[在晚期腹膜炎中手术关闭伤口]
N V Lebedev1, A E Klimov1, V S Shadrina1
1Peoples' Friendship University of Russia, Moscow, Russia.
Khirurgiia
|June 28, 2023
概括
在广泛的腹膜炎中,高死亡率仍然存在,特别是在败血症休克时. 目前用于腹腔切除关闭的手术方法缺乏标准化的标准,需要进一步研究这些关键患者的最佳技术.
科学领域:
- 手术重症监护手术重症监护
- 腹部外科手术 腹部外科手术
- 膜炎的管理管理
背景情况:
- 广泛的腹膜炎带有很高的死亡率 (15-20%),在败血症休克时升级到70-80%.
- 由于手术内发现和患者的严重性,外科医生之间讨论了拉皮切除术关闭技术.
- 现有的文献缺乏关于这些复杂病例中腹壁关闭的最佳方法的共识.
研究的目的:
- 审查当前的科学数据和专家意见,对腹腔切除术闭合方法在二次广泛腹膜炎.
- 突出外科医生之间关于最佳伤口管理策略的持续讨论.
- 确定需要进一步研究不同关闭程序的特定指示和临床疗效的需要.
主要方法:
- 关于腹膜炎和腹腔切除术关闭的科学文献的综述.
- 汇编了国内和国际外科的外科意见和实践.
- 分析影响外周炎病例外科决定的因素.
主要成果:
- 没有普遍接受的标准存在选择腹腔切除术关闭方法在二次广泛腹膜炎.
- 外科医生在选择关闭技术时考虑手术内发现和疾病严重程度.
- 目前的做法反映了正在进行的辩论,而不是既定的准则.
结论:
- 进一步的研究是必不可少的,以确定每个腹腔切除关闭方法的明确指示.
- 在腹膜炎患者中,各种关闭技术的临床疗效需要严格的研究.
- 需要标准化标准来改善患有广泛炎的患者的治疗结果.
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