延迟出现的腹腔镜补片感染表现为腹部肿块。
Delayed laparoscopic mesh infection presenting as an abdominal mass.
作者信息
Williamson J M L, Newman P, Armstrong C P
机构信息
North Bristol NHS Trust , UK.
出版信息
Ann R Coll Surg Engl. 2015 Sep;97(6):e88-9. doi: 10.1308/rcsann.2015.0007. Epub 2015 Aug 14.
Abstract
A 56-year-old man presented with a delayed mesh infection 8 years following an elective laparoscopic totally extraperitoneal (TEP) bilateral hernia repair. Sterile pus was drained percutaneously as a temporising measure prior to removal of the right-hand mesh; the left-sided mesh was adherent to the femoral vessels and minimally contaminated. Delayed mesh infection is a rare occurrence. This case is the fourth example and the longest following initial operation. Removal of the infected mesh is advocated.
摘要
一名56岁男性在择期腹腔镜完全腹膜外（TEP）双侧疝修补术后8年出现迟发性补片感染。作为临时措施，在移除右侧补片之前经皮引流无菌脓液；左侧补片与股血管粘连且污染轻微。迟发性补片感染较为罕见。该病例是第四例，也是初次手术后时间间隔最长的一例。主张移除感染的补片。
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