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克服立即阴茎植入物救援手术的障碍:一个叙事性回顾
Logan W Grimaud1, David L Barquin1, Jeremy A Kurnot1
1Department of Urology, Duke University School of Medicine, Durham, NC, USA.
Translational andrology and urology
|May 9, 2024
概括
感染性阴茎假体 (PP) 的即时救援 (IS) 手术未得到充分利用. 解决机构,医疗和患者障碍可以改善获得这种有效的假肢感染治疗的机会.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 医疗器械管理 医疗器械管理
背景情况:
- 对受感染的阴茎假体 (PP) 进行即时救援 (IS) 手术已证明有好处,但仍未充分利用.
- 现有的文献提供了对IS实施障碍的有限的综合分析.
研究的目的:
- 分析阻碍采用感染PP的IS手术的多方面的障碍.
- 开发一种实用,标准化的方法,以增加泌尿科医生中IS的使用.
主要方法:
- 进行了关于IS手术障碍的英语同行评审医学文献的叙事审查.
- 文献搜索扩展到其他外科专业,以进行全面的障碍分析.
主要成果:
- 障碍被分为机构/系统 (外科医生舒适,资源可用性,OR访问),医疗/手术 (再感染恐惧,患者稳定性) 和患者偏好 (信任,心理社会困扰) 的障碍.
- 通过加强外科培训和更好地了解PP感染,可以克服许多已识别的障碍.
结论:
- 对于感染PP的IS手术的不足利用源于误解或未知的障碍.
- 识别和解决这些障碍可以显著改善对假肢感染的患者护理.
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