减少Veress针过射的相关性
T Horeman-Franse1,2, R R Postema3,4, T Fischer3
1Department of Biomechanical Engineering, Delft University of Technology, TU-Delft, Mekelweg 2, 2628CD, Delft, The Netherlands. t.horeman@tudelft.nl.
Scientific reports
|October 14, 2023
概括
尽管存在风险,但腹腔镜外科医生仍然使用Veress针. 一项调查发现,大多数外科医生认为安全机制是有益的,特别是对于体重指数较高的患者,这表明他们对更好的针设计感兴趣.
科学领域:
- 最少侵入性的手术
- 手术技术 手术技术
- 患者安全 患者安全
背景情况:
- 在腹腔镜中插入Veress针需要技术技能来防止器官损伤.
- 存在各种安全机制,以限制针头插入的速度,深度或力.
- 在腹腔镜手术过程中,过度使用Veress针会对底层器官构成风险.
研究的目的:
- 评估外科医生对Veress针使用的看法.
- 为了确定防止Veress针超射的感知重要性.
- 收集欧洲内镜外科协会 (EAES) 成员关于Veress针安全性的反.
主要方法:
- 一个在线调查被分发给EAES的活跃成员.
- 该调查包括关于Veress针使用,培训和所需改进的问题.
- 分析了来自58个国家的365名受访者的数据.
主要成果:
- 36%的外科医生更喜欢正常BMI患者的开放转换,高BMI患者的22%.
- 68%的Veress针使用者发现过量减轻对正常的BMI有益,78%的高BMI.
- 外科医生报告说,在舒适和欲望改善安全机制之前,平均有1448次使用.
结论:
- 在接受调查的腹腔镜外科医生中,Veress针仍然被广泛使用.
- 大多数外科医生认为,减少Veress针超标有好处,特别是在BMI较高的患者中.
- 对Veress的针头有着增强的安全功能,以减轻超射风险,有很大的兴趣.
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