Hofbauer C, Andersen P V, Juul P, Qvist N
Department of Surgery, Sygehus Fyn, DK-5800 Nyborg, Denmark.
Surg Endosc. 1998 Sep;12(9):1164-5. doi: 10.1007/s004649900807.
The use of a mesh in transabdominal preperitoneal laparoscopic hernia repair (TAPP) caries the risk of late rejection or infectious complications related to the mesh. The aim of this study was to describe the extent of these complications.
We performed a retrospective study of 500 consecutive patients with TAPP for inguinal hernia.
Late mesh rejection was observed in three patients at 5-19 months after surgery. The mesh was removed via a suprapubic midline incision. At 3-4 month's follow-up, none of the patients had recurrence of the hernia, even though no hernia repair had been done.
Late mesh rejection is a potential complication of TAPP and has to be considered when choosing the surgical method of hernia repair.
在腹腔镜经腹腹膜前疝修补术（TAPP）中使用补片存在与补片相关的迟发性排斥反应或感染并发症的风险。本研究的目的是描述这些并发症的程度。
我们对500例连续行TAPP治疗腹股沟疝的患者进行了回顾性研究。
3例患者在术后5 - 19个月出现补片迟发性排斥反应。通过耻骨上正中切口取出补片。在3 - 4个月的随访中，即使未进行疝修补，也没有患者出现疝复发。
补片迟发性排斥反应是TAPP的一种潜在并发症，在选择疝修补手术方法时必须予以考虑。
