在非穿透性创伤后出现的腹部. 一个系统的审查
José Ceballos Esparragón1, Javier Dagnesses Fonseca2, Jordi Marín García2
1Departmento de Cirugía, Hospital Vithas Las Palmas, Las Palmas de Gran Canaria, Spain.
Cirugia espanola
|July 15, 2024
概括
创伤性腹壁 (TAWH) 是由于重的伤害而产生的. 这篇综述强调了诊断,手术时间和治疗,倾向于开放式修复,通常用于晚期病例的网格.
科学领域:
- 创伤外科 手术 创伤外科
- 手术瘤学手术瘤学
- 腹壁的重建 腹壁的重建
背景情况:
- 创伤性腹壁 (TAWH) 是一种罕见的疾病,由重创伤引起.
- 它涉及腹部内容通过腹壁缺陷突出.
- 了解TAWH对于有效的患者管理至关重要.
研究的目的:
- 审查TAWH的人口和临床特征.
- 为了确定最佳的外科干预时间.
- 评估网状网的必要性和手术治疗的有效性.
主要方法:
- 对PubMed,Embase和Scopus数据库进行系统审查 (2004年1月 - 2024年3月).
- 对诊断方法,手术方法和结果的分析.
- 关注计算机断层扫描 (CT) 作为诊断的黄金标准.
主要成果:
- 计算机断层扫描 (CT) 是首选的诊断工具.
- 开放式手术通常是最受欢迎的,特别是在紧急情况下.
- 急性TAWH可以用或网状修复;晚期TAWH通常需要网状.
结论:
- 诊断TAWH严重依赖于CT成像.
- 开放式手术修复是标准的方法.
- 对于晚期TAWH修复,经常需要使用网格,从而影响治疗结果.
相关概念视频
01:28Esophageal Perforation-II: Clinical Manifestations and Management
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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
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01:22Esophageal Perforation-I: Introduction
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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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