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选择性循环 Hernia 修复:一个腹壁外科病房的价值

V Rodrigues-Gonçalves¹, M Martínez-López², M Verdaguer-Tremolosa²

¹General Surgery Department, Abdominal Wall Surgery Unit, Hospital Universitari Vall d´Hebron, Universitat Autònoma de Barcelona, Paseo Vall d`Hebron 119-129, 08035, Barcelona, Spain. victor.rodrigues@vallhebron.cat.

World journal of surgery

|June 2, 2023

概括

专业的腹壁手术单位显著减少的复发后,复发的 inguinal hernia 修复. 这种专注的方法在这种特定的手术中似乎比一般手术单位更有效.

科学领域:

腹壁外科手术腹壁外科手术
椎间板修复手术椎间板修复手术
手术结果研究研究.

背景情况:

经常出现的 inguinal 带来了独特的外科手术挑战.
手术后的并发症和复发是 inguinal 修复后的重大问题.
专门的手术单位对复发性 inguinal 修复的结果的影响需要研究.

研究的目的:

评估专用腹壁外科病房对选择性复发性 inguinal hernia 修复后的结果的影响.
为了比较术后并发症,复发率和专业和非专业手术单位之间的慢性疼痛.
确定影响复发性 inguinal hernia 修复结果的因素.

主要方法:

对250名接受选择性复发性 inguinal hernia 修复的成年患者进行了回顾性队列研究 (2010年1月 - 2021年10月).
与其他单位相比,由腹壁外科治疗单位治疗的患者之间的短期和长期结果的比较.
使用后勤回归分析来评估的复发情况.

主要成果:

腹壁外科治疗的患者年轻,并有较少的并发症.
两组之间没有观察到术后并发症的显著差异.
腹壁手术部门的复发率明显较低 (3%对15%).
多变量分析证实,腹壁外科手术部门的手术与复发率降低有关 (HR=0.123).

结论:

在腹壁外科手术的专业化积极影响复发 Hernia修复的复发率.
需要进一步的研究来探索并发症和外科手术方法 (如门诊手术) 的影响.

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