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节点安全101:对最佳节点配置,拉动方向,投数和尾巴长度进行全面的实践审查
Elizabeth E Bushong1, Jeffrey E Janis2
1From the Michigan State University College of Human Medicine, Grand Rapids, Mich.
Plastic and reconstructive surgery. Global open
|August 14, 2024
概括
结安全性受到材料,尺寸和配置的重大影响. 最佳的节点安全性取决于诸如投数和尾巴长度等因素,阿伯丁节点需要更少的投才能获得最大的安全性.
科学领域:
- 手术技术手术技术的使用.
- 生物材料科学是生物材料的科学.
- 医疗器械工程 医疗器械工程
背景情况:
- 结是线中最弱点,损害了手术关闭的完整性.
- 了解影响节点安全性的因素对于预防断和改善患者治疗结果至关重要.
- 本综述侧重于一般手术节点,不包括那些专门用于腹腔镜或关节镜手术的节点.
研究的目的:
- 批判性地评估影响结安全性的因素.
- 识别关键变量,包括接材料特性,尺寸,配置,抛数和尾巴长度.
- 综合现有的关于一般外科手术中节点安全性的文献.
主要方法:
- 在PubMed上从1934年到2023年进行了全面的文献搜索.
- 仅关注腹腔镜和关节镜手术结的研究被排除在外.
- 包括的研究分析了各种节点配置,如阿伯丁,滑动,方形和外科医生节点.
主要成果:
- 节点安全性显示出基于接材料,尺寸和配置的显著变化.
- 根据节点类型,最佳的抛射数量不同;阿伯丁节点比外科医生或方形节点 (3-5) 需要更少的抛射 (3) .
- 确定了3mm的最佳尾巴长度,结的安全性受到针类型和环境条件的影响.
结论:
- 节点安全性是多因素的,在各种参数中观察到很大差异.
- 提出一个普遍理想的节点是具有挑战性的,因为有限的研究评估各种各样的参数,每个节点类型.
- 需要进一步进行严格的研究,以建立最佳结的选择和技术的最终准则.
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