腹腔镜疝修补术后结肠憩室病伴网塞移位：一例病例报告并文献复习
Colon diverticulosis adherent to mesh plug migration after laparoscopic hernia repair: A case study and review of literature.
作者信息
Behbehani Mousa, AlAtwan Abrar A, AlHaddad Abdullah
机构信息
Mubarak AlKabeer Hospital, Jabriya, Hawalli, Kuwait.
Mubarak AlKabeer Hospital, Jabriya, Hawalli, Kuwait.
出版信息
Int J Surg Case Rep. 2021 Oct;87:106403. doi: 10.1016/j.ijscr.2021.106403. Epub 2021 Sep 13.
INTRODUCTION
Inguinal hernia repair has evolved from open suture methods to mesh repair which is preformed either open or laparoscopically. Mesh hernia repair has improved the outcome in regards to patient care and recurrence rate but it is also associated with a number of complications. The complications of mesh hernia repair such as deep seated infections, mesh erosion and mesh perforation into nearby viscera has been scarcely reported in literature.
CASE PRESENTATION
We report a 43 years old male case of diverticulosis adherent to a migrated mesh plug from previous laparoscopic inguinal hernia repair procedure.
DISCUSSION
The choice of mesh material, appropriate suture placement and closure of the peritoneum after mesh repair is very crucial to avoid long term mesh complications.
CONCLUSION
The aim of this case report is to present a rare complication of mesh erosion with colovesical fistula and abscess formation.
引言
腹股沟疝修补术已从开放缝合方法发展到采用开放或腹腔镜方式进行的补片修补术。补片疝修补术在患者护理和复发率方面改善了治疗效果，但也伴随着一些并发症。补片疝修补术的并发症，如深部感染、补片侵蚀以及补片向附近脏器穿孔等，在文献中鲜有报道。
病例介绍
我们报告一例43岁男性病例，其憩室病与先前腹腔镜腹股沟疝修补手术中移位的补片塞粘连。
讨论
补片材料的选择、合适的缝线放置以及补片修补术后腹膜的关闭对于避免补片长期并发症至关重要。
结论
本病例报告的目的是呈现补片侵蚀伴结肠膀胱瘘和脓肿形成这一罕见并发症。
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