钥匙孔与糖机网格配置在腹的修复:一个系统的审查和元分析
Sergio Mazzola Poli de Figueiredo1, Amanda Cyntia Lima Fonseca Rodrigues2, Sérgio Walmir de Araújo3
1Department of Surgery.
概括
对于半体修复 (PHR) 的Sugarbaker网状技术显示的复发率低于Keyhole方法. 这次元分析发现这些PHR技术的其他并发症没有显著差异.
科学领域:
- 腹壁外科手术 腹壁外科手术
- 手术结果研究研究.
- 网格维修技术 网格维修技术
背景情况:
- 横腹修复 (PHR) 提出了重大的手术挑战,推使用网状,但对技术的比较证据有限.
- 恢复肠道连续性是理想的,但对于PHR来说通常是不可行的.
研究的目的:
- 通过元分析,比较糖和钥匙洞网格配置在半体修复中的结果.
- 评估的复发和手术后并发症,与不同的网格配置在PHR.
主要方法:
- 在PubMed,Embase,Scopus和Cochrane图书馆进行了全面的文献搜索.
- 对10项涉及632名接受半体修复的患者的研究进行了聚合分析和元分析.
- 使用RevMan 5.4进行的统计分析,使用I2统计数据评估异质性.
主要成果:
- 与钥匙孔配置相比,Sugarbaker网格配置与明显较低的的复发率有关 (OR:0.39;95%CI:0.19-0.83;P=0.01).
- 在Sugarbaker和Keyhole组之间没有观察到统计学上显著的差异,包括整体并发症,重复手术,静脉口阻塞,网状感染或手术后出血.
- 大多数患者 (68.5%) 进行了腹腔镜PHR,并使用腹腔内内置网.
结论:
- 使用Sugarbaker网状结构进行门修复,表明的复发风险降低.
- 糖技术的整体并发症,重复手术和特定不良事件的比率与PHR中的Keyhole技术相提并论.
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