吸烟对萨克罗科尔波佩克西术后结果的影响:一项观察性研究
Monica S Saleeb1, Rui Wang, Elisabeth C Sappenfield2
1From the University of Connecticut OBGYN Residency Program.
Urogynecology (Philadelphia, Pa.)
|November 8, 2024
概括
吸烟增加了伤口感染和在骨盆器官脱落后进行神经形手术后的再入院. 然而,烟草的使用似乎不会影响网格移除程序的结果.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 手术结果研究研究.
- 公共卫生 公共卫生
背景情况:
- 烟草烟雾是一个重要的可修改的风险因素,影响手术患者的结果.
- 外科医生通常会在手术前建议患者戒烟,比如神经瘤切除术和网状修复术.
研究的目的:
- 为了研究烟草使用和围手术后的结果之间的关系,在接受骨器官脱落的女性中进行骨切除术.
- 为了评估吸烟对经过脱落网格修复手术后的结果的影响.
主要方法:
- 使用国家外科质量改进项目 (NSQIP) 数据库 (2011-2021) 的回顾性队列研究.
- 当前吸烟者与非吸烟者之间的术后结局的比较,这些女性接受了腹部神经缩术 (ASCP),最小侵入性神经缩术 (MISCP) 或落网格修复.
- 多变量分析以确定吸烟与结果之间的独立关联.
主要成果:
- 接受MISCP和ASCP的吸烟者手术后伤口感染率较高.
- 在MISCP后,吸烟者的再入院率更高.
- 发现吸烟与MISCP和ASCP的复合术后发病率得分增加之间存在显著的关联.
- 在吸烟者和非吸烟者之间没有观察到经过网格切除的术后结果的显著差异.
结论:
- 烟草吸烟与伤口感染和其他术后并发症的风险增加有关,这些并发症是因为盆腔器官缩而发生的圣脉瘤.
- 在手术前戒烟似乎不会对患者进行缩网切除手术的结果产生负面影响.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
51
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
51
Suctioning the Nasopharyngeal Airway
285
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
285
Stress Prevention and Stress Management Techniques IV
26
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
26


