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排水与没有排水放置后背肌腹修复与网状:一个ACHQC分析分析

Diego Laurentino Lima¹, Shannon Keisling², Xinyan Zheng³

¹Montefiore Medical Center, Bronx, NY, USA. dilaurentino@gmail.com.

Surgical endoscopy

|May 13, 2024

概括

腹修复 (VHR) 中的排水与网状,减少了手术部位的发生,但停留时间增加了. 糖尿病和开放方法,不使用排水,预测手术部位感染.

科学领域:

手术瘤学手术瘤学
Hernia 修复椎间板裂的修复
网状植入物网状植入物

背景情况:

腹腔修复 (VHR) 是美国常见的一种手术手术.
在超过50%的网状辅助VHR程序中使用排水管.
排水对手术结果的影响需要进一步研究.

研究的目的:

评估排水使用对手术部位发生 (SSO) 和手术部位感染 (SSI) 的影响.
为了比较接受了开放式和微创性回肌VHR的患者与有网状,有和没有排水的患者之间的结果.

主要方法:

从美国 Hernia Society 质量协作 (ACHQC) 收集的前性数据的回顾性审查.
包括接受选择性回肌网VHR的成年患者.
单变量和后勤回归分析以确定与SSO,SSI,再录取和停留时间 (LOS) 相关的因素.

主要成果:

排水使用与停留时间的中位数长 (4.7天与1.6天).
手术部位感染 (SSI) 在排水组中较高 (3.8%对1.1%).
虽然整体SSO在排水中较低,但SSO或需要干预的SSI (SSOPI) 较高 (5.1%对1.9%).
后勤回归表明排水使用对SSO (OR0.61) 有保护作用,但糖尿病和开放方法预测了SSI.

结论:

排水管放置在带网的背肌VHR中与术后SSO较少,但较长的LOS有关.
糖尿病和开放式手术方法是SSI的预测因素,而排水使用不是.
结果表明,在VHR中对排水管理采取了微妙的方法.

关键词:

排水管道的排水管道.后肌性后肌性后肌性血清 (Seroma) 是一种血清.手术部位感染的感染.手术部位发生的情况.腹腔 Hernia 腹腔腹腔

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