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

摘要： 目的    分析腹腔镜手术治疗腹腔镜腹股沟疝修补术后补片感染的临床疗效并总结诊治经验。方法    回顾性分析2017 年2月至 2019 年6月中山大学附属第六医院胃肠、疝和腹壁外科收治的16例腹腔镜腹股沟疝修补术后补片感染病人的临床资料，均再次行腹腔镜手术取出感染补片。结果    16例病人均顺利完成手术，感染补片均完整取出，手术时间为127.8（81~212）min，术中失血56.3（20~100）mL，术后无严重并发症发生，病人均顺利恢复出院。随访7~36个月，1例仅取出感染侧补片的双侧疝病人出现对侧补片感染，予再次手术取出补片后治愈。随访过程中无肠瘘、膀胱瘘、疝复发等并发症发生。结论    采用腹腔镜手术取出腹膜前感染补片，具有补片完整取出率高、感染复发率低、副损伤少、术后恢复快等优点，值得临床应用及推广。

关键词: 补片感染, 腹股沟疝, 腹腔镜, 并发症