Jurat Danika, Kumar Parveen, Goddard Kim
General Surgery Department, Armadale Health Service, Australia.
General Surgery Department, Armadale Health Service, Australia.
Int J Surg Case Rep. 2020;72:572-576. doi: 10.1016/j.ijscr.2020.06.034. Epub 2020 Jun 12.
seromas are a common and challenging complication post mesh hernia repairs (Morales-Conde, 2012; Salamone, 2015; Vasilakis, 2014).
A 52-year-old male was referred to General Surgery with a large abdominal mass in the setting of morbid obesity and multiple abdominal operations culminating in a ventral hernia repair seven years prior. He had no other abdominal symptoms or malignancy red flags. Imaging demonstrated a large, complex anterior abdominal wall seroma of 40 × 25 × 20 cm. No seromas of this size and location have been reported in the literature.
Surgical management required drainage, partial capsulectomy and scarification of the remnants with multidisciplinary team involvement for recovery including general surgeons, anaesthesia, intensivists and allied health professionals.
The patient recovered well from his operation.
血清肿是网状物修补疝手术后常见且具有挑战性的并发症（莫拉莱斯 - 康德，2012年；萨拉莫内，2015年；瓦西拉基斯，2014年）。
一名52岁男性因病态肥胖和多次腹部手术导致七年前进行了腹疝修补术，现因腹部有一个大肿块被转诊至普通外科。他没有其他腹部症状或恶性肿瘤警示信号。影像学检查显示前腹壁有一个40×25×20厘米的巨大复杂血清肿。文献中未报道过这种大小和位置的血清肿。
手术治疗需要引流、部分包膜切除术以及对残余物进行划痕处理，多学科团队参与康复过程，包括普通外科医生、麻醉师、重症监护医生和相关健康专业人员。
患者手术后恢复良好。
