Li Zhiwang, Zeng Haijing, Liu Yuping, Wu Zuguang, Li En
Department of Gastrointestinal Surgery Meizhou People's Hospital Meizhou China.
Clin Case Rep. 2022 Aug 8;10(8):e6212. doi: 10.1002/ccr3.6212. eCollection 2022 Aug.
This report aims to discuss a case of asymptomatic mesh infection 6 years after laparoscopic totally extraperitoneal (TEP) inguinal hernia repair and to reveal that the risk of mesh infection may occur after a long period of this surgery. This report is also intended to suggest surgeons pay more attention to the follow-up of such patients and to be aware of the possibility of mesh infection to assist in early diagnosis and treatment. A 63-year-old male patient, who underwent TEP inguinal hernia repair 6 years ago for right inguinal hernia, fell down accidentally 2 weeks ago. Enhanced computed tomography(CT) showed right lower abdomen cystic lesions, so he underwent laparoscopic surgery during which abscess caused by delayed mesh infection was found. After removing the mesh and abscess, he was discharged. The risk of mesh infection after TEP inguinal hernia repair is low, but it can last for more than 6 years and can even be asymptomatic as long as the mesh remains in the body.
本报告旨在探讨1例腹腔镜完全腹膜外（TEP）腹股沟疝修补术后6年出现的无症状补片感染病例，并揭示该手术长期后可能发生补片感染的风险。本报告还旨在建议外科医生更多地关注此类患者的随访，并意识到补片感染的可能性，以协助早期诊断和治疗。一名63岁男性患者，6年前因右侧腹股沟疝接受TEP腹股沟疝修补术，2周前意外摔倒。增强计算机断层扫描（CT）显示右下腹囊性病变，因此他接受了腹腔镜手术，术中发现了由补片延迟感染引起的脓肿。取出补片和脓肿后，他出院了。TEP腹股沟疝修补术后补片感染的风险较低，但可能持续6年以上，甚至只要补片留在体内就可能无症状。
