德尔菲共识声明,以了解和管理腰椎间:腰椎间协作报告 (学者研究)
S J Baig1, G V Kulkarni2, P Priya3
1Department of Minimal Access Surgery, Belle Vue Clinic, Digestive Surgery Clinic, Bellevue Hospital Kolkata, Kolkata, 700017, India. docsarfarazbaig@gmail.com.
Hernia : the journal of hernias and abdominal wall surgery
|February 17, 2024
概括
这项德尔菲共识研究为管理腹部手术后常见的下腰椎 (SCH) 提供了指导方针. 专家们一致同意在SCH维修中使用网格,背肌位,以及切口和缺陷关闭的具体技术.
科学领域:
- 腹部手术 腹部手术
- 椎间板裂修复 椎间板裂修复
- 在外科手术方面达成共识.
背景情况:
- 肋下 (subcostal hernias,SCH) 是常见的,特别是在肝胆瘤手术后.
- 现有的SCH文献有限,缺乏共识和管理指南.
- 这就需要制定标准化方法来治疗SCH.
研究的目的:
- 建立关于子肋骨 (SCH) 的定义,特征和手术治疗的共识.
- 为SCH维修的决策提供基于证据的建议.
- 为了解决外科界缺乏确定的指导方针的问题.
主要方法:
- 采用了经过修改的Delphi技术,涉及四个阶段的过程.
- 由22名国际外科专家组成的多元小组参加了会议.
- 共识被定义为在特定问题上达成70%以上的共识.
主要成果:
- 在选择性病例中使用网格达成共识,更倾向于回肌放置,而不是在线放置.
- 建议包括使用巨孔,中等重量的聚烯网.
- 商定的技术包括下腰切口 (如果没有先前的中线),横向腹部释放 (TAR) 在前部件分离,用网状辅助接关闭缺陷,用于圆形缺陷的横向接,并在需要时使用腹膜.
结论:
- 这种德尔菲共识为下肋间 (SCH) 管理提供了一个框架.
- 它提供了对最佳切口,剖析平面,网格选择和固定的见解.
- 这些发现旨在指导外科医生有效修复肋下.
相关概念视频
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:25Hiatal Hernia
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...