相关实验视频
Updated: Jun 25, 2026

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Use of a Rat Model to Study Ventral Abdominal Hernia Repair
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用长期可吸收的网格去除网格和修复腹腔,以防网格感染
Gaëtan-Romain Joliat1,2, Guillaume Passot3, Benoit Romain4
1Department of Visceral Surgery, Lausanne University Hospital CHUV, University of Lausanne (UNIL), Lausanne, Switzerland. gaetan.joliat@gmail.com.
Hernia : the journal of hernias and abdominal wall surgery
|October 14, 2025
概括
检测感染的腹腔网并用可吸收的网格取代它显示了对的复发有希望的长期结果. 这种策略具有高的短期并发症率,但重复的网格移除率较低.
科学领域:
- 腹部外科手术 腹部外科手术
- 生物材料科学 生物材料科学
背景情况:
- 网状感染是一种罕见但严重的并发症,在腹修复后发生.
- 感染的网格通常需要切除,可能导致的复发.
研究的目的:
- 评估除受感染网状物和插入长期可吸收网状物的结果.
- 为了比较急性网状感染 (AMI) 和慢性网状感染 (CMI) 病例的结果.
主要方法:
- 在两个三级中心 (2017-2024) 进行29名患者的回顾性研究.
- 患者接受了受感染的网状扩张和聚-4-基酸盐网状植入.
- 疹复发是主要终点;AMI定义为90天内感染.
主要成果:
- 包括14名AMI和15名CMI患者;大多数网格是腹腔内.
- 观察到高率的新网格植入后肌空间和一些组件分离.
- 平均住院时间为7-10天;60-64%的人经历了术后并发症. 在AMI组中, Hernia复发率为21%,在CMI组中为0%.
结论:
- 网格扩张和可吸收网格插入的策略显示出良好的长期结果,复发和重新扩张率较低.
- 观察到高短期发病率.
- 需要进行更长时间的随访进一步研究,以充分评估复发和再感染风险.
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