Hernia Mesh 并发症:对网状组织感染和肠道假肢的管理
Kathryn A Schlosser1, Jeremy A Warren2
1Department of Surgery, Prisma Health, 701 Grove Road, Support Tower 3, Greenville, SC 29605, USA. Electronic address: https://twitter.com/KT_Schlosser.
The Surgical clinics of North America
|September 14, 2023
概括
腹腔修复网状感染往往需要切除,特别是腹腔内或多纤维类型. 在外皮位的巨孔,单丝网通常是可挽救的,影响手术规划.
科学领域:
- 手术创新 在外科创新.
- 生物材料科学 生物材料科学
- 传染性疾病 传染性疾病
背景情况:
- 网状感染在腹腔的修复过程中会带来很大的风险.
- 手术方法,网格类型和患者因素影响结果.
- 腹腔内网的放置增加了并发症的风险.
研究的目的:
- 分析在腹腔修复中不同类型的网状网的可救性.
- 确定影响网状感染管理的因素.
- 在复杂的腹腔病例中指导手术决策.
主要方法:
- 基于网状特征 (孔径,丝类型,位置) 的临床结果的审查.
- 分析感染表现和相关并发症,包括肠道假肢.
- 管理策略的评估:网状植被与救援和重建时间对比.
主要成果:
- 腹腔内,微孔,层状和多纤维网格往往需要扩展.
- 在腹膜外位置的巨孔,单丝网通常是可挽救的.
- 延迟的网状组织感染表明潜在的肠膜造假带有腹腔内网状组织.
结论:
- 网格的选择和放置对于防止腹腔修复的并发症至关重要.
- 网状网的可挽救性取决于其属性和位置,影响治疗策略.
- 网状感染的管理需要仔细考虑复发感染和的复发风险.
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