延迟 Hernia 修复在婴儿中的影响
Seth Saylors1, Cory Nonnemacher1, Charles Snyder1
1Pediatric Surgery, Children's Mercy Hospital, Kansas City, Missouri.
The Journal of surgical research
|December 17, 2025
概括
在婴儿中延迟 inguinal hernia 修复不会增加并发症. 这项研究没有发现急诊次数或监禁率的增加,这表明降低麻醉暴露等好处.
科学领域:
- 儿科手术 儿科手术
- 椎间板裂修复 椎间板裂修复
- 公共卫生 公共卫生
背景情况:
- 阴带修复是一种常见的儿科手术.
- 症状性需要紧急干预.
- 由于COVID-19大流行,选择性手术延迟,包括修复.
研究的目的:
- 为了评估与婴儿延迟 inguinal 修复相关的并发症.
- 在延迟修复后评估手术前和术后并发症的变化.
主要方法:
- 对接受 inguinal hernia 修复的婴儿 (<1岁) 的回顾性队列研究.
- 在COVID前 (在2020年3月之前) 和COVID后组的比较.
- 分析住院数据,手术特征和术后并发症.
主要成果:
- 延迟修复 (74天与44天) 显示,急诊室的访问或监禁率没有增加.
- 在COVID后的组中,手术时的平均年龄更高 (152天 vs 125天).
- 两组之间没有观察到手术特征或术后并发症的显著差异.
结论:
- 在婴儿诊断后4周以上的延迟 inguinal hernia 修复是安全的.
- 推迟手术可能会让患者长大,避免早期麻醉暴露.
- 没有发现入狱或并发症的风险增加.
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