成人鼠径ヘルニア術後感染によるprosthesis 除去例の検討

Objective : Prosthesis removal is one of important complication in the hernia repair. A clinical investigation was made on cases of prosthesis removal following surgery for inguinal hernia. Methods : We performed ４６６ laparoscopic transabdominal preperitoneal （TAPP） inguinal hernioplasty for inguinal hernia and ２３２ open mesh inguinal hernia repair at our institution from March １９９５ to March ２０１０. These ６９８ cases were enrolled in this clinical study. Prosthesis removal was retrospectively assessed. Result : The five cases who underwent open mesh repair were required the removal of the prosthesis. These all cases were delayed onset infection. On the other hand, no patients who underwent TAPP repair were required removal of the prosthesis. Patients who underwent open mesh repair had high risk for the removal of the prosthesis compared to patients who underwent TAPP repair. Conclusions : Patients with inguinal hernia who undergo TAPP repair have fewer removal of the prosthesis than those who underwent open mesh repair.