妇科阴道外科手术的启用技术:系统性审查
Sunil Balgobin1, Ethan M Balk, Anne E Porter
1Division of Urogynecology, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, the Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, San Antonio, and the Division of Urogynecology, Department of Obstetrics and Gynecology, Houston Methodist Hospital, Houston, Texas; the Center for Evidence Synthesis in Health, Brown University School of Public Health, Providence, Rhode Island; the Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, Ohio; the Department of Obstetrics and Gynecology, University of California, Los Angeles, Los Angeles, California; the Division of Urogynecology, Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico; the Woman's Center for Advanced Pelvic Surgery, Phoenix, Arizona; the Departments of Obstetrics and Gynecology and Urology, School of Medicine & Dentistry, University of Rochester, Rochester, New York; the Department of Obstetrics and Gynecology, Medical College of Wisconsin, Waukesha, Wisconsin; the Division of Urogynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; the Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan; the Department of Obstetrics, Gynecology, and Reproductive Health, Rutgers New Jersey Medical School, Newark, and the Department of Obstetrics and Gynecology, Cooper Medical School of Rowan University, Camden, New Jersey; and the Division of Female Pelvic Medicine & Reconstructive Surgery, University of Louisville Health, Louisville, Kentucky.
脚密封装置显著减少了手术时间,血液流失,住院和阴道切除术的疼痛. 对其他技术进行进一步的研究是必要的,以促进阴道手术.
科学领域:
- 妇科外科手术 妇科外科
- 手术技术的评估和评估
- 最少侵入性手术的方法
背景情况:
- 对辅助阴道手术技术的临床和手术结果的系统审查.
- 通过阴道方法对良性妇科手术的当代工具的评估.
研究的目的:
- 系统地审查和评估用于促进阴道外科手术程序的技术的临床和外科结果.
- 综合各种工具在改善手术内表现和术后结果方面的有效性.
主要方法:
- 在MEDLINE,EMBASE和ClinicalTrials.gov (1990-2022) 的系统文献搜索.
- 包含关于阴道妇科手术当代技术的比较和单臂研究.
- 数据提取和偏差风险评估,在指定的情况下进行元分析.
主要成果:
- 116项研究评估了脚密封装置,阴道自然孔透光内镜手术 (vNOTES),接装置,循环绑定和望远镜摄像头.
- 脚密封装置减少了手术时间,血液流失,住院时间和阴道切除术中的疼痛得分.
- vNOTES证明了各种程序的可行性,但对其他技术的数据有限.
结论:
- 脚密封装置为阴道切除术提供了明显的好处,提高了效率和患者的康复.
- 虽然vNOTES显示出有希望的结果,但更多的比较研究对于确定各种技术在促进阴道外科手术过程中的有效性至关重要.
- 建议进行进一步的研究,以充分了解新兴技术在妇科手术中的潜力和局限性.
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