量身定制包裹:在间歇性 Hernia 修复期间的手术内功能性光线成像探针 (FLIP)
Hemasat Alkhatib1,2, A J Haas3,4, Ali M Kara3,4
1Division of General Surgery, Department of Surgery, The MetroHealth System, 2500 MetroHealth Drive, Cleveland, OH, 44109, USA. Alkhatib.hemasat@gmail.com.
Surgical endoscopy
|May 9, 2024
概括
功能性光膜成像探针 (FLIP) 在椎修复 (HHR) 期间提供客观的手术内反. 在39%的案例中,FLIP测量指导了决策,改变了管理计划以改善结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术技术 手术技术
- 医疗器械 医疗器械
背景情况:
- 功能性光层成像探测器 (FLIP) 提供客观的实时数据,用于在椎修复 (HHR) 期间的几何变化.
- 关于FLIP对HHR内部操作决策的影响的报道有限.
研究的目的:
- 评估手术内FLIP在指导在椎修复 (HHR) 期间决策的实用性.
- 评估FLIP对外科管理和HHR早期结果的影响.
主要方法:
- 对33名患有FLIP (2020-2022) 的非复发性HHR患者的回顾性审查.
- 在40毫升和50毫升气球充气时测量直径和延伸度指数 (DI).
- 分析FLIP值对手术内决策和早期术后结果的影响.
主要成果:
- 在39%的案例中,FLIP价值直接影响了业内决策.
- 根据FLIP的发现,在13名患者的基础上,Fondoplication被推迟,放松或改变.
- 在缺口关闭后观察到DI的显著下降,在基底复合后的变化很小.
结论:
- 术内FLIP测量可以指导手术决策,并修改HHR中的管理计划.
- 需要进行进一步的前性研究,以充分确定FLIP在HHR的长期价值.
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