与帕拉斯托马尔 Hernia 相关的非手术考虑
Z Malaibari1, M W Christoffersen2, M Krogsgaard2
1Department of Surgery, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia.
Journal of abdominal wall surgery : JAWS
|October 31, 2025
概括
对半身 (PSH) 的保守管理至关重要,特别是对无症状患者. 这种方法包括核心培训和支持服装,但需要更多的研究以证据为基础的PSH协议.
科学领域:
- 一般外科 整体外科
- 胃肠病学 胃肠病学
- Hernia 管理 管理 管理 管理
背景情况:
- 副胃 (PSH) 是一个常见和复杂的并发症后,口腔形成.
- 虽然手术修复是一种选择,但对许多患者来说,保守的管理是至关重要的.
研究的目的:
- 审查目前关于PSH保守管理的证据.
- 概述PSH非操作策略的核心组成部分,局限性和研究重点.
主要方法:
- 进行了叙事文学评论.
- 搜索包括PubMed和谷歌学者 (2011-2025年),并补充了专家咨询.
- 专注于非手术策略:警等待,核心训练,腹部支持,口腔护理和心理社会支持.
主要成果:
- 对于最小症状的PSH,可以接受保守的方法,其复发率与手术修复相似.
- 身体活动和患者教育可以改善生活质量,但研究不足.
- 腹部结合剂缺乏高质量的PSH特异性证据;口腔护理和心理社会支持至关重要,但代表性不足.
结论:
- 非手术治疗PSH需要个性化,多学科的方法.
- 关键策略包括结构化后续,腹部支持,核心训练,设备适应和心理社会支持.
- 迫切需要专门进行前性研究,以建立特定于PSH的基于证据的协议.
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