预防性漏斗网用于预防永久端口口患者的半侧:系统性审查和元分析
Bernardo Fontel Pompeu1,2,3, Lucas Soares de Souza Pinto Guedes4, Bruna Maffei Bossi4
1Department of Colorectal Surgery, Heliopolis Hospital, São Paulo, SP, Brazil. bernardo.pompeu@online.uscs.edu.br.
Hernia : the journal of hernias and abdominal wall surgery
|February 4, 2025
概括
预防性漏斗网可显著降低永久口腔的结肠直肠手术患者的半体 (PSH) 发生率. 这种网状布局为PSH预防提供了一个有希望的策略,尽管需要进一步研究.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术创新 在外科创新.
- 预防 Hernia 预防
背景情况:
- 横肠 (PSH) 是永久性口腔形成后的一个常见并发症.
- 正在研究减少PSH的策略,例如预防性网状布置.
- 关于3D漏斗网在PSH预防方面有效性的数据有限.
研究的目的:
- 评估预防性3D漏斗网在预防半体的有效性.
- 为了比较接受预防性漏斗网的患者和接受常规静脉门手术的患者之间的PSH率.
主要方法:
- 一个系统的审查和随机对照试验和观察性研究的元分析,直到2024年9月.
- 包括涉及结直肠外科手术患者的研究,这些患者需要创建永久性静脉管.
- 使用随机效应模型,对几率比率 (ORs) 和平均差异 (MD) 的 95% 置信区间 (CI) 的聚合分析.
主要成果:
- 包括7项研究 (1项RCT,6项观察性) 涉及585名患者.
- 预防性漏斗网显著降低了PSH率 (9%与54%相比;或0.07,p <0.001).
- 在其他并发症,手术时间或住院时间方面没有发现显著差异.
结论:
- 预防性漏斗网与在患有永久端口口的结直肠外科手术患者中较低的PSH率有关.
- 这些发现表明,道网在PSH预防方面具有潜在的益处.
- 目前的证据有限,需要进一步的研究.
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