系统审查和指导方针,用于管理阴囊内
Hanh Minh Tran1, Ian MacQueen2, David Chen2
1The Sydney Hernia Specialists Clinic, Sydney, NSW, Australia.
Journal of abdominal wall surgery : JAWS
|February 5, 2024
概括
由于严重的疾病负担,特别是在资源较低的国家,制定了椎管理指南. 这些指南旨在通过减少复发,疼痛和感染来改善患者护理,尽管证据有限.
科学领域:
- 外科手术 手术手术
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 椎间 represent一个相当大的全球健康负担,特别影响年轻人在他们的生产性年.
- 目前对阴囊的治疗策略缺乏全面的指导方针,导致患者的治疗结果各不相同.
- 现有的数据表明,与标准的沟修复相比,囊修复的发病率和死亡率更高.
研究的目的:
- 建立基于证据的指导方针,用于管理阴囊.
- 为了减少复发率,慢性疼痛和与阴囊修复相关的感染.
- 提出一个标准化分类系统,用于阴囊,以促进研究和手术技术的比较.
主要方法:
- 对截至2021年3月31日的出版物进行了系统的文献综述,使用与椎间有关的术语.
- 文章使用牛津,SIGN和等级方法进行了评估.
- 与25名HerniaSurge成员举行了共识会议,制定和投票对建议,将其分为强或弱.
主要成果:
- 根据的尺寸和位置提出了一个新的阴囊的分类系统 (SI,SII,SIII).
- 尽管证据很弱,但仍建议进行抗生素预防.
- 对于复杂的病例 (S2-3) 建议进行尿管导管,因为手术时间较长.
- 开放前网修复是最常见的技术,在资源较少的环境中,接技术普遍存在.
- 穿越腹腔前皮层 (TAPP) 方法显示,对开放性手术的转换比完全外皮层 (TEP) 修复要少.
结论:
- 管理指南旨在提高全球椎患者的外科治疗结果,并承认资源的差异.
- 考虑到当地资源和手术技能的定制方法是必不可少的.
- 预计拟议的分类系统将能够更有意义地比较不同大小的不同手术技术,推动未来的研究.
关键词:
这些指导方针是指导方针.inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia管理的管理管理的管理.阴道上的阴囊.系统性审查 系统性审查
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