使用自粘网进行腹腔镜 inguinal hernia 修复后的复发和并发症:一项患者报告的后续研究
Helle Lund1, Lene Spanager2,3, Azalie Caroline Riberholdt Winther2
1Department of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark. helle.lund.01@regionh.dk.
Surgical endoscopy
|February 24, 2025
概括
这项关于跨腹前皮层 (TAPP) inguinal hernia 修复的研究发现复发率和疼痛率较低. 患者报告的复发率高于临床证实率,这表明自我报告中的估计过高.
科学领域:
- 手术创新 在外科创新.
- Hernia 修复技术 的修复技术
- 患者研究成果研究结果
背景情况:
- 在腹腔镜手术后,内的复发和术后疼痛是显著的担忧.
- 有效可靠的患者随访方法至关重要,但具有挑战性.
- 这项研究旨在利用患者报告的结果评估复发率和疼痛率.
研究的目的:
- 为了估计经过TransAbdominal PrePeritoneal (TAPP) inguinal hernia修复后的复发和术后疼痛的发生率.
- 评估患者报告结果在检测复发时的准确性.
- 将发现与有关TAPP程序的现有文献进行比较.
主要方法:
- 一项患者报告的后续研究对接受TAPP的患者进行了自我粘附网.
- 一项在线调查收集了关于复发,疼痛和并发症的数据.
- 对于报告症状的患者,提供临床检查;对于无症状患者,使用电话验证.
主要成果:
- 871名患者的应答率达到了62.7%,随访时间中位数为34个月.
- 自我报告的复发率为8.1%,而临床诊断的复发率为2.4%.
- 影响日常活动的慢性术后疼痛率为0.5%.
结论:
- 在TAPP手术中,可接受的复发率和术后疼痛率较低.
- 患者报告的复发率往往高估了TAPP后的实际复发率.
- 患者报告的结果是有价值的,但需要临床验证才能进行准确的评估.
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