闭口后预防性网中的网格和壁平面类型:一个网络元分析
Camilo Ramírez-Giraldo1,2, Sofía Santamaría-Forero3, Isabella Van-Londoño3
1Department of Surgery, Hospital Universitario Mayor - Méderi, Bogotá, Colombia. ramirezgiraldocamilo@gmail.com.
概括
在口腔关闭过程中,在背肌平面放置预防性网状物,特别是假肢或生物假肢材料,可显著降低切口的风险. 这种方法还有助于预防手术部位感染.
科学领域:
- 手术瘤学手术瘤学
- 腹部外科手术 腹部外科手术
- Hernia 修复 椎间板裂的修复
背景情况:
- 切口是腹部手术后的常见并发症,特别是在闭口腔关闭后.
- 预防性网状布置用于减少风险,但最佳网状布类型和布置策略尚未确定.
研究的目的:
- 为了比较不同网格类型和解剖位置平面在预防切口和术位关闭后手术部位感染方面的有效性.
- 为了确定最佳的预防性网状策略,用于静脉关闭程序.
主要方法:
- 进行了主要医学数据库 (PubMed,Cochrane图书馆,Embase) 的系统审查.
- 包括对网格类型和/或放置平面的比较研究,用于切割性的预防.
- 进行了网络元分析,以评估切口和手术部位感染率.
主要成果:
- 分析了11项涉及2,148名患者的研究.
- 假肢,生物假肢和生物网格使用与没有网格相比,都与较低的切口风险有关.
- 背肌,上层和腹腔内网格安置显示的风险比没有网格减少;背肌安置是最有效的.
- 在网格类型或放置平面之间没有发现手术部位感染率的显著差异.
结论:
- 假肢或生物假肢网在背肌平面的预防性放置是减少静脉关闭后切口发生率的最有效方法.
- 这种策略似乎也有利于预防手术部位感染.
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