临床共识 关于自固定网在 laparoscopic inguinal Hernia 修复中的作用
Sujith Wijerathne1, Shashank Rastogi2, KyungWon Seo3
1Department of Surgery, Alexandra Hospital (NUHS), Queenstown, Singapore.
Asian journal of endoscopic surgery
|February 8, 2026
概括
自固定网 (SFM) 在 inguinal hernia (IH) 修复方面具有优势,减少并发症并改善患者的治疗结果. 专家共识建议SFM用于IH维修,强调结构化培训以实现更广泛的采用.
科学领域:
- 椎间板手术 手术 椎间板手术
- 手术技术 手术技术
- 胃肠道手术 胃肠道手术
背景情况:
- inguinal hernia (IH) 的全球发病率正在上升.
- 自固定网格 (SFM) 技术增强了组织的整合,可能减少与传统网格固定相关的并发症.
- 对SFM的多样化采用需要专家的共识来实现标准化应用.
研究的目的:
- 在亚洲专家之间就使用自固定网 (SFM) 在 inguinal hernia (IH) 修复中建立共识.
- 制定基于证据的建议,用于SFM在IH手术中的应用.
主要方法:
- 一个由13名专家组成的小组召开了协商一致的发展和手稿的准备.
- 使用PubMed,Embase和谷歌学者进行了系统的文献审查.
- 采用了经过修改的三步Delphi方法,达到80%的共识门.
主要成果:
- 最初的共识讨论在11个声明中共识了9个声明.
- 随后的轮回,包括专家的意见和在线重新评估,导致所有16个声明达成完全共识.
- 在协商一致过程中,对SFM在IH维修中使用的建议进行了改进.
结论:
- 自固定网 (SFM) 与传统的网相比,具有显著的优势,用于IH修复.
- 建议进一步进行多中心试验,以优化SFM的外科手术方案.
- 专家建议支持SFM作为IH修复的首选选择,结构化培训对于提高采用和患者结果至关重要.
关键词:
德尔菲是什么意思 德尔菲是什么意思 德尔菲是什么意思inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia自固定式网格 网格自固定式网格相关概念视频
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