Yan'an University, Yan'an, 716000, China.
Department of General Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.
Hernia. 2023 Dec;27(6):1525-1531. doi: 10.1007/s10029-023-02845-5. Epub 2023 Aug 1.
Open tension-free inguinal hernioplasty is one of the common surgical methods used today to treat inguinal hernias due to its simplicity and low recurrence rate. With the widespread use of tension-free inguinal hernia repair, the number of patients with mesh infections is gradually increasing. However, there is a lack of studies assessing the quality of life of patients after the removal of late-onset infected meshes in open inguinal hernias. The aim of this study was to analyse and assess the quality of life, pain severity and anxiety of patients after late-onset infection mesh removal following open inguinal hernioplasty.
Data from 105 patients admitted to our hospital from January 2014 to January 2019 who developed delayed mesh infection after open tension-free inguinal hernia repair were retrospectively analysed. 507 patients without mesh infection after open inguinal hernioplasty were included as cross-sectional controls. The baseline data of the two groups were matched for propensity score matching (PSM) with a caliper value of 0.05 and a matching ratio of 1:1. Patients are followed up by telephone or outpatient consultations for 3 years to assess quality of life, pain and anxiety after removal of the infected mesh.
The 105 patients who developed late-onset mesh infection after inguinal hernia repair had a mean age of 64.07 ± 12.90 years and a mean body mass index (BMI) of 24.64 ± 2.67 (kg/m). The mean follow-up time was 58 months and 10.5% (10/105) of the patients were lost to follow-up. At the 3-year follow-up there was one case of hernia recurrence and five cases of mesh reinfection. The patients' quality of life scores, pain scores and anxiety scores improved after surgery compared to the preoperative scores (all p < 0.01).
Patients with late-onset mesh infection after inguinal hernioplasty showed an improvement in quality of life, pain and anxiety compared to preoperative after removal of the infected mesh. Mesh-plug have a higher risk of mesh infection due to their poor histocompatibility and tendency to crumple and shift.
开放式无张力腹股沟疝修补术是目前治疗腹股沟疝的常用手术方法之一，因其操作简单、复发率低而被广泛应用。随着无张力疝修补术的广泛应用，网片感染患者的数量逐渐增加。然而，目前缺乏研究评估开放式腹股沟疝修补术后迟发性感染网片取出后患者的生活质量。本研究旨在分析和评估开放式腹股沟疝修补术后迟发性感染网片取出后患者的生活质量、疼痛严重程度和焦虑程度。
回顾性分析 2014 年 1 月至 2019 年 1 月我院收治的 105 例开放式无张力腹股沟疝修补术后迟发性网片感染患者的临床资料。选取同期开放式腹股沟疝修补术后无网片感染的 507 例患者作为横断面对照。采用倾向性评分匹配（PSM），卡钳值为 0.05，匹配比为 1:1，对两组患者的基线资料进行匹配。通过电话或门诊随访 3 年，评估感染网片取出后患者的生活质量、疼痛和焦虑情况。
105 例患者中，男 57 例，女 48 例；年龄 4282 岁，平均（64.07±12.90）岁；体重指数（BMI）1932kg/m，平均（24.64±2.67）kg/m。平均随访时间为 58 个月，失访 10.5%（10/105）。术后 3 年随访时，复发 1 例，再次感染 5 例。与术前相比，术后患者的生活质量评分、疼痛评分和焦虑评分均明显改善（均 P<0.01）。
与术前相比，开放式腹股沟疝修补术后迟发性网片感染患者在去除感染网片后，生活质量、疼痛和焦虑均有改善。网塞因组织相容性差、易卷曲移位，感染风险较高。
