在接受静脉逆转术的人群中,皮肤关闭与线性皮肤关闭相比
Shahab Hajibandeh1, Shahin Hajibandeh2, Andrew Maw3
1General Surgery, Wales Deanery, Health Education and Improvement Wales, Nantgarw, UK.
The Cochrane database of systematic reviews
|March 12, 2024
概括
与线性皮肤封闭 (LSC) 相比,袋绳皮肤封闭 (PSSC) 可能会减少术位感染 (SSI) 在静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉). PSSC还可以提高患者的满意度,在风险或手术时间方面差异很小.
科学领域:
- 手术创新 在外科创新.
- 伤口愈合 治愈 伤口愈合
- 胃肠道手术 胃肠道手术
背景情况:
- 胃口逆转带有显著的手术部位感染 (SSI) 风险,高达40%,由于潜在的污染.
- 传统的线性皮肤封闭 (LSC) 技术可能无法充分解决门逆转伤口的干净污染性质.
研究的目的:
- 为了比较皮肤封闭 (PSSC) 与皮肤线性封闭 (LSC) 的有效性,以减少静脉阻塞在静脉阻塞逆转后的SSI.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 包括9个RCT与757名参与者比较PSSC和LSC的耳逆转.
- 评估结果包括SSI,参与者满意度,切口,以及使用GRADE标准的手术时间.
主要成果:
- 与LSC相比,PSSC显著降低了SSI的风险 (或0.17;中度确定性证据).
- 参与者对PSSC (低确定性证据) 的满意度可能更高.
- 证据表明在切口风险或手术时间 (非常低的确定性证据) 中几乎没有差异.
结论:
- 囊串皮肤关闭 (PSSC) 在降低静脉阻塞率后,可能优于线性皮肤关闭 (LSC).
- PSSC可能会提高患者对口腔闭塞结果的满意度.
- 由于证据有限,需要进一步研究以澄清PSSC对切口和手术时间的影响.
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