患有GERD的患者的3D网状增强性椎间修复:一个3年的单中心经验
F Thomas1, A Nagel1, M H Mueller2,3,4
1Department of Surgery, Vivantes Hospital Am Urban, Berlin, Germany.
概括
使用新的3D网格进行的最小侵入性椎间板修复显示出低的复发率和并发症率. 大多数患者经历了改善的GERD症状,这表明这种网状增大技术对间隙重建有希望.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 医疗器械技术 医疗器械技术
背景情况:
- 门修复技术的复发率很高.
- 网格增强有争议,但可以减少复发.
- 需要评估一种新的全塑性3D网格,用于缺口重建.
研究的目的:
- 评估微创性间隙重建的临床结果.
- 为了评估一个新的全塑3D网格 (DynaMesh®-DELTA).
- 为了确定复发率和并发症率.
主要方法:
- 320名患者接受了3D网格增强型下垂体整形手术.
- 133名患者完成了随访.
- 从电子图表,访问和问卷中收集的数据.
主要成果:
- 17.1%的患者出现并发症; 2.2%有III级并发症.
- 0%的整体死亡率.
- 17.4%的人经历了具有症状的复发性间歇性;9.1%需要重新手术.
结论:
- 网状增强型下垂修复证明了低发病率和复发率.
- 大多数患者报告GERD症状有所改善.
- 需要对这种技术进行进一步的研究,以修复椎.
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