实施一项安全协议,用于移除杆在pectus excavatum的挖掘
J P Camacho1, C Korzin1, P A Lobos1
1Pediatric Surgery and Urology Department. Hospital Italiano de Buenos Aires. Buenos Aires (Argentina).
概括
棒提取安全协议 (BESP) 显著减少了MIRPE (Minimally Invasive Repair for Pectus Excavatum) 棒提取过程中的并发症. 这项新协议通过在术后几乎消除严重不良事件,提高了患者的安全性.
科学领域:
- 胸部外科手术 胸部外科手术
- 儿科手术 儿科手术
- 手术安全协议 手术安全协议
背景情况:
- 在Minimally Invasive Repair for Pectus Excavatum (MIRPE) 期间提取棒带有轻度至严重并发症的风险.
- 标准化协议对于减轻与复杂的外科手术相关的风险至关重要.
- 评估安全干预措施的影响对于改善胸部手术患者的治疗结果至关重要.
研究的目的:
- 评估新实施的条条提取安全协议 (BESP) 在减少并发症方面的有效性.
- 为了比较MIRPE棒去除BESP引入之前和之后的并发症率.
- 为了提高MIRPE程序中条条去除的安全性和可预测性.
主要方法:
- 追溯比较队列研究分析了为MIRPE进行棒切除的患者.
- 该研究比较了历史队列和在BESP下管理的患者,其中包括特定的手术前,手术内和术后措施.
- 并发症使用克拉维恩-丁多系统 (≥II) 进行分级,统计分析使用奇二测试进行.
主要成果:
- 总共有67名患者被纳入;30名BESP前37名BESP后.
- 临床相关的并发症 (Clavien-Dindo ≥ II) 从BESP前组的20%降至BESP后组的0% (p=0.048).
- 在BESP涉及措施,如使用光滑的条,双边切口,和"安全绳"机动,导致更好的结果.
结论:
- 实行棒提取安全协议 (BESP) 显著减少了与MIRPE棒提取相关的并发症.
- 在MIRPE的棒提取阶段,BESP代表了提高患者安全的关键进步.
- 该协议提供了一种标准化和有效的方法,以最大限度地减少乳房挖掘物修复中的不良事件.
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