拉皮眼尾切除术在儿童:突尼斯的经验
Hayet Zitouni1, Najoua Ben Kraiem1, Saloua Ammar1
1Department of Pediatric Surgery, Hedi Chaker Hospital University of Sfax Faculty of Medicine of Sfax, Tunisia.
Turkish archives of pediatrics
|November 14, 2024
概括
腹腔镜尾切除术 (LA) 为儿科急性尾炎提供了一种安全和可行的方法,与开放尾切除术 (OA) 相比,导致更快的恢复和减少止痛药的使用,而不会增加并发症率.
科学领域:
- 儿科手术 儿科手术
- 胃肠道手术 胃肠道手术
背景情况:
- 急性尾炎是儿童常见的手术紧急情况.
- 开放性尾切除术 (OA) 是传统的方法,但腹腔镜尾切除术 (LA) 的使用越来越多.
研究的目的:
- 为了比较小儿急性尾炎的OA和LA的外科结果.
- 为指导儿童尾炎的未来管理策略.
主要方法:
- 对690例儿科尾切除术 (2013-2018) 的回顾性研究.
- 患者分为腹腔镜 (LA) 和开放 (OA) 组.
- 操作时间,康复,并发症和停留时间的比较.
主要成果:
- LA组的手术时间较长,但经过热血症的恢复更快,并减少了止痛药/抗生素的使用.
- 在住院时间或重大并发症 (伤口感染,,阻塞,) 中没有显著差异.
- 肥胖在LA组中更常见.
结论:
- 腹腔镜尾切除术对于儿科急性尾炎是安全有效的.
- 在不影响安全或增加并发症率的情况下,LA在患者康复方面表现出优势.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
66
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...
66
Appendicitis-I: Introduction
89
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
89
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


