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全内镜检查术后腹股沟疝修补术极迟发性深部感染

Extremely Late-Onset Deep Infection Post Inguinal Hernia Repair After Panendoscopy.

作者信息

Ng Katrina, Goddard Kim

机构信息

General Surgery, Sir Charles Gairdner Hospital, Perth, AUS.

General Surgery, Armadale Health Service, Mount Nasura, AUS.

出版信息

Cureus. 2022 Feb 13;14(2):e22169. doi: 10.7759/cureus.22169. eCollection 2022 Feb.

DOI:10.7759/cureus.22169
PMID:35308762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8923242/
Abstract

Mesh infection after hernia repair is a well-known complication, which can have morbid consequences. This report presents a case of a gentleman with mesh infection many years after initial surgery, potentially from bacterial translocation post-colonoscopy, and describes his successful treatment. This case emphasizes the need to consider mesh infection regardless of time from surgery to presentation.

摘要

疝气修补术后的补片感染是一种众所周知的并发症,可能会产生严重后果。本报告介绍了一例患者,在初次手术后多年出现补片感染,可能是结肠镜检查后细菌移位所致,并描述了其成功治疗的过程。该病例强调,无论从手术到出现症状的时间间隔多久,都需要考虑补片感染的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03d5/8923242/91b574c2e7cc/cureus-0014-00000022169-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03d5/8923242/91b574c2e7cc/cureus-0014-00000022169-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03d5/8923242/91b574c2e7cc/cureus-0014-00000022169-i01.jpg

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本文引用的文献

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Delayed mesh infection and mesh penetrating the transverse colon and small intestine after abdominal incisional hernia repair.腹部切口疝修补术后迟发性补片感染及补片穿透横结肠和小肠
J Surg Case Rep. 2020 Oct 20;2020(10):rjaa409. doi: 10.1093/jscr/rjaa409. eCollection 2020 Oct.
2
Trends in Australian inguinal hernia repair rates: a 15-year population study.澳大利亚腹股沟疝修补率的趋势:一项为期15年的人群研究。
ANZ J Surg. 2020 Nov;90(11):2242-2247. doi: 10.1111/ans.16192. Epub 2020 Jul 31.
3
Biofilms and effective porosity of hernia mesh: are they silent assassins?
疝补片的生物膜和有效孔隙率:它们是无声的杀手吗?
Hernia. 2020 Feb;24(1):197-204. doi: 10.1007/s10029-019-02063-y. Epub 2019 Oct 31.
4
Mesh removal and reconstruction with posterior components separation technique for delayed mesh infection developed 10 years after abdominal incisional hernia repair: a rare case report.采用后入路成分分离技术进行补片取出与重建治疗腹部切口疝修补术后10年发生的延迟性补片感染:1例罕见病例报告
Surg Case Rep. 2019 Sep 5;5(1):140. doi: 10.1186/s40792-019-0697-3.
5
Intravascular Catheter-Related Bloodstream Infections.血管内导管相关血流感染。
Infect Dis Clin North Am. 2018 Dec;32(4):765-787. doi: 10.1016/j.idc.2018.06.002. Epub 2018 Sep 18.
6
Antibiotic prophylaxis for open mesh repair of groin hernia: systematic review and meta-analysis.腹股沟疝开放补片修补术的抗生素预防:系统评价与荟萃分析。
Hernia. 2016 Dec;20(6):765-776. doi: 10.1007/s10029-016-1536-0. Epub 2016 Sep 3.
7
Antibiotic prophylaxis for GI endoscopy.胃肠道内镜检查的抗生素预防
Gastrointest Endosc. 2015 Jan;81(1):81-9. doi: 10.1016/j.gie.2014.08.008. Epub 2014 Nov 11.
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Outcome of the patients with chronic mesh infection following open inguinal hernia repair.开放腹股沟疝修补术后慢性补片感染患者的结局
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Clin Microbiol Infect. 2005 Jan;11(1):3-8. doi: 10.1111/j.1469-0691.2004.01014.x.
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Hernias: inguinal and incisional.疝:腹股沟疝和切口疝。
Lancet. 2003 Nov 8;362(9395):1561-71. doi: 10.1016/S0140-6736(03)14746-0.