在曼彻斯特手术后,在同一天排放的可行性和安全性
Jozefien Hamilton1,2, Joggem Veen3,4, Anne Damoiseaux3,4
1Department of Obstetrics and Gynecology, Máxima Medical Centre, Eindhoven, the Netherlands. jozefienhamilton@gmail.com.
International urogynecology journal
|May 30, 2025
概括
曼彻斯特手术后的当天出院是安全和可行的,与手术后增强恢复 (ERAS) 协议保持一致. 这种方法可以减少住院时间和费用,同时促进患者的早期流动性.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 外科手术的结果
- 患者的恢复 患者的恢复
背景情况:
- 手术后增强恢复 (ERAS) 协议旨在减少住院时间.
- 用ERAS,阴道脱落手术的持续时间通常会缩短.
- 曼彻斯特手术是一个常见的手术治疗阴道脱落的手术.
研究的目的:
- 为了确定曼彻斯特程序的同日放电的安全性和可行性.
- 为了比较当天排泄与在阴道脱落手术后一夜间入院.
- 评估再入院率,长时间住院和并发症.
主要方法:
- 在荷兰一家教学医院进行的回顾性队列研究 (2019-2023年).
- 进行曼彻斯特手术并入院过夜的患者 (A组) 与当天出院的患者 (B组) 的比较.
- 对再接收率,长时间住院和并发症率的分析.
主要成果:
- 包括213名患者:A组103名,B组110名.
- 组之间可比的基线特征.
- 再入院率相似 (10.7%对15.5%),并没有长时间导管等并发症的显著差异 (15.5%对11.8%).
结论:
- 按照曼彻斯特程序在同一天排出是安全的和可行的.
- 实施当日放电是ERAS协议的一个关键组成部分.
- 这种方法可以进一步缩短住院时间,降低成本,并鼓励早期患者动员.
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