在深静脉镇静下进行 inguinal 和 subinguinal 泌尿外科手术后的结果
Maximilian G Fidel1, Jainik Shah1, Dhiraj S Bal1
1Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
概括
带有局部麻醉的深静脉镇静 (DIVS) 提供了一种安全有效的方法,用于门诊泌尿外科手术,如激进管切除术和静脉管切除术. 这种方法改善了结果,并减少了与全身麻醉相关的风险.
科学领域:
- 泌尿外科手术 泌尿外科手术
- 麻醉学 麻醉学
- 健行护理服务提供者
背景情况:
- 调查 inguinal 和 subinguinal 泌尿外科手术的外科结果.
- 使用深静脉镇静 (DIVS) 结合多模式局部麻醉 (LA).
研究的目的:
- 评估DIVS与LA在特定泌尿外科手术中的安全性,有效性和可行性.
- 将结果与传统麻醉方法进行比较,并评估其适用于门诊环境的适用性.
主要方法:
- 从2022年9月到2023年12月,对103名成年患者进行了回顾性队列研究 (ASA分数为1-3).
- 这些手术包括激光管切除术 (RO),显微型静脉切除术 (MV) 和显微型精髓管切除术 (MDSC).
- 所有手术都是通过DIVS的 inguinal/subinguinal方法进行的,在一个单一的外科医生在门诊手术中心进行辅助的多式联动手术.
主要成果:
- 所有103项手术均成功完成,没有出现手术内并发症.
- 瘤结果被保留,生育结果得到改善,疼痛得分减少.
- 结果与这些程序的文献预期相当.
结论:
- 用LA进行DIVS是一种安全,有效和可行的技术,用于门诊 inguinal 和 subinguinal 泌尿外科手术.
- 这种方法保持了高质量的护理,同时最大限度地降低了全身或脊髓麻醉的风险.
- 该技术有助于将合适的泌尿病例从医院手术室转移到门诊中心.
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