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选择性结直肠手术中的机械肠道制备和抗生素:网络元分析
Jonavan Tan1, Éanna J Ryan1, Matthew G Davey2
1Department of Colorectal Surgery, Tallaght University Hospital, Tallaght, Dublin, Ireland.
BJS open
|May 31, 2023
概括
口服抗生素与静脉注射抗生素相结合,有或没有机械肠道制备,显著减少手术部位感染和结直肠手术中的解剖漏洞. 这种组合应该成为选择性手术的新护理标准.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术部位感染 手术部位感染
- 解剖学泄漏的预防 解剖学泄漏的预防
背景情况:
- 标准的静脉注射抗生素在结直肠外科手术的麻醉诱导建立.
- 最佳的手术前肠道准备策略,包括机械肠道准备,清洗剂和口服抗生素,仍在为预防手术部位感染和解肠漏洞进行辩论.
结论:
- 手术前的肠道准备策略,包括静脉和口服抗生素,有或没有机械肠道准备,应该是选择性结肠直肠手术的标准护理.
- 这种方法通过减少关键并发症,如手术部位感染和门泄漏来优化结果.
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