常规的闭合吸液排水可减少完全外皮 (TEP) inguinal hernia修复后的血清瘤:一个元分析
Dimitrios Prassas1,2, Michael Zaczek1, Stephan Oliver David2
1Katholisches Klinikum Essen, Department of Surgery, Essen Germany.
Medicine
|March 15, 2024
概括
在完全外皮内修复 (TEP) 中的预防性闭合吸水排水显著减少了血清瘤的形成. 这次元分析发现TEP患者的血清瘤较少,没有增加发病率.
科学领域:
- 手术创新 在外科创新.
- 最少侵入性的手术
- 椎间板裂修复 椎间板裂修复
背景情况:
- 在完全外皮内修复 (TEP) 中预防性闭合吸水排水的实用性仍在争论中.
- 手术后血清瘤的发生率是TEP手术的关键问题.
研究的目的:
- 评估常规封闭吸液排水对TEP中术后血清瘤率的影响.
- 通过元分析,通过排水放置和不排水放置的TEP之间的结果进行比较.
主要方法:
- 系统的文献搜索对带有或没有排水的TEP进行比较试验.
- 对提取的术后结局数据的元分析.
- 计算几率比率和标准化平均差异,使用95%的置信区间.
主要成果:
- 分析了四项研究 (1626名患者);有1251项有排水,有375项没有排水.
- 在排水组的术后血清瘤形成显著降低 (OR=0.12; 95% CI [0.05, 0.29]; P<.001).
- 尿路保留,复发,网状感染或停留时间没有显著差异.
结论:
- 在TEP中常规的封闭吸管排水与血清瘤形成的显著减少有关.
- 在TEP中使用排水器似乎不会增加发病率或住院时间.
更多相关视频
00:20A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
Published on: July 4, 2019
51.3K
10:52Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
5.3K
相关概念视频
01:29Suctioning the Nasopharyngeal Airway
403
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
403
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
80
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
80