创伤性腹壁的最佳管理仍然不清楚
Andrew M Loudon1,2,3, Hunter J Landwehr3, Jared B Hinton3
1Department of Surgery, University Hospitals, Cleveland, OH, USA.
The American surgeon
|July 23, 2024
概括
创伤性腹壁 (TAWH) 是由于高能量的不的腹部创伤造成的. 这些损伤表明内脏损伤的风险很高,但立即手术并不总是必要的,相反,有利于密切观察.
科学领域:
- 创伤外科 手术 创伤外科
- 手术管理的手术管理.
- 腹壁受伤 腹壁受伤 腹壁受伤
背景情况:
- 高能量的形腹部创伤可能导致腹壁损伤 (AWI),创伤性腹壁 (TAWH) 发生在1%的病例中.
- 对TAWH的最佳管理策略仍在讨论中,特别是关于手术干预的时间和技术.
研究的目的:
- 为了澄清创伤性腹壁 (TAWH) 的最佳管理.
- 评估TAWH立即外科探索的必要性.
主要方法:
- 关于TAWH管理的文献和临床指导方针的审查.
- 分析与立即与延迟手术修复相关的结果.
- 讨论TAWH修复中最少侵入性技术和网状网的使用.
主要成果:
- TAWH是高能量冲击的指标,并与同时发生的内脏损伤的高率有关.
- 与立即干预相比,延迟修复可能提供更好的结果.
- 应避免非治疗性结节切除,对于TAWH来说,立即手术并不总是适合的.
结论:
- 创伤性腹壁 (TAWH) 并不是紧急手术的绝对迹象.
- 患有TAWH的患者需要密切的临床观察,以发现恶化和内脏损伤的迹象.
- 管理人员应专注于避免不必要的探索性腹腔切除术,并考虑延迟修复以获得更好的结果.
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