在女性上胃修复后的长期结果 - 全国数据库研究
M W Christoffersen1, N A Henriksen2
1Digestive Disease Center, Bispebjerg Hospital, University Hospital of Copenhagen, Copenhagen, Denmark.
Journal of abdominal wall surgery : JAWS
|February 5, 2024
概括
与 sutures 相比,网状修复显著减少了女性上胃的复发. 开放网状修复提供了最低的复发率,但可能会增加伤口并发症的风险.
科学领域:
- 一般外科 整体外科
- 腹壁的重建 腹壁的重建
- 椎间板手术 手术 椎间板手术
背景情况:
- 尽管女性的患病率更高,但对于女性来说,上胃修复结果很少单独报告.
- 手术技术和患者病理可能与其他腹腔不同.
研究的目的:
- 为了评估长期的结果,表胃修复,特别是在女性.
- 为了比较不同手术修复方法的结果:开放合,开放网状和腹腔镜.
主要方法:
- 全国范围内使用丹麦 Hernia 数据库 (2007-2018) 的队列研究.
- 包括3031名接受选择性上胃修复的妇女.
- 通过与国家公民登记册的联系实现了100%的后续行动.
主要成果:
- 开放的网格修复显示明显较低的复发率 (3.3%) 与开放的 sutured (7.7%) 和腹腔镜 (6.2%) 修复相比.
- 开放网状维修的并发症风险略高 (2.6%),而不是接 (1.2%) 和腹腔镜 (2.0%),主要是与伤口相关的.
- 超过一半的修复 (55.1%) 是开放,尽管网状修复减少了复发风险.
结论:
- 网状修复优于修复,可以减少女性上胃的复发.
- 开放网状修复提供了最低的复发风险,但与伤口并发症的适度增加有关.
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