帕拉斯托马尔 Hernia 修复 修复
Victoria R Rendell1, Eric M Pauli1
1Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, USA.
The Surgical clinics of North America
|September 14, 2023
概括
副腹 (PHs) 是常见的手术并发症. 本综述涵盖了患者评估,修复技术 (开放式和微创),以及用于有效PH治疗的网状选择.
科学领域:
- 腹部外科手术 腹部外科手术
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 椎间 (PHs) 经常发生在骨髓创建后,导致患者患病率很高.
- 尽管有数十年的网状维修进化,但高并发症和复发率仍然存在,这凸显了维修方面的挑战.
研究的目的:
- 审查评估患者进行半体修复的关键因素.
- 提供目前用于PH修复的开放和最小侵入性手术技术的概述.
- 详细介绍基于网格的修复选项,并审查网格选择的证据.
主要方法:
- 文献综述和关于半体修复现有证据的综合.
- 对手术干预患者评估标准的分析.
- 开放式与微创手术方法的比较.
- 评估网状材料及其在PH修复中的有效性.
主要成果:
- 门修复仍然很复杂,并发症和复发率很高.
- 患者选择和手术方法对于成功的结果至关重要.
- 证据支持各种网格类型,但最佳选择需要仔细考虑手术技术和患者因素.
结论:
- 优化半体的修复包括仔细的患者评估和选择适当的手术技术.
- 网格选择是一个关键因素,正在进行研究以确定最有效的选择.
- 需要进一步的研究,以减少半体修复中的复发率和并发症率.
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