Division of Minimal Access and Bariatric Surgery, Department of Surgery, Hernia Center, Greenville Health System, University of South Carolina School of Medicine - Greenville, 701 Grove Road, Greenville, SC 29605, USA.
Surg Clin North Am. 2013 Oct;93(5):1227-39. doi: 10.1016/j.suc.2013.06.012. Epub 2013 Aug 13.
For years, surgical dictum has posited that permanent synthetic mesh is contraindicated in the repair of a hernia in a contaminated field. Numerous investigators, however, have demonstrated the acceptably low morbidity associated with the use of heavy-weight polypropylene mesh in clean-contaminated and contaminated fields. Recently, experience utilizing more modern, light-weight polypropylene mesh constructs in contaminated fields has grown considerably. The time has come to critically reevaluate the unfounded fear of utilizing permanent synthetic mesh in contaminated fields, as we will review the data speaking to the safety of mesh in these contaminated fields.
多年来，外科格言一直认为，在污染区域修复疝时，永久性合成网片是禁忌的。然而，许多研究人员已经证明，在清洁污染和污染区域使用重质聚丙烯网片与可接受的低发病率相关。最近，在污染区域使用更现代、轻质聚丙烯网片结构的经验已经大大增加。现在是时候认真重新评估在污染区域使用永久性合成网片的毫无根据的恐惧了，因为我们将回顾这些污染区域中有关网片安全性的数据。
