在发展中国家的资源有限的中心,将二维网格转换为三维网格
Shaikh Nazrah1, Shrivastava Rajesh
1Department of General Surgery, Shreeji Hospital, Bhilad-Valsad, Gujarat, India.
Journal of minimal access surgery
|December 24, 2024
概括
一种新的技术将2D转换为3D网格用于腹腔镜修复,提供了一个具有成本效益的解决方案. 这种方法显示了与传统3D网格相似的结果,没有增加疼痛或复发.
科学领域:
- 最少侵入性的手术
- 手术创新 在外科创新.
- Hernia 修复技术 的修复技术
背景情况:
- 对于复发性或双侧 inguinal hernias,偏好进行 laparoscopic 修复 (腹腔前腹腔和完全外腹腔).
- 挑战包括术后疼痛,慢性疼痛综合征和与2D网格相关的网格迁移.
- 3D网格的高成本限制了它们在印度等资源有限的环境中的使用.
研究的目的:
- 评估一种用于将二维网格转换为三维网格的新技术,用于腹腔镜扩展完全外皮外修复.
- 评估这个没有固定的修改3D网格的安全性,可行性和有效性.
- 在资源有限的环境中,为传统的3D网格提供一个具有成本效益的替代方案.
主要方法:
- 一项研究包括55名患者,他们接受了腹腔镜扩展完全外皮外修复.
- 研究小组 (n=27) 使用了一种新的2D到3D转换网格,没有固定.
- 对照组 (n=28) 使用标准的聚烯网格与一点固.
主要成果:
- 两组之间手术后疼痛 (VAS分数) 没有显著差异.
- 研究组和对照组的平均住院时间相似.
- 在随访期间,在两组中都没有观察到复发或慢性疼痛症状.
结论:
- 将2D网格转换为3D网格是一种安全且可行的技术,用于腹腔镜的修复.
- 这种方法为传统3D网格提供了潜在的成本效益替代方案,特别是在资源有限的环境中.
- 该技术证明了令人满意的恢复,没有增加疼痛或复发.
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