结节切口的发生率:比我们想象的更常见?
Megan Obi1, Lucas Beffa2, Megan Melland-Smith2
1Department of General Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Hernia : the journal of hernias and abdominal wall surgery
|September 26, 2024
概括
在转向环结节切割术逆转 (DLI-R) 后的切口 (IH) 在一年内发生在36%的患者中. 较高的BMI和多糖酸 sutures增加了IH风险,而多松 sutures可能是最佳的.
科学领域:
- 胃肠道手术 胃肠道手术
- 手术结果研究研究.
- Hernia 修复 椎间板裂的修复
背景情况:
- 切口 (IH) 经过转向循环静脉切口术逆转 (DLI-R) 后,是一个重大的临床挑战.
- 之前的研究报告IH的发病率高达24%,需要进一步调查发病率和风险因素.
研究的目的:
- 为了确定在逆转后一年内在DLI-R地点的IH发病率.
- 确定与DLI-R后IH发展相关的患者特异性和手术因素.
主要方法:
- 在四级转诊中心接受DLI-R的成年患者在五年内进行的回顾性审查.
- 在DLI-R后的一年内腹部CT扫描被独立的外科医生分析,以检测扭转部位的形缺陷.
主要成果:
- 在2,196名患者中,569人患有术后CT;35.7%的患者在10个月的中位随访时间内发展出IH.
- 增加的BMI (p<0.001) 和多糖酸 sutures (p<0.001) 与IH发展显著相关.
- 在单变量分析中,半体 (p=0.008) 和接类型 (p=0.01) 的存在也与IH有关.
结论:
- 在DLI-R一年内发生的IH的发病率很高,影响了36%的患者.
- 预防策略应包括在DLI-R之前对超重/肥胖患者的体重管理.
- 与多糖酸 sutures 相比,聚二松似乎与较低的IH率有关.
相关概念视频
01:21Inflammatory Bowel Disease V: Surgical Management
128
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
128
01:29Appendicitis-II: Diagnostic Studies and Management
67
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
67
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
238
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
238
01:24Ostomy Care
234
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
234
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
151
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
151
01:28Esophageal Perforation-II: Clinical Manifestations and Management
45
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:
45