关于Trocar网站的预防的想法. 一个叙事审查
1Spire Murrayfield Hospital, The University of Edinburgh, Edinburgh, United Kingdom.
Journal of abdominal wall surgery : JAWS
|February 5, 2024
概括
部位 (TSH) 不常见,但可以通过管理患者和手术因素来减少. 识别有风险的患者和三部位,使得有针对性的预防策略能够最大限度地降低TSH发病率.
科学领域:
- 最少侵入性的手术
- 手术并发症 手术并发症
- 椎间板研究 椎间板研究
背景情况:
- laparoscopic 和机器人辅助手术利用托拉卡位,这是切口的潜在位置.
- 众所周知,有几种因素会增加患三关节位 (TSH) 的风险.
研究的目的:
- 审查现有的文献,并确定与增加TSH风险相关的患者和三角管部位因素.
- 为制定有针对性的预防策略提供信息,以尽量减少TSH发病率.
主要方法:
- 在PubMed上进行了全面的文献搜索,使用MeSH术语与托卡和有关.
- 摘要进行了选,并选择了相关出版物进行叙事审查.
主要成果:
- 搜索发现了961个摘要,导致包含2012年系统审查和44个最近的出版物.
- 确定了多个患者,手术前,手术期间和手术后的因素可能会增加TSH风险.
结论:
- 鉴于手术的数量,虽然临床上显著的TSH很少发生,但它仍然是一般外科手术中常见的.
- 患者,特别是部的患者,具有更高的固有风险.
- 一种多面的手术方法,考虑三关节选择,插入技术,手术事件和关闭,可能会累计降低TSH风险.
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