在大切口的选择性修复的比较研究使用在铺设的网格与子铺设的网格:一个元分析
Basma Hussein Abdelaziz Hassan1, Kirollos Adel Louiz Kamel2, Philobater Bahgat Adly Awad2
1General Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. basmabasam0100667@med.asu.edu.eg.
Updates in surgery
|February 19, 2024
概括
这项研究比较了腹腔腹壁切口修复的在铺设网和下铺设网. 下层网格修复时间更长,但导致住院时间更短,术后并发症没有显著差异.
科学领域:
- 腹壁外科手术 腹壁外科手术
- Hernia 修复技术 的修复技术
- 外科手术的结果
背景情况:
- 腹腔腹壁切口是一个术后的痕缺陷.
- 由于怀孕和肥胖等因素,女性的发病率略高.
- 对比on-lay和sub-lay网格技术对于优化维修结果至关重要.
研究的目的:
- 为了评估和比较在腹腔腹壁切口的上层网格与下层网格修复.
- 评估手术时间的差异,复发,感染,血清瘤,血瘤和膜缩.
- 确定对住院时间的影响.
主要方法:
- 在PubMed,Web of Science和Scopus数据库中的系统文献搜索.
- 关键词包括:切口,下层网,上层网,背肌网,聚烯.
- 数据分析的重点是手术时间和各种术后并发症.
主要成果:
- 铺设下面的网格维修与铺设上面的网格相比,在统计上显著地显示出更长的操作时间.
- 在这两种技术之间,在术后复发,伤口感染,血清瘤,血瘤或骨亡方面没有观察到统计学上显著的差异.
- 接受亚层网状网修复的患者经历了统计学上显著的更短的住院时间.
结论:
- 在床上和床下网格技术都是可行的切口的修复与相似的并发症率.
- 亚层网格修复可能会减少住院时间的好处,尽管操作时间更长.
- 进一步的研究可能会探索每个技术的患者选择标准.
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