Filippou Dimitrios
Department of Laparoscopic Surgery and Surgical Oncology, Neo Athinaion Hospital, Athens, Greece.
Department of Anatomy and Surgical Anatomy, Medical School, University of Athens, Athens, Greece.
Case Rep Surg. 2017;2017:4385913. doi: 10.1155/2017/4385913. Epub 2017 Sep 27.
Inguinal hernia mesh repair is one of the most frequent operations performed worldwide. The Lichtenstein technique and its various modifications are the most popular operations for groin hernia repair. The rate of surgical site infection (SSI) following inguinal hernia repair ranges between 0 and 14% in various series. Most of these infections developed early postoperatively. The incidence of late mesh infection following open inguinal hernia repair still remains unclear and highly variable. Late deep mesh infections are relatively rare specially after more than 10 years. The most common pathogens reported in the literature are and . The infection is treated by conservative means initially but in case of failure then the mesh should be removed surgically. A unique case of a patient with very late (chronic) mesh infection is presented. The infection was due to , which occurred 14 years after the initial operation and presented as subcutaneous fistula.
腹股沟疝修补术是全球范围内最常开展的手术之一。李金斯坦技术及其各种改良术式是腹股沟疝修补最常用的手术方法。在不同系列研究中，腹股沟疝修补术后手术部位感染（SSI）发生率在0%至14%之间。这些感染大多在术后早期发生。开放腹股沟疝修补术后迟发性补片感染的发生率仍不明确且差异很大。迟发性深部补片感染相对少见，尤其是在术后10年以上。文献报道的最常见病原体是 和 。感染最初采用保守治疗，但如果治疗失败，则应手术取出补片。本文介绍了一例非常晚期（慢性）补片感染患者的独特病例。感染是由 引起的，发生在初次手术后14年，表现为皮下瘘。
