Late abscess formation following indirect hernia repair utilizing silk suture
Late abscess formation following indirect hernia repair utilizing silk suture
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DOI：
10.1007/s00383-007-1894-x
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发表时间：
2007-04-01
影响因子：
1.8
通讯作者：
Murphy, Patrick J.
中科院分区：
文献类型：
--
作者：
Calkins, Casey M.;St Peter, Shawn D.;Murphy, Patrick J.
腹股沟疝修补术是小儿外科最常见的手术。手术的关键部分是疝囊的高位结扎，这是经典的丝线缝合。这种异物有可能成为潜在感染/排斥的病灶，可能导致术后长期脓肿。这种并发症在文献中很少描述。我们已经照顾了六个孩子谁提出了潜在的腹股沟或盆腔脓肿后，腹股沟疝囊高位结扎丝线缝合。本报告的目的是检查疝修补术后潜在并发症的各种表现。小儿外科医生应该认识到，并不是每一个腹股沟肿块后，以前的腹股沟疝修补术代表复发疝！回顾性分析了6例腹股沟疝修补术后晚期脓肿形成的患者的病历。记录初始和手术努力的详细信息，特别注意初始手术疝修补术的详细信息以及使用的缝合材料。腹股沟疝修补术仍然是小儿外科医生最常见的手术。使用编织的不可吸收丝线可能导致潜在脓肿形成，需要对腹股沟或盆腔脓肿进行手术引流。目前，由于其他类型的缝线材料在有效闭合未闭迷走突方面可能同样有效，因此儿科外科医生应考虑使用非编织或可吸收缝线材料进行斜疝囊高位结扎，以潜在地预防这种并发症。
Inguinal hernia repair is the most common operation performed by pediatric surgeons. The critical portion of the operation is high ligation of the hernia sac, which is classically performed with silk suture. This foreign body has the potential to serve as a nidus for latent infection/rejection that may result in an abscess long after the operation. This complication has rarely been described in the literature. We have cared for six children who have presented with latent inguinal or pelvic abscesses following high ligation of the inguinal hernia sac with silk suture. The purpose of this report is to examine the varied presentations by which latent complications following herniorraphy may manifest. The pediatric surgeon should recognize that not every inguinal mass following a previous inguinal herniorraphy represents a recurrent hernia! A retrospective review of the charts of six patients with late abscess formation following antecedent inguinal hernia repair was undertaken. The details of the initial and operative endeavors were recorded with specific attention to the details of the initial operative hernia repair as well as the suture material utilized. Inguinal hernia repair continues to be the most common operation performed by pediatric surgeons. Utilization of braided, non-absorbable silk suture may result in latent abscess formation and the need for operative drainage of inguinal or pelvic abscess. Today, as other types of suture material are likely equally efficacious in the ability to effectively close the patent processus vaginalis, pediatric surgeons should consider utilizing non-braided, or absorbable suture material for high ligation of the indirect hernia sac to potentially prevent this complication.