根据怀孕三个月的开放式和腹腔镜尾切除术的比较:全国性的观察性研究
Shunya Sugai1, Yusuke Sasabuchi2, Hideo Yasunaga3
1Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Niigata, Japan.
World journal of surgery
|December 9, 2024
概括
怀孕期间的腹腔镜尾切除术 (LA) 与开放尾切除术 (OA) 相比,增加了第二和第三季度早产的风险. 在怀孕期间治疗尾炎需要仔细考虑三个月的手术方法.
科学领域:
- 产科和妇科 产科和妇科
- 手术创新 在外科创新.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 急性尾炎是怀孕期间常见的手术紧急情况.
- 在开放性尾切除术 (OA) 和腹腔镜尾切除术 (LA) 之间做出选择,需要平衡母亲和胎儿的结果.
- 怀孕期间尾切除术的三季度特异性结果需要进一步调查.
研究的目的:
- 为了比较开放尾切除术 (OA) 与腹腔镜尾切除术 (LA) 对孕妇急性尾炎的住院结果.
- 为了分析这些结果,按怀孕的三个月分层分层.
主要方法:
- 在日本 (2010-2022) 使用诊断程序组合数据库进行全国性的回顾性队列研究.
- 包括被诊断患有尾炎的孕妇接受OA或LA.
- 多变量分析与通用估计方程来比较跨季度的结果.
主要成果:
- 腹腔镜尾切除术 (LA) 与第二和第三季度早产,分娩或堕胎率的增加有关.
- 在第一季度没有观察到不良结果的显著差异.
- 在所有三个月的LA手术中,外科手术的持续时间较长,但在第二个三个月的术后住院时间较短.
结论:
- 怀孕期间尾炎手术的住院结局在三个月内有很大差异.
- 腹腔镜尾切除术 (LA) 在孕妇中并不总是比开放尾切除术 (OA) 提供更好的结果.
- 仔细选择怀孕期间尾炎的手术方法至关重要,考虑到三个月的特定风险.
更多相关视频
05:46Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
9.9K
03:30Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
1.3K
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
49
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...
49
01:29Appendicitis-II: Diagnostic Studies and Management
64
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...
64
01:22Appendicitis-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