在沟的手术中切除网格:一项长期的全国性基于人口的注册研究
Maria Melkemichel1, Hanna De la Croix2, Pär Nordin3
1Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden; Department of Breast, Endocrine and Sarcoma Tumors, Karolinska University Hospital, Stockholm, Sweden.
Surgery
|October 2, 2025
概括
在沟修复后移除网格很少见,仅发生在0.06%的病例中. 女性性别,年龄较小,紧急手术和网状插头与再次进行网状切除手术的风险增加有关.
科学领域:
- 手术创新和患者的结果.
- Hernia 修复技术 的修复技术
- 在外科手术中的生物材料安全性
背景情况:
- 网格是西方国家沟修复的标准.
- 并发症包括异物反应和网状感染.
- 这项研究研究了脱落网状网的流行率和风险因素.
研究的目的:
- 为了确定沟修复后的网状移除的发生率.
- 为了确定与删除网格相关的风险因素.
- 评估网状植入物的安全性和耐受性.
主要方法:
- 全国基于人口的研究使用瑞典 Hernia Register 数据 (1992-2022).
- 对15岁以上接受沟修复的患者进行观察性研究.
- 分析重复手术以移除网状组织作为主要结果.
主要成果:
- 在363,664例沟修复中,只有211例 (0.06%) 需要切除网格.
- 在移除网格组中,女性比例较高 (15.2%).
- 摘除的风险因素包括女性性别,年龄较小,紧急修复,开放的前面网格,网格插头和年轻患者.
结论:
- 部组织通常能很好地容忍植入的网状组织;重新进行切除手术是不常见的.
- 女性性别,年龄较小,紧急手术和网状插头是网状切除的关键风险因素.
- 这些发现支持在沟修复中使用网状的安全性,同时突出了需要考虑的特定患者和程序因素.
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