闭口术后的圆形皮肤关闭与初级皮肤关闭:最新的系统性审查和元分析
F Menegon Tasselli1, F Pata2, G Fuschillo1
1Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Policlinico CS, Piazza Miraglia 2, 80138, Naples, Italy.
Techniques in coloproctology
|April 5, 2025
概括
与初级 sutures相比,循环皮肤闭合显著减少了静脉逆后的手术部位感染 (SSI). 这一元分析支持循环皮肤封闭,以获得更好的患者结果.
科学领域:
- 手术瘤学手术瘤学
- 伤口愈合 治愈 伤口愈合
- 传染性疾病 传染性疾病
背景情况:
- 手术部位感染 (SSI) 是静脉关闭后最常见的并发症.
- 循环皮肤封闭 (CSC) 是一种建议降低SSI率的技术.
- 这一元分析评估了CSC与用于闭口腔的常规初级 sutures (PS) 相比.
研究的目的:
- 为了比较循环皮肤关闭 (CSC) 与初级 sutures (PS) 在减少术位感染 (SSI) 后的疗效.
- 评估二次结果,包括手术时间,住院时间和切口率.
主要方法:
- 2010年1月至2023年6月期间发表的随机对照试验 (RCT) 的系统审查和元分析.
- 包括成人患者接受静脉静脉逆转手术.
- 主要结果:30天的SSI. 二次结果:手术时间,停留时间,切口.
主要成果:
- 分析了8个涉及606名患者的RCT.
- 循环皮肤关闭 (CSC) 显示,与初级 sutures (PS) (27%) 相比,30天SSI率 (4%) 显著降低 (或0.11,p < 0.00001).
- 两种技术之间在手术时间,停留时间或切口率方面没有发现显著差异.
结论:
- 循环皮肤闭塞 (CSC) 与术位感染 (SSI) 的发生率在闭口术后显著降低.
- 应将CSC技术视为在直线性皮肤关闭上首选的方法,用于静脉栓逆转手术.
- 在不影响其他手术结果的情况下,CSC提供了更高的感染率安全性.
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