Liu Zhenjun, Xiong Zhonghua, Wu Jiayu, Wang Fang
Intensive Care Unit, Sichuan Cancer Hospital, Chengdu, Sichuan, China (mainland).
Incision Care Group, Sichuan Cancer Hospital, Chengdu, Sichuan, China (mainland).
Med Sci Monit. 2015 Apr 9;21:1038-42. doi: 10.12659/MSM.893095.
Inguinal hernia is a common surgical disease. Tension-free hernioplasty is currently commonly used for its treatment, with multiple advantages such as simple surgical method, low recurrence rate, and ability to be performed in primary care hospitals, but the risk of incision infection still exists. Mild infection can be cured by local washing, dressing, and systemic antibiotics. If the infection is severe, the wound may not heal after removing the patch, and secondary suturing is needed.
A total of 60 patients with postoperative infection after tension-free repair of inguinal hernia were randomly divided into control (n=30) and treatment (n=30) groups. Patients in the treatment group received Mesalt combined with Mepilex for dressing while the patients in the control group received conventional gauze for dressing. Pain degree, wound healing time, and dressing times were observed.
The clinical therapeutic effect in the treatment group was significantly better than in the control group. The treatment group exhibited significantly less pain when patients receive dressing, shorter wounds healing time (15 ± 3.5 vs. 30 ± 5.0), and less dressing frequency (10 ± 2.1 vs. 20 ± 2.4).
Mesalt combined with Mepilex can effectively improve postoperative infection after inguinal hernia treatment, obviously reducing pain, shorting wound healing time, and decreasing dressing frequency. It can be widely used in clinical practice.
腹股沟疝是一种常见的外科疾病。无张力疝修补术是目前治疗该病常用的方法，具有手术方法简单、复发率低、能在基层医院开展等多种优点，但切口感染风险依然存在。轻度感染可通过局部清洗、换药及全身应用抗生素治愈。若感染严重，移除补片后伤口可能无法愈合，需要二期缝合。
将60例腹股沟疝无张力修补术后发生感染的患者随机分为对照组（n = 30）和治疗组（n = 30）。治疗组患者采用美盐联合美皮康进行换药，对照组患者采用传统纱布换药。观察疼痛程度、伤口愈合时间及换药次数。
治疗组的临床治疗效果明显优于对照组。治疗组患者换药时疼痛明显减轻，伤口愈合时间更短（15 ± 3.5天对30 ± 5.0天），换药频率更低（10 ± 2.1次对20 ± 2.4次）。
美盐联合美皮康能有效改善腹股沟疝治疗术后的感染情况，明显减轻疼痛，缩短伤口愈合时间，减少换药频率。可在临床实践中广泛应用。
