在紧急胃肠道手术中腹腔排水的影响:一个范围审查
T Hubble1,2, A Huseyin1, J Kersey1
1Department of Surgery, North Middlesex University Hospital, London, UK.
ANZ journal of surgery
|May 22, 2024
概括
在紧急胃肠道手术中,预防性腹腔内排水并不能强烈防止腹腔内收集 (IAC). 有证据表明,排水可能会增加手术部位感染和住院时间,但研究质量不佳.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 基于证据的医学基于证据的医学.
背景情况:
- 腹腔内排水通常用于紧急胃肠道手术,以预防或检测腹腔内收集 (IAC).
- 在这种情况下,预防性排水放置的有效性和必要性在外科界仍在争论中.
研究的目的:
- 进行范围审查,评估关于在紧急胃肠道手术中使用腹腔排水管的现有证据.
- 评估排水位对术后腹腔内收集的形成的影响.
主要方法:
- 在多个数据库 (PubMed,Scopus,Web of Science,Cochrane Library,ClinicalTrials.gov) 中进行了全面的文献搜索.
- 包括的研究是2000年1月至2023年9月期间发表的初级研究,重点是紧急胃肠道手术中的排水放置和IAC.
主要成果:
- 总共审查了26篇文章,没有发现有力证据表明预防性排水会在紧急胃肠道手术中防止IAC形成.
- 研究结果表明,与排水布置相关的手术部位感染和长时间住院可能会增加.
- 目前的研究质量通常很差,存在高偏差风险.
结论:
- 在紧急胃肠道手术中不建议常规,不分化地使用腹腔内排水道.
- 根据特定的临床背景,应根据个体情况做出排水安置决策.
- 需要进一步进行高质量的研究,以澄清排水对术后结果的作用和影响.
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