移除后的背肌排水输出不会影响开放腹 Hernia 修复的不良结果率
Andrea M Meyer1, Antoinette Hu1,2, Alexander T Liu1,2
1The Pennsylvania State University College of Medicine, Hershey, PA, 17033, USA.
Surgical endoscopy
|October 3, 2023
概括
在修复后去除背肌排水管,无论输出体积如何,都是安全的. 这种方法不会影响短期或长期的结局,包括并发症和复发率.
科学领域:
- 手术创新 在外科创新.
- Hernia 修复技术 的修复技术
- 术后护理优化 术后护理优化
背景情况:
- 背肌排水是背肌修复 (RHR) 的标准,以最大限度地减少伤口并发症并帮助网状整合.
- 传统的排水是基于低输出,但它与术后结果的联系需要澄清.
研究的目的:
- 评估RHR患者在切除时排水量和术后并发症之间的关系.
- 为了比较患者在排水时的低输出排水 (LOD) 和高输出排水 (HOD) 之间的结果.
主要方法:
- 对336名成人患者进行回顾性审查,这些患者接受了带有回肌排水的开放式RHR (2013-2022).
- 患者被分类为LOD (<50毫升/天) 或HOD (≥50毫升/天) 基于在去除当天的排水量.
主要成果:
- 30天后手术部位发生率 (SSO) 没有显著差异 (29.2%的LOD与26.2%的HOD).
- 手术部位感染和干预需求在各组之间没有统计学上的差异.
- 一年内的复发率相似 (4.2%的LOD与1.4%的HOD).
- LOD与更长的排水时间和住院时间有关.
结论:
- 摘取当天的排水量与RHR后的术后伤口并发症无关.
- 早些时候的排水,即使输出更高,似乎是安全的,不会影响短期或长期的修复结果.
更多相关视频
相关概念视频
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...