30天后的并发症,手术时间和在选择性肘部关节透视术后的夜间入院
Dany El-Najjar1, Apoorva Mehta1, Puneet Gupta1
1Department of Orthopaedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Shoulder & elbow
|November 18, 2024
概括
选择性肘部关节镜术的并发症率较低 (2.5%),但存在诸如手术部位感染和延长手术时间等风险. 优化患者和共享决策对于管理这些风险至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 最少侵入性手术的方法
- 患者安全 患者安全
背景情况:
- 关节镜外科手术通常比开放手术更安全,但具有固有的风险.
- 选择性肘部关节透镜,虽然侵入性最小,但可能导致并发症.
- 了解这些风险对于患者护理至关重要.
研究的目的:
- 为选择性肘部关节镜检查患者的人口特征.
- 为了确定医疗并发症和一夜间入院率.
- 为了分析长时间的手术时间在肘部关节镜.
主要方法:
- 对ACS NSQIP数据库 (2015-2020) 的回顾性分析.
- 包括接受选择性肘部关节透视术的患者.
- 排除新出现的手术和对人口统计,并发症,并发症,入院和手术时间的分析.
主要成果:
- 包括815名患者;平均年龄46.8岁;75.2%是男性.
- 累积并发症率为2.5%,手术部位感染最常见 (0.9%).
- 10.7%的人过夜;20.2%的人经历了长时间的手术时间 (≥120分钟).
结论:
- 肘部关节镜术与并发症和发病率有关,尽管有进展.
- 外科医生应该利用这些数据为患者提供明智的咨询和优化.
- 共同的外科决策对于管理肘部关节镜术中的风险至关重要.
相关概念视频
01:26Endoscopic 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
01:25Endoscopic Procedures II: Colonoscopy
57
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
57
01:29Appendicitis-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