未经证实:和重要性:腹股沟疝修补术后最常见的术后并发症是疝复发,血肿,血清肿,伤口感染,慢性疼痛,麻木和肿胀。此病例报告的目的是介绍腹股沟疝修补术的罕见并发症,经腹腹膜前两侧腹股沟疝修补术3个月后接种阴囊血肿引起的巨大阴囊脓肿。
未经评估:一位84岁的病人到急诊科就诊,抱怨发烧,左半阴囊疼痛和进行性肿胀。由于阴囊血肿,他在3个月前接受了经腹腹膜前双侧腹股沟疝修补术,并在17天前接受了阴囊穿刺。骨盆CT扫描表明左半阴囊有一个大脓肿,压迫了同侧睾丸。对腹股沟区进行了手术探查,并考虑到患者的高龄,将脓肿与缺血的同侧睾丸一起“整块”切除。患者恢复顺利,并在术后第三天出院。
未经证实:阴囊脓肿,虽然罕见,腹股沟疝修补术后阴囊疼痛的鉴别诊断应予以考虑。有时使用阴囊引流以减轻患者因阴囊肿胀而引起的不适,但如果执行不当,可能会导致严重感染。术后,阴囊的抽吸引流或抬高和压迫可以预防阴囊并发症。
未经证实:阴囊脓肿是腹股沟疝修补术的一种罕见并发症。腹股沟疝修补术后建立阴囊护理路径有助于减少和管理并发症。
UNASSIGNED: And importance: The most common postoperative complications after inguinal hernia repair are hernia recurrence, hematoma, seroma, wound infection, chronic pain, numbness and swelling. The aim of this
case report is to present a rare complication of inguinal hernia repair, a large scrotal abscess that was caused by an inoculated scrotal hematoma 3 months after Transabdominal Preperitoneal bilateral inguinal hernia repair.
UNASSIGNED: An 84-year-old patient presented to the emergency department complaining about fever, pain and progressive swelling of the left hemiscrotum. He had undergone a Transabdominal Preperitoneal bilateral inguinal hernia repair 3 months earlier and a scrotal paracentesis 17 days earlier due to a scrotal hematoma. The pelvic CT scan was indicative of a large abscess in the left hemiscrotum compressing the ipsilateral testicle. Surgical exploration of the inguinal area was performed and considering the patient\'s advanced age the abscess was excised \"en bloc\" with the ischemic ipsilateral testicle. The patient had an uneventful recovery and was discharged home on the third postoperative day.
UNASSIGNED: Scrotal abscess, although rare, should be considered in the differential diagnosis of scrotal pain after inguinal hernioplasty. Scrotal drainage is sometimes used in order to relive the patient\'s discomfort caused by a swollen scrotum, but if not performed properly it can lead to serious infections. Postoperatively, a suction drain or elevation and compression of the scrotum may prevent scrotal complications.
UNASSIGNED: Scrotal abscess is a rare complication of inguinal hernioplasty. Scrotal care pathways establishment after inguinal hernia repair could help reduce and manage complications.