关于EHS快速指南的议定书:系统审查,元分析,GRADE评估,以及关于预防椎间的欧洲建议
Stavros A Antoniou1,2, Cesare Stabilini3, Ourania Koutsiouroumpa4
1Surgical Department, Mediterranean Hospital of Cyprus, Limassol, Cyprus.
Journal of abdominal wall surgery : JAWS
|February 5, 2024
概括
本指南评估了预防性网状网的使用,以预防结肠直肠切割术后的半体. 它综合了证据,为患者提供关于网格安全性和疗效的建议.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术创新 在外科创新.
- 基于证据的医学基于证据的医学.
背景情况:
- 偏肠是永久末端结肠直肠切除术后的一个常见并发症.
- 以前的建议偏爱预防性网状,但最近的试验显示了相互矛盾的结果.
- 需要更新关于用于预防的网格使用的指南.
研究的目的:
- 快速制定关于预防性网状的安全性和有效性的指导方针,以预防半体.
- 解决使用非可吸收与可吸收网格和网格放置的问题.
- 为临床实践提供基于证据的建议.
主要方法:
- 根据GRADE,GIN和AGREE-S标准制定一个快速指南.
- 组建一个多学科的指导小组和指导小组,包括外科医生,护士和患者代表.
- 进行系统审查和独立的证据综合,然后通过Delphi流程完成建议.
主要成果:
- 一个单一的研究问题,重点是预防性网膜在永久性结肠静脉瘤患者的安全性和有效性.
- 针对网格类型 (可吸收与不可吸收) 和解剖位置,计划进行敏感性分析.
- 综合证据要总结成发现表,用于决策.
结论:
- 该指南旨在澄清预防性网的作用,以防止半体.
- 建议将基于严格的证据综合和专家共识.
- 这些发现将为外科实践提供信息,并改善结肠直肠术后患者的治疗结果.
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