Prosthetic infection after tension-free hernioplasty in 12 cases
10.3760/cma.j.issn.1007-631X.2009.11.007
- VernacularTitle:无张力疝修补术后补片感染12例
- Author:
Xiaoqiang WANG
;
Xiaojun LI
- Publication Type:Journal Article
- Keywords:
Hernia;
Postoperative complications;
Infection;
Hemiorrhaphy
- From:
Chinese Journal of General Surgery
2009;24(11):882-884
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the prevention and treatment of prosthetic infections after tension free hernioplasty. Methods The clinical date of 12 prosthetic infections admitted from May 2005 to May 2008 were analyzed retrospectively. Patch was inserted under prefascial retromuscular site in 8 cases, between fascial edges in 2, Mesh plug and patch Lichentstein in one each. As for the material used there were flat knitted polypropylene in 7 cases, polytef in 1 case and composite prosthesis in 4 cases. Treatments were based on prothetic materials and levels infected. Infectious patchs were removed completely in 8 cases and partially removed in 2 cases, Open dress change with patchs left in situ in 2 cases. 3 cases in 10 cases of removed patchs were given immediate suturation with closed drainage. Results Infection was cured in all cases without mortality. There was no hemorrhage and injury of bladder during the procedures. No retention of urine, pain and other complications during postoperation. Change of dressing was made from 7 days to 6 months( median 2 weeks). Selected antibiotic was used from 3 to 7 days (average 4.5 days). All patients were followed up from 18 to 78 months (average 38.5 months) without hernia recurrence and infection. Conclusion It was most important to prevent infections after tension-free hernioplasty. Management should be individualized according to different type of patch used and the surgical procedure in hernia repair.
