舒尔迪斯与TAPP对沟修复:随机对照试验的系统审查和元分析
Lucas Monteiro Delgado1, Bernardo Fontel Pompeu2,3, Caio Mendonça Magalhães1
1Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
World journal of surgery
|February 19, 2025
概括
舒尔迪斯 (SHD) inguinal hernia修复技术减少了血清瘤的风险,但增加了手术后的疼痛,相比 transabdominal preperitoneal (TAPP) 方法. 在这两种手术方法之间,复发率相似.
科学领域:
- 一般外科 整体外科
- 最少侵入性的手术
- Hernia 修复 椎间板裂的修复
背景情况:
- 在全球范围内,内修复是常见的手术手术.
- 舒尔迪斯 (SHD) 技术是一种标准的开放式,非网状修复,而横腹前 (TAPP) 是一种普遍的微创方法.
- 需要直接比较SHD和TAPP之间的选择性 inguinal hernia修复的结果.
研究的目的:
- 评估和比较Shouldice (SHD) 技术的短期和长期结果与选择性 inguinal hernia修复的横腹前 (TAPP) 方法.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 在PubMed,Embase和Cochrane图书馆进行了搜索.
- 聚合风险比率 (RRs) 和平均差异 (MDs) 与95%的置信区间 (CI) 计算了各种终点.
主要成果:
- 分析了13个涉及2214名患者的RCT.
- 与TAPP相比,SHD技术显著减少了血清瘤的形成 (RR 0.20;95% CI 0.04-0.90).
- 然而,SHD与慢性疼痛显著增加 (RR 2.13;95% CI 1.31-3.46) 和1天的术后疼痛 (MD 2.01;95% CI 0.72-3.29) 相关.
- 在SHD和TAPP组之间,在复发率,血液瘤,尿或丸缩率方面没有发现显著差异.
结论:
- 与TAPP方法相比,Shouldice (SHD) 技术显示血清瘤的发病率较低,但急性和慢性术后疼痛的发病率较高,在BMI正常的患者中.
- 这两种技术都显示了的复发率,血液瘤,尿路保留和丸缩的比较率.
关键词:
这就是TAPP.的复发再次发生inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia应该进行维修.穿越腹部前腹膜修复更多相关视频
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