儿童长期开放腹部的结果
Brianna L Spencer1, Dimitra M Lotakis1, Jessica Carducci2
1Department of Surgery, Section of Pediatric Surgery, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan.
The Journal of surgical research
|March 22, 2024
概括
大多数有开放腹部的儿童,即使经过多次手术,也可以在没有网状网的情况下实现初级关闭. 这项研究强调了结果,并建议采用一套协议式的方法可以改善儿科患者的长期结果.
科学领域:
- 儿科手术 儿科手术
- 腹壁的重建 腹壁的重建
- 关键的护理关键的护理
背景情况:
- 开放腹部管理对于儿科患者的不稳定性至关重要,需要复苏,或失去域.
- 长期开放腹部 (POA) 在腹壁关闭和长期结果方面提出了挑战.
研究的目的:
- 为了描述开放腹部的儿科患者的结果.
- 确定影响成功关闭腹壁和长期结果的因素.
主要方法:
- 从2015-2022年对儿科患者 (≤18岁) 的回顾性评估.
- 被定义的POA是结束前≥3次手术.
- 描述性统计使用中位数和四分位数间的范围.
主要成果:
- 在队列中93%的存活率.
- 最常见的征兆:第二次看/不连续性 (54%).
- 58%的人实现了主要组织的关闭;其他人需要网格. 在POA患者中,感染率较高 (56%对44%).
结论:
- 大多数患有开放腹部的儿科患者可以在没有网格的情况下实现初级闭合.
- 进一步的研究应该集中在协议化管理上,以提高长期结果.
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