Introduction: Patch infection after inguinal hernioplasty as an annoyance perplexed surgeon, Because its processing is very tricky. When conservative treatment fails, the surgical that played a pivotal role in the future therapies. Our target was to evaluate the safety and effectiveness of path removal for delayed patch infection after inguinal hernioplasty and give a summary of our experience in surgical treatment.Methods: A retrospective cross-sectional study was undertaken at the Department of General Surgery from March 2018 to May 2021 to gather the clinical data of 35 patients with delayed cloth patch infection following tension-free hernioplasty. Record clinical information about the patient which included patient age, underlying disease, primary hernia repair, meantime of infection diagnosis, patient clinical symptoms, the intraoperative complications included the relevant postoperative conditions, the placement and time of drainage tubes, the postoperative hospital stay, the bacterial culture results of patch infection, and the choice and use of antibiotics.The follow-up included postoperative reinfection and long-term complications. Patients or their families were contacted by telephone to understand their postoperative recovery as well as any long-term complications. Results: All patients have undergone laparoscopic or open surgical operation were smooth and steady. All patients with postoperative infection after tension-free repair of inguinal Hernia received patch removal, all of them were treated with antibiotics, open wound drainage or negative pressure drainage, 2 cases had a perforation of a sigmoid foreign body. The mean postoperative hospital stay was (23.74±15.91) days. A total of 35 patients with patch infection were followed up postoperatively During the follow-up period, no postoperative complications occurred. There was no recurrence of inguinal hernia during postoperative follow-up. Conclusion: When dealing with patch infection after tension-free repair of an inguinal hernia, it is safe and efficacious to perform patch extraction.
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