在初始腹腔修复之后,随后的腹部手术的结果
Anna Hayden1, Samantha Worth1, Brittany Kothari2
1University of South Carolina School of Medicine Greenville, USA.
American journal of surgery
|August 26, 2023
概括
随后的腹部手术 (SAO) 需要17.1%的腹部修复 (VHR) 患者. 虽然腹膜内网 (IPM) VHR导致更多的SAO,但结果和并发症与腹膜外网 (EPM) 相似.
科学领域:
- 腹部手术 腹部手术
- 椎间板裂修复 椎间板裂修复
- 外科手术的结果
背景情况:
- 腹腔修复 (VHR) 是一种常见的手术程序.
- 显著比例的VHR患者需要随后的腹部手术 (SAO).
- 在VHR期间的网格放置可能会影响SAO的复杂性和结果.
研究的目的:
- 为了调查SAO的发病率,复杂性和并发症,在接受VHR与网状的患者中进行SAO.
- 根据网格位置来比较SAO结果:腹腔内网格 (IPM) 与腹腔外网格 (EPM).
主要方法:
- 从2006年到2020年的VHR与网格案例的回顾性审查.
- 数据来源于内部数据库和腹部核心健康质量协作 (ACHQC) 的数据.
- 主要结局包括SAO发生率,复杂性和相对于网状状位置的并发症.
主要成果:
- 在2539名VHR患者中有17.1%需要SAO.
- 腹腔内网 (IPM) VHR的SAO发病率较高 (22.1%) 与腹腔外网 (EPM) VHR (14.3%) 相比.
- 在IPM和EPM组之间没有观察到SAO并发症或粘附复杂性的显著差异.
结论:
- 虽然IPM安置增加了需要随后腹部手术的可能性,但手术结果和并发症率与EPM相似.
- 在SAO期间,由于感染风险,IPM出现了更高的网状移除率.
- 在VHR中的网格位置影响SAO发生率,但不一定影响SAO结果.
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