关键词: 补片感染, 腹股沟疝, 腹腔镜, 并发症

Abstract: Clinical efficacy on laparoscopic treatment of mesh infection after laparoscopic inguinal hernia repair: A report of 16 cases        LIU Wei*，HOU Ze-hui，GAN Wen-chang，et al. *Department of Endoscopic Surgery，the Sixth Affiliated Hospital of Sun Yat-sen University，Guangzhou 510655，China
Corresponding author：JINAG Zhi-peng，E-mail：jzpsums@126.com；CHEN Shuang，E-mail：sysusc@126.com
Abstract    Objective    To summarize and discuss the management experience of mesh infection after laparoscopic inguinal hernia repair. Methods    The clinical materials，surgical methods and postoperative outcomes of 16 patients with mesh infection after laparoscopic inguinal hernia repair at the Sixth Affiliated Hospital of Sun Yat-sen University from February 2017 to June 2019 were analyzed retrospectively. Results    All the 16 patients underwent laparoscopic mesh excision successfully. Infected meshes were completely removed. The average operation time was 127.8(81-212)min，with an average blood loss of 56.3(20-100)mL. No serious complication occurred after the operation，and the patients were successfully discharged. During the follow-up period of 7 to 36 months，one patient with bilateral hernia who only took out the infected side mesh developed contralateral mesh infection and was cured after taking out the mesh again. No case of complications such as intestinal fistula，bladder fistula and hernia recurred during follow-up. Conclusion    The removal of the preperitoneal infection mesh through laparoscopic surgery has the advantages of high rate of complete mesh removal，low infection recurrence rate，less side injury，and rapid postoperative recovery. It is worthy of clinical application and promotion.

Key words: mesh infection；inguinal hernia；laparoscope, complication