在一个大批量中心开放的半体修复后的长期结果
Alexis M Holland1, William R Lorenz1, Brittany S Mead1
1Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Surgical endoscopy
|November 11, 2024
概括
开放式半体修复 (OPHR) 的复发率很高. 胃口逆转没有出现复发,而在现场修复的比例最高,在现场修复中,腹膜前网格的放置是最有效的.
科学领域:
- 一般外科 整体外科
- 腹壁的重建 腹壁的重建
背景情况:
- 开放式半体修复 (OPHR) 是一种复杂的手术程序.
- 高复发率和缺乏明确的最佳技术在OPHR中提出了挑战.
研究的目的:
- 总结OPHR在高容量中心的长期结果.
- 在OPHR的不同手术技术中比较复发率和伤口并发症率.
主要方法:
- 从前性维护的机构数据库中对97名OPHR患者进行了回顾性分析.
- 在各种手术技术中,复发率和伤口并发症率的比较,包括静脉栓逆转,复位和不同网状结构的现场修复.
- 统计分析以确定结果的显著差异.
主要成果:
- 该研究包括97名患者,平均年龄为61.9岁;41.2%的人患有复发性.
- 整体复发率为20.6%,伤口并发症发生在18.6%的患者中.
- 复发率在 in situ suture 修复 (42.9%) 中最高,而在 stoma 逆转 (0.0%) 中最低. 在现场维修前前网格的放置显示出最少的复发率 (6.5%).
结论:
- 在OPHR中,胃口逆转与没有复发有关.
- 在现场的修复技术,特别是腹膜前网格的放置,可能比其他在现场的方法提供更好的结果.
- 虽然最优的OPHR技术仍在争论中,但研究结果可以指导手术规划和患者咨询.
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