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有或没有网格的肌肉整形术? 一个系统的文献综述与一个新的时间组织比例元分析

Andrés R Latorre-Rodríguez^1,2, Ajay Rajan³, Sumeet K Mittal^4,5

¹Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Road, Suite 500, Phoenix, AZ, 85013, USA.

Surgical endoscopy

|February 14, 2024

概括

对于缺口 (HH) 修复,可吸收网 (AM) 与修复 (SR) 相比,不会减少复发. 非吸收性网格 (NAM) 显示中期好处,但长期复发在所有网格类型中都是相似的.

科学领域:

胃肠病学胃肠病学
手术创新在外科创新.
医疗设备分析医疗设备分析

背景情况:

非吸收性网格 (NAM) 最初在椎 (HH) 修复成功后被采用用于椎 (HH) 修复.
对并发症的担忧导致转向可吸收网格 (AM) 进行HH维修.
这项研究评估了不同网格类型的腹腔镜骨整形术后的客观HH复发率.

研究的目的:

系统地审查和分析关于客观 Hernia 再发率的文献.
为了比较腹腔镜形术与修复 (SR) 的结果与不同的网格类型:可吸收网格 (AM),不可吸收网格 (NAM) 和可部分吸收网格 (PAM).
评估网状网络在预防HH复发方面的长期有效性.

主要方法:

一个系统的文献综述和对1993年至2022年间发表的研究的元分析.
包括的研究比较了单独的SR,AM,NAM或PAM在腹腔镜HH修复中,客观随访≥6个月.
主要结局:HH复发率通过食管或上部肠道内镜证实.

主要成果:

分析了34项涉及2170名患者的研究.
目标的复发率:SR 20.8%,AM 20.6%,NAM 13.7%,PAM 0%. 这是一个很大的问题.
分析表明,在预防长期HH复发方面,整体网状网的使用并不优于SR.

结论:

吸收性网状 (AM) 的使用并没有证明与仅修 (SR) 相比,HH复发减少.
非吸收性网格 (NAM) 显示了中期复发率下降的趋势.
长期复发率 (≥48个月) 无论使用的网格类型,都是可比的.

关键词:

宫椎间板裂宫椎间板裂是什么意思椎间板的修复椎间板的修复这是一个很棒的网络.进行元分析分析.系统性审查系统性审查

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