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腹壁增强使用OviTex在深下腹膜穿孔后使用OviTex
Alec S McCranie1, Caitlin Blades1, Steven Dawson1
1Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Journal of reconstructive microsurgery
|March 11, 2025
概括
在深下腹膜穿孔器 (DIEP) 手术后,OviTex网有效减少腹壁凸起. 这种增强组织矩阵 (RTM) 网格是安全的,不会增加诸如血清瘤或感染等并发症.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 生物材料是一种生物材料.
背景情况:
- 腹壁凸起和疹在深下腹膜穿孔器 (DIEP) 收获后很常见.
- 虽然合成网格可以减少凸起,但它们会导致血清瘤和感染.
- 强化组织矩阵 (RTM) 网格为细胞增殖提供了支架,可能会改善结果.
研究的目的:
- 为了评估OviTex网的有效性和安全性,用于DIEP收获后的腹壁增强.
- 为了比较OviTex网格和无网格强化之间的膨胀率和不良事件.
- 为了解决OviTex网在这种特殊的外科背景下缺乏现有的文献.
主要方法:
- 对接受DIEP片收获的患者的回顾性审查 (2020年1月 - 2023年6月).
- 纳入标准:至少12个月的随访时间.
- 统计分析包括描述性,单变量和多重物流回归.
主要成果:
- 包括199名患者;85名 (42.7%) 患有腹壁增强.
- 与非网状组相比,OviTex网状组显示出明显较少的凸起 (0%) (5.3%,p=0.04).
- 没有显著增加不良事件或血清瘤/血瘤率 (10.6%对5.3%,p=0.26) 与OviTex网格.
结论:
- 在DIEP片收获后,OviTex网安全有效地加强腹壁.
- 它显著降低了腹壁凸起的发生率.
- 使用OviTex网格似乎不会增加诸如血清瘤或感染等并发症的发生率.
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