在区域医院实施横腹部释放后评估教科书结果
Johannes A Wegdam1, Dite L C de Jong1, Tammo S de Vries Reilingh1
1Elkerliek Ziekenhuis, Helmond, Netherlands.
Journal of abdominal wall surgery : JAWS
|February 5, 2024
概括
横腹部释放 (TAR) 技术在增加外科医生经验时显示出更好的结果,但具有较长的学习曲线. 实施TAR需要仔细规划,并为复杂的腹修复提供支持的环境.
科学领域:
- 腹壁的重建 腹壁的重建
- 椎间板手术 手术 椎间板手术
- 外科手术技术的实施
背景情况:
- 背部部份分离技术与横向腹部释放 (TAR) 于2012年推出.
- 本研究评估了TAR在荷兰一家医院实施5年后的结果和学习曲线.
研究的目的:
- 描述横腹部释放 (TAR) 技术的结果和学习曲线.
- 评估经验对TAR结果和并发症的影响.
主要方法:
- 一个标准化的计划-做-检查-行动协议指导了TAR的实施.
- 教科书结果 (无事件的90天术后疗程) 是主要的衡量标准.
- 每20个程序评估结果,以跟踪机构学习曲线.
主要成果:
- 69名患者接受了TAR治疗,35%的人获得了教科书结果.
- 并发症的发生率很高:全身48%,伤口41%,复发4%.
- 在20个程序的连续队列中,结果显著改善 (10%至55%).
结论:
- 增加的ART程序和改善的患者结果之间存在积极的相关性.
- TAR具有相当大的学习曲线,受技术技能以外的因素的影响.
- 成功实施TAR需要强大的规划和对复杂腹患者提供支持的环境.
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