复杂的腹部:一个范围审查审查
C Stabilini1, S Capoccia Giovannini2, G Campanelli3
1Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Policlinico San Martino Hospital, Genoa, Italy.
Hernia : the journal of hernias and abdominal wall surgery
|February 10, 2025
概括
本综述绘制了复杂腹壁 (CA) 的手术管理,发现了患者因素和大小影响的结果. 在受污染的情况下,合成网格显示出希望,但需要更多的研究.
科学领域:
- 腹壁外科手术 腹壁外科手术
- Hernia 修复 椎间板裂的修复
- 手术管理的手术管理.
背景情况:
- 复杂的腹壁 (CA) 带来了重大的手术挑战.
- 结果受到患者特定因素和的特征的影响.
研究的目的:
- 系统地审查关于CA的外科治疗的证据.
- 确定CA修复的研究缺口和临床改进领域.
主要方法:
- 对PubMed和Scopus的范围审查 (2015年1月至2024年6月).
- 包括357篇文章 (303个初级研究,54个系统评论).
- 根据患者因素 (P),特征 (H) 和污染 (W) 分类的研究.
主要成果:
- 肥胖和并发症与较高的发病率和复发率相关.
- 大缺陷和域丢失增加了并发症率.
- 组件分离和肉毒毒素显示出潜力;在受污染的环境中,合成网格优于生物.
结论:
- 癌症外科手术是复杂的,结果变化不定.
- 组件分离和合成网格是有希望的.
- 标准化协议需要高质量的随机试验.
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