在紧急切口中绘制治疗景观:一个范围审查
Andrea Carolina Quiroga-Centeno1,2, Sebastian Schaaf3, Ana Pilar Morante-Perea4
1Department of Surgery, Universidad Industrial de Santander, Bucaramanga, Colombia. caroline_aqc@hotmail.com.
Hernia : the journal of hernias and abdominal wall surgery
|February 18, 2025
概括
由于很少有随机试验,紧急切口修复缺乏可靠的证据. 未来的研究需要标准化的分类和比较研究,以获得更好的患者结果.
科学领域:
- 腹部手术 腹部手术
- Hernia 修复 椎间板裂的修复
- 外科手术的结果
背景情况:
- 切口 (IH) 是常见的腹部手术后的并发症.
- 紧急IH修复与较高的发病率和死亡率有关.
研究的目的:
- 绘制有关紧急切口修复的文献.
- 确定研究缺口,并为紧急IH管理的未来指导方针提供信息.
主要方法:
- 对PubMed MEDLINE和SCOPUS (2000-2024) 的范围审查.
- 包括成人紧急切口修复研究.
- 提取了关于研究特征,人口统计,手术方法和结果的数据.
主要成果:
- 801篇文章中有73篇符合标准;主要是队列研究.
- 患者群体:女性 (63%),老年人 (平均年龄62.3),并发症.
- 常见的结局:再入院 (18%),手术部位感染 (12%),重新手术 (8%),死亡率 (4%).
结论:
- 有限的随机对照试验存在于紧急IH修复.
- 不一致的定义和结果报告阻碍了基于证据的实践.
- 需要统一分类,成像作用评估和比较治疗研究.
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