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腹腔是慢性疾病:对超过5年的长期结果进行系统审查
Brody A Smith1, Zachary Malaussena2, Rahul Mhaskar2,3
1University of South Florida Morsani College of Medicine, 560 Channelside Drive Tampa, Tampa, FL, 33602, USA. brodysmith@usf.edu.
概括
腹腔修复 (VHR) 通常会导致长期并发症,如复发 (13%) 和慢性疼痛 (15%). 这表明VHR应该被视为一种慢性疾病,需要持续的患者管理和监测.
科学领域:
- 手术成果研究的研究结果.
- 胃肠病学 胃肠病学
- 腹壁的重建 腹壁的重建
背景情况:
- 腹腔修复 (VHR) 是一种常见的手术程序.
- 长期结果和将VHR归类为最终干预需要进一步评估.
- 了解术后并发症对于患者管理至关重要.
研究的目的:
- 系统地评估腹腔修复 (VHR) 的长期结果.
- 重新评估VHR作为最终手术干预的分类.
- 描述VHR的长期负担,包括复发,慢性疼痛和患者报告的结果.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在PubMed,Embase和Web of Science中搜索了≥5年随访时间的研究.
- 随机效应的元分析,以聚合事件的复发率,重新操作,网状感染,慢性疼痛和生活质量.
主要成果:
- 对2721名患者进行≥5年随访的分析显示,复发率为13%.
- 长期并发症包括血清瘤 (11%) 和重新手术 (8%).
- 慢性疼痛是由15%的患者报告的.
结论:
- 腹腔的修复是复杂的,可能需要对慢性疾病管理的概念重新调整.
- 腹腔突表现出慢性疾病的特征,需要持续的医疗监督.
- 对疼痛,复发和生活质量问题的潜在重新干预是有指示的.
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