紧急类型 Hernia 修复 - 一个系统的审查
Laurits Leander1,2, Erling Oma3, Regnar Bøge Arnesen3,4
1Digestive Disease Center, Bispebjerg Hospital, Copenhagen University Hospital, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark. lauritsleander@gmail.com.
Hernia : the journal of hernias and abdominal wall surgery
|December 2, 2025
概括
紧急半体修复 (ePHR) 与高的重复手术,并发症和死亡率有关. 有限的数据阻止了最终的战略建议,但网状并非禁忌. 需要进一步的研究.
科学领域:
- 手术 手术 手术 术 术
- 胃肠病学 胃肠病学
- 腹壁的重建 腹壁的重建
背景情况:
- 椎间 (PH) 是一个常见的并发症后,骨创建.
- 很大一部分PH修复 (20%) 是紧急 (ePHR) 进行的.
- 对于ePHR的最佳策略和结果的记录仍然很差.
研究的目的:
- 系统地审查有关紧急副体修复 (ePHR) 的文献.
- 为了确定最佳的手术策略和技术,ephr.
- 记录结果,包括重新手术,停留时间,手术部位感染,并发症和死亡率.
主要方法:
- 在多个数据库 (PubMed,Embase,Web of Science,CINAHL,Cochrane Library,Google Scholar) 中进行了全面的文献搜索.
- 包含了报告ePHR的原始研究.
- 主要结局是90天内重新手术的发生率;次要结局包括停留时间 (LOS),90天手术部位感染 (SSI),其他并发症和死亡率.
主要成果:
- 包括10项涉及21,877名接受ePHR治疗的患者的研究.
- 平均发病率为:重新手术39%,SSI24%,其他并发症44%,死亡率12%.
- 中位数LOS在7至13天之间;数据不足阻止了对不同修复技术进行比较的元分析 (开放 vs 腹腔镜,局部修复 vs 搬迁 vs 逆转,网状 vs suture).
结论:
- 紧急半体修复 (ePHR) 与相当长的停留时间,高发病率和死亡率有关.
- 有限且相互矛盾的数据阻止推针对ePHR的特定外科手术方法.
- 网格在ePHR中没有禁忌;未来的研究应该比较分阶段与单阶段修复以及开放与最小侵入性手术.
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