Department of Surgery, Prisma Health, 701 Grove Road, Support Tower 3, Greenville, SC 29605, USA. Electronic address: https://twitter.com/KT_Schlosser.
Department of Surgery, Division of Minimal Access Surgery, University of South Carolina School of Medicine Greenville, Prisma Health, 701 Grove Road, Support Tower 3, Greenville, SC 29605, USA.
Surg Clin North Am. 2023 Oct;103(5):1029-1042. doi: 10.1016/j.suc.2023.04.011. Epub 2023 May 12.
The potential consequences of mesh infection mandate careful consideration of surgical approach, mesh selection, and preoperative patient optimization when planning for ventral hernia repair. Intraperitoneal mesh, microporous or laminar mesh, and multifilament mesh typically require explantation, whereas macroporous, monofilament mesh in an extraperitoneal position is often salvageable. Delayed presentation of mesh infection should raise the suspicion for enteroprosthetic fistula when intraperitoneal mesh is present. When mesh excision is necessary, the surgeon must carefully consider both the risk of recurrent infection as well as hernia recurrence when deciding on single-stage definitive reconstruction versus primary closure with delayed reconstruction.
网片感染的潜在后果要求在规划腹疝修补时仔细考虑手术入路、网片选择和术前患者优化。当存在腹腔内网片时，应怀疑存在肠假体瘘，此时应考虑延迟出现的网片感染。当需要切除网片时，外科医生在决定行一期确定性重建还是一期缝合延迟重建时，必须仔细考虑再次感染和疝复发的风险。
