软组织肉瘤切除后的立即整形手术干预:检查伤口愈合,再接收和重新手术
Scott A Wu1, John A deVries2, Mark A Plantz1
1From the Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Plastic and reconstructive surgery. Global open
|June 12, 2023
概括
立即参与软组织肉瘤 (STS) 切除的整形外科医生显著减少了90天的伤口愈合并发症. 这种多学科的方法改善了结果,尽管运营时间较长.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 外科手术的结果
背景情况:
- 软组织肉瘤 (STS) 切除通常涉及一个多学科的团队.
- 立即的整形外科医生参与STS切除结果的具体作用需要进一步评估.
研究的目的:
- 评估立即的整形外科医生参与对索引软组织肉瘤切除后的结果的影响.
- 为了确定伤口愈合并发症和STS切除后再入院的风险因素.
主要方法:
- 从2005年至2018年进行索引STS切除的成年患者的回顾性分析.
- 结局的比较 (90天重新手术,再入院,伤口并发症) 患者与没有整形外科医生的参与.
- 多变量后勤回归用于识别并发症和再接收的预测因素.
主要成果:
- 整形手术干预是预防90天伤口愈合并发症的重要保护因素 (OR = 0.321,P = 0.007).
- 参与整形外科手术的患者的并发症率相似,尽管手术时间和住院时间较长.
- 手术时间和住院时间是预测伤口愈合并发症的指标,而手术时间和瘤阶段预测了再入院.
结论:
- 立即的整形外科医生参与与软组织肉瘤切除中改善的伤口愈合结果有关.
- 包括整形手术在内的多学科方法可以在不影响整体结果的情况下减轻并发症.
- 在软组织肉瘤的多学科管理中,应考虑整形外科医生的参与.
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