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对性别确认乳房切除手术的审查:比较排水与没有排水的情况
Justin J Cordero1, Leonardo Alaniz2, Sandhya Kalavacherla3
1From the University of California Riverside, School of Medicine, Riverside, CA.
Annals of plastic surgery
|August 19, 2024
概括
性别确认乳房切除术是安全有效的. 省略手术排水并没有增加并发症,并且与较少的抗生素处方有关,这表明排水可能不需要例行使用.
科学领域:
- 手术瘤学手术瘤学
- 整形外科 整形外科 整形外科
- 确认性别的护理
背景情况:
- 性别肯定性乳房切除可以改善心理健康和性别表达.
- 在这些手术中常规使用排水器缺乏共识.
- 这项研究比较了带有排水和没有排水的结果.
研究的目的:
- 为了比较确立性别的乳腺切除术,有和没有手术排水.
- 为了确定术后并发症的差异.
- 评估常规排水布置的必要性.
主要方法:
- 359名患者 (2017-2021) 进行了双切口乳腺切除术的回顾性审查.
- 排水与无排水队伍的比较.
- 对并发症的分析:返回手术室,血清瘤,血瘤,感染,使用抗生素.
主要成果:
- 在排水和无排水组之间,整体术后并发症没有显著差异.
- 没有排水的使用与术后抗生素使用显著减少 (3.7%对29.0%).
- 没有排水的队列显示了减少非计划返回手术室的趋势.
结论:
- 确立性别的乳房切除术是一种安全有效的程序.
- 常规排水位置与增加的并发症无关.
- 避免排水可能会减少抗生素的使用,并且可以根据临床判断考虑.
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