics and wound management was on the resolution of infection and wound healing.
Over a period of 30 months, 13 patients developed infected mesh grafts post-hernia repair surgery. Twelve patients were successfully treated conservatively with local wound care and antibiotics if clinically indicated. One patient returned to theatre to have the infected mesh removed. Of the patients that healed eleven were treated with negative pressure wound therapy (VAC(®)).
This series of case studies indicate that conservative management of abdominal wall-infected hernia mesh cases is likely to be successful.
本研究旨在评估腹壁疝修补术后感染补片移植物保守治疗的效果。
本研究回顾性分析了腹壁疝修补术后发生补片部位感染患者的病历，以确定抗生素和伤口处理形式的保守治疗对感染消退和伤口愈合的效果如何。
在30个月的时间里，13例患者在疝修补术后出现补片移植物感染。12例患者通过局部伤口护理及必要时使用抗生素成功接受了保守治疗。1例患者返回手术室取出感染的补片。在愈合的患者中，11例接受了负压伤口治疗（VAC(®)）。
这一系列病例研究表明，腹壁感染疝补片病例的保守治疗可能会成功。
