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在延迟的初级和初级之间表面的手术部位感染. 在复杂的尾炎中,伤口关闭

Akash Akash¹, Neeraj Saxena¹

¹Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences & Dr. R.M.L. Hospital, New Delhi, India.

Polski przeglad chirurgiczny

|February 13, 2024

概括

延迟初级关闭 (DPC) 与初级关闭 (PC) 相比,在开放性尾切除术后显著减少手术部位感染 (SSI). 这两种伤口关闭方法在术后疼痛或停留时间 (LOS) 中都没有显著差异.

科学领域:

手术瘤学手术瘤学
传染性疾病传染性疾病
伤口愈合治愈伤口愈合

背景情况:

手术部位感染 (SSI) 是开放性尾切除术后的一种常见的术后并发症.
现有的研究缺乏关于最佳伤口关闭技术的共识,特别是初级关闭 (PC) 与延迟初级关闭 (DPC).
了解PC和DPC的比较疗效对于改善患者的治疗结果至关重要.

研究的目的:

为了比较初级关闭 (PC) 和延迟初级关闭 (DPC) 在开放尾切除创伤中的有效性.
评估PC和DPC之间的SSI发病率,术后疼痛和停留时间 (LOS) 的差异.

主要方法:

一项前性研究涉及50名接受开放尾切除术的患者,右下象限切口.
患者被随机分为两个组:初级关闭 (PC) 和延迟初级关闭 (DPC).
排除标准包括并发症,致病性肥胖和怀孕. 结果 (SSI,通过视觉模拟尺度的疼痛,LOS) 在1周和1个月后进行评估.

主要成果:

表面手术部位感染 (SSI) 的发生率在延迟初级关闭 (DPC) 组明显低于初级关闭 (PC) 组 (p = 0.0002).
在DPC和PC组之间没有观察到关于手术后疼痛水平的显著差异.
停留时间 (LOS) 在两种伤口关闭技术之间没有显著差异.

结论:

延迟初级关闭 (DPC) 是在开放性尾切除术后减少表面手术部位感染 (SSI) 的优质方法.
初级关闭 (PC) 和延迟初级关闭 (DPC) 在术后疼痛和停留时间 (LOS) 中产生了可比的结果.
应考虑对DPC进行开放性尾切除术,以最大限度地降低SSI风险.

关键词:

复杂的尾炎是什么延迟的主要关闭.主要关闭的主要关闭表面的手术部位感染.

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