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预防性网状增强非中线切口:系统性审查
Rainna Coelho1, Oluwatunmininu Anwoju1, Ali Siddiqui1
1Department of Surgery, University of Houston, HCA Houston Healthcare Kingwood, Kingwood, TX.
HCA healthcare journal of medicine
|July 10, 2024
概括
预防性网膜可能会减少非中线腹部手术后的腹部切口 (VIH),但证据有限. 需要进一步的研究来证实网状网对于这些特定的手术部位的好处.
科学领域:
- 腹部外科手术 腹部外科手术
- Hernia 修复 Hernia 修复 的方法
- 外科手术的结果
背景情况:
- 非中线腹部切口在各种手术中很常见.
- 这些部位的腹部切口 (VIH) 的发生率和预防尚未得到充分证实.
- 在非中线切口后预防HIV病毒的预防性网的有效性需要进一步研究.
研究的目的:
- 系统地审查随机对照试验 (RCT),评估非中线腹腔切口 (VIH) 的预防网.
- 评估手术后24个月的HIV发病率的主要结果.
- 评估二次结果,包括手术部位感染 (SSI) 和手术部位发生 (SSO).
主要方法:
- 对PubMed,Embase,Scopus和Cochrane数据库的系统审查 (开始至2022年9月).
- 包括已发表的RCT,比较预防性网格与没有网格.
- 分析初级结局 (艾滋病毒发病率) 和二次结局 (SSI,SSO).
主要成果:
- 三个RCT (901名患者) 分析非中线HIV;15个RCT分析了次要结果.
- 门的发病率为有网状的21%,没有网状的44%-64%.
- 骨干逆转后切口的发病率为10%,有网格与16%没有;在SSI/SSO没有显著差异.
- 有限的证据表明,预防性网可能会减少非中线HIV,特别是半体.
结论:
- 目前对非中线HIV的预防性网状病毒的证据有限.
- 需要进一步进行高质量的RCT,以澄清长期风险和益处.
- 网格在预防非中线的作用需要继续进行研究.
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