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门诊乳房重建中的外科手术协议:系统性审查

Kaitlyn Rourke¹, Laura Jane Halyk², Jenna MacNeil³

¹Queen's University, Canada.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

|August 3, 2023

概括

手术后增强恢复 (ERAS) 协议和特定的术后项目有助于成功的门诊乳房重建. 这些协议使大多数患者能够在24小时内安全出院,而不会增加并发症.

科学领域:

整形外科整形外科整形外科
手术瘤学手术瘤学
健行外科手术健行外科手术

背景情况:

术后恢复 (ERAS) 越来越多地用于乳房重建.
对于这些手术,门诊机构的设置变得越来越普遍.
确定关键的协议元素对于优化门诊乳房重建至关重要.

研究的目的:

系统地审查和识别与成功的门诊乳房重建相关的常见外科手术期间协议项目.
为了确定乳房重建后在同一天或24小时内分泌的可行性和安全性.

主要方法:

电子数据库的系统审查 (Ovid Medline,EMBASE,Cochrane). 电子数据库的系统审查 (Ovid Medline,EMBASE,Cochrane). 电子数据库的系统审查 (Ovid Medline,EMBASE,Cochrane). 电子数据库的系统审查 (Ovid Medline,EMBASE,Cochrane). 电子数据库的系统审查 (Ovid Medline,EMBASE,Cochrane). 电子数据库的系统审查 (Ovid Medline,EMBASE,Cochrane). 电子数据库的系统审查 (Ovid Medline,EMBASE,Cochrane).
包括详细介绍手术后护理的研究,用于门诊乳房切除术后的乳房重建 (在24小时内出院).
提取有关协议细节,重建类型,患者选择,出院和并发症率的数据;偏差风险评估.

主要成果:

包括12项涉及1484名患者的研究,确定了16个核心外科手术项目.
最常讨论的项目:手术前咨询,多模式止痛 (手术前/手术内) 和术后止痛.
78.4%的患者在24小时内成功出院;没有发现再入院或并发症的增加.

结论:

十六个核心项目定义了一个成功的外科手术期间的ERAS协议,用于24小时的放电乳房重建.
这些协议的实施支持24小时以下的放出,用于全塑性和自身乳房重建.
门诊乳房重建是安全有效的,当指导全面的外科手术期间的协议.

关键词:

一个健行医疗系统.乳房重建乳房重建手术后更好的康复术后更好的康复周期运行协议周期运行协议同一天的放电.

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