网络感染的长期风险需要在选择性腹腔 Hernia 修复后进行切除
Anne P Ehlers1,2,3, Joshua K Sinamo2,3, Ryan Howard1,2,3
1Department of Surgery, University of Michigan, Ann Arbor.
JAMA surgery
|October 1, 2025
概括
在腹腔修复后删除网格的风险很低,即使有伤口并发症. 这些发现支持在选择性开放腹腔的修复中继续使用网状.
科学领域:
- 手术方面的创新.
- 医疗器械安全 医疗器械安全
- Hernia 修复结果的结果
背景情况:
- 腹腔修复经常使用网状,但长期感染的风险需要网状去除并未明确.
- 了解与网状网相关的并发症对于患者安全和外科实践至关重要.
研究的目的:
- 为了确定随着选择性开放腹 Hernia 修复后的网状移除相关的发病率和风险因素.
- 为了评估网状组织去除作为临床上显著的网状组织感染的替代品.
主要方法:
- 使用医疗保险服务费用数据 (2011-2021) 的回顾性队列研究.
- 包括接受选择性住院开放腹腔修复的成年人.
- 通过当前程序术语代码识别的网格移除作为主要结果措施.
主要成果:
- 在10年内,整体网状网状移除率为2.2% (1330/59,453).
- 删除网格与女性性别,肠切除术和30天的伤口并发症有关.
- 10年后的累积网状移除危险在患有伤口并发症的患者中为7.94%,而没有伤口并发症的患者中为2.48%.
结论:
- 在腹腔 Hernia 修复后,切网切除的整体风险很低.
- 虽然伤口并发症增加了风险,但它们并没有否定网格的整体安全概况.
- 这些发现支持在选择性开放腹 Hernia 修复中广泛使用网格.
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