Mesh plug migration into scrotum: a new complication of hernia repair.

网塞移入阴囊：一个疝修补的新并发症

Dieter RA Jr.
Department of Surgery, Glen Ellyn Clinic, S.C., Naperville, Illinois 60563, USA.

Hernia repair is one of the most frequent operative procedures performed throughout the world. The technique has continued to evolve and we now are performing these repairs utilizing mesh as a patch and also as a plug. The mesh plug concept has been advocated by Rutkow and others. With this change in technique, we have seen a new complication of hernia repair - the migration of the mesh plug from the original hernia repair site into the scrotum. It presented as a large tender mass in the scrotum of a 45-year-old male who had had previous recurrent surgery. In addition, he again had a recurrent incarcerated hernia. Correction of the hernia and resection of the migrated mesh plug from the scrotum were carried out. It is recommended that both the patch and the plug be into position to avoid or reduce the risk of such a recurrence and plug migration.

疝修补是世界范围内最常见的外科手术。疝修补技术一直在改变。目前使用的方法有 : 补片用作平片的方法和 填塞 的方法。 Rutkow 等人提倡 填塞法 。随着这个方法的使用，我们发现了一个新的并发症：网塞由原来的位置移 位 至阴囊。一个 45 岁的男士在用网塞做了疝修补后发现网塞掉入了阴囊，而且出现了嵌顿疝。医生又一次为该患者做了疝修补，并摘除了阴囊中的网塞。建议在使用塞子时一定要使塞子保持原位以防止塞子移位。

PMID: 10421020 [PubMed - indexed for MEDLINE]