学习曲线对腹腔镜 inguinal hernioplasty 后手术后立即疼痛强度的影响
Etele Előd Élthes1, Márton Dénes2, Mircea R Neagoe2
1Surgery Department, General Hospital of Odorheiu Secuiesc, University of Medicine and Pharmacy of Târgu Mureş, Romania.
Medicine and pharmacy reports
|August 14, 2023
概括
跨腹前皮 (TAPP) inguinal hernia修复的学习曲线没有显著影响术后疼痛强度,尽管掌握该技术后手术时间减少了. 对于经过适当培训的外科医生来说,TAPP是一种安全的手术.
科学领域:
- 手术创新 在外科创新.
- 最少侵入性的手术
- Hernia 修复技术 的修复技术
背景情况:
- 在全球范围内,内修复是常见的手术手术.
- 腹腔镜技术越来越多地用于原发性和单侧 inguinal ,提供安全有效的替代方案.
- 患者的担忧包括术后疼痛和恢复日常活动.
研究的目的:
- 为了调查外科医生的学习曲线影响腹腔镜 inguinal hernioplasty 之后的术后疼痛强度的假设.
- 评估TAPP手术过程中手术经验和患者结果之间的关系.
主要方法:
- 一项回顾性比较研究分析了87次连续的跨腹前 (TAPP) 膜整形手术,由全科医生进行.
- 根据手术是在外科医生的学习曲线期间还是之后进行的,患者被分为几组.
- 结果包括手术时间,术后疼痛 (简单数值疼痛量表) 和止痛药治疗持续时间.
主要成果:
- 在完成学习曲线后,手术时间显著减少 (p = 0.0005).
- 手术后疼痛强度和止痛治疗持续时间在两组之间没有显著差异.
- 虽然在学习阶段注意到疼痛强度更高,但与学习曲线没有统计学上显著的关系.
结论:
- 跨腹前 (TAPP) 膜整形手术可以由具有适当培训和学习计划的外科医生安全地进行.
- 对TAPP的学习曲线似乎没有显著影响术后疼痛水平.
关键词:
这是TAPP程序.inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia术后疼痛 术后疼痛 术后疼痛自动抓住的外科手术网.更多相关视频
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