与小带的开放网状修复:倾向匹配队列研究的结果
Samuel Frey1, Adrien Beauvais2, Marc Soler3
1Nantes Université, CHU Nantes, Chirurgie Cancérologique, Digestive et Endocrinienne, Institut des Maladies de l'Appareil Digestif, Nantes, France.
Surgery
|June 25, 2023
概括
对于小椎 (≤1厘米),网状修复是安全有效的,与修复相比,在两年内显著降低复发率,具有类似的疼痛结果.
科学领域:
- 腹部手术 腹部手术
- Hernia 修复 椎间板裂的修复
- 外科手术的结果
背景情况:
- 椎间 ≤1厘米是一个手术挑战.
- 将开放网状维修与修复进行比较对于最佳的患者结果至关重要.
研究的目的:
- 为了比较30天和2年的开放网状修复与小椎 (≤1厘米) 的修复的结果.
- 为了评估疼痛,复发率和患者报告的两种手术技术后的结果.
主要方法:
- 使用前性 Hernia-Club 数据库数据 (2011-2021) 的倾向匹配的多中心研究.
- 根据年龄,性别和BMI,590个网状修复与590个修复的1:1匹配.
- 使用口头评分表-4和数字评分表-11评估术后疼痛.
主要成果:
- 在网状和 suture修复组之间,类似的30天并发症率和疼痛得分.
- 网格修复显示在2年内重复复发病的数量显著减少 (0.2%对1.7%,P = .035).
- 手术后的不适在1个月后修复网格后更频繁,但整体疼痛和不适在2年后是相似的.
结论:
- 开放网状和修复都对小椎瘤有效和安全.
- 网格修复表明,复发率可能会降低.
- 对用于小椎的网状的潜在担忧,例如疼痛和感染,可能不会排除其应用.
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