是否同时进行减肥手术和腹修复是一种安全有效的方法?
Sukrit Khanna1, Mathushan Thevaraja1, Daniel Leonard Chan2
1UNSW Department of Surgery and St George Clinical School, University of New South Wales, Sydney, New South Wales, Australia.
概括
同时进行腹腔修复和减肥手术是安全的,感染率较低. 这种综合方法甚至适用于复杂的减肥手术.
科学领域:
- 腹部外科 腹部外科
- 椎间板裂修复 椎间板裂修复
- 外科手术的结果
背景情况:
- 关于腹腔修复的最佳时间,与减肥手术相关,存在缺乏共识.
- 评估同步与分阶段修复对患者管理至关重要.
研究的目的:
- 为了比较同时进行腹腔修复和减肥手术的结果与选择性推迟修复.
- 评估联合手术方法的安全性和有效性.
主要方法:
- 一个机构的回顾性案例系列 (2003-2021年).
- 对134名接受减肥手术的患者进行前性收集的数据进行分析,同时进行或不进行腹腔修复.
主要成果:
- 111名患者同时进行修复,23人推迟修复.
- 同时修复的手术时间更短 (155分 vs. 287分钟),住院时间更短 (3天 vs. 7天).
- 在同期组中观察到的并发症率较低:0.9%的网状感染,2.8%的感染血清瘤,7.5%的的复发.
结论:
- 同时进行腹腔修复和减肥手术表明感染率和网状扩张率较低.
- 综合手术方法似乎是安全的,即使在干净受污染的环境和切除腹部外科手术.
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