低资源环境中的瘤塑性乳房手术:局部穿孔器片的可行性,采用和结果
Sanjay Kumar Yadav1, Ashwin S2, Goonj Johri3
1Department of Surgery, NSCB Medical College and Hospital, Jabalpur, India.
瘤塑性乳房手术 (OPBS) 中的局部穿孔 (LPF) 在资源较低的环境中是可行的,显示出良好的化品结果和越来越多的采用. 这种技术为资源有限的乳房保护手术 (BCS) 提供了可行的选择.
科学领域:
- 手术瘤学手术瘤学
- 整形外科 整形外科 整形外科
- 全球健康 全球健康
背景情况:
- 瘤塑性乳房手术 (OPBS) 使用局部穿孔 (LPF) 来提高乳房保护手术 (BCS) 的整形结果.
- 尽管LPF具有潜在的好处,但其在资源较低的环境中仍未得到充分利用.
研究的目的:
- 在低资源环境中评估OPBS中LPF的可行性,采用和结果.
- 评估在资源有限的环境中与LPF重建相关的学习曲线和并发症率.
主要方法:
- 在一个低资源中心对28名接受OPBS与LPF重建的患者进行了回顾性分析.
- 收集的数据包括三年来片选择标准,手术时间,并发症,化品结果和采用趋势.
主要成果:
- 所有28次重建均成功,无需进行二次手术.
- 平均手术时间比连续病例减少了13.5%,这表明了学习曲线.
- 轻微并发症发生在10.7%的患者中,仅有一次片损失; 89.3%的人报告了令人满意的化品结果.
结论:
- 基于LPF的重建是低资源环境中BCS的可行和可重复的技术.
- 越来越多的采用率和可证明的学习曲线表明LPFs的成功整合.
- 这种方法为改善资源有限的环境中的化品结果提供了有价值的选择.
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