Life-Threatening Cardiac Tamponade After Hiatal Hernia Surgery: A Review of Diagnostic Pitfalls and Therapeutic Interventions.

IF 1.2 4区 医学 Q3 SURGERY
Guobiao Chen, Zhenhong Wang, Botao Qian, Ruiqi Wang, Jiaming Liao, Mi Tang, Jiani Hu, Yunhong Tian
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引用次数: 0

Abstract

Background: Previous studies have reported deaths due to undiagnosed cardiac tamponade following hiatal hernia surgery, with an alarmingly high associated mortality rate. This review aims to raise awareness and improve the diagnostic accuracy of cardiac tamponade among surgeons who perform hiatal hernia repair.

Methods: A retrospective analysis was conducted on cases of cardiac tamponade following hiatal hernia repair. Data collected included patient age, surgical approach, mesh fixation method, timing of cardiac tamponade diagnosis, and treatment strategies.

Results: A total of 23 eligible articles reporting on 30 patients with cardiac tamponade after hiatal hernia repair were included in this review. The age of patients ranged from 40 to 84 years, with a median age of 66 years. Tacker was used in 20 patients (66.7%) for mesh fixation. In half of the cases (50.0%), cardiac tamponade was diagnosed within 48 hours after surgery. Treatment mainly included pericardiocentesis and open drainage. Seven (23.3%) patients died postoperatively. Cardiac tamponade was undiagnosed in 4 patients (13.3%), all of whom died. Mortality rates were 100.0% in the undiagnosed group and 4.3% in the diagnosed group.

Conclusions: Accurate diagnosis and prompt management are crucial for rescuing patients from life-threatening cardiac tamponade following hiatal hernia surgery.

裂孔疝手术后危及生命的心包填塞:诊断缺陷和治疗措施的回顾。
背景:先前的研究报道了裂孔疝手术后未确诊的心包填塞导致的死亡,相关死亡率高得惊人。本综述旨在提高外科医生对裂孔疝修补术中心包填塞的认识并提高其诊断准确性。方法:回顾性分析裂孔疝修补术后发生心包填塞的病例。收集的资料包括患者年龄、手术入路、补片固定方法、心包填塞诊断时机和治疗策略。结果:本综述共纳入23篇符合条件的文章,报道了30例裂孔疝修补后心脏填塞的患者。患者年龄40 ~ 84岁,中位年龄66岁。20例(66.7%)患者使用固定器进行补片固定。半数病例(50.0%)在术后48小时内诊断出心包填塞。治疗主要包括心包穿刺和开放引流。7例(23.3%)患者术后死亡。4例(13.3%)患者未确诊心包填塞,均死亡。未确诊组死亡率为100.0%,确诊组死亡率为4.3%。结论:准确的诊断和及时的处理对于挽救裂孔疝术后危及生命的心包填塞至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
10.00%
发文量
103
审稿时长
3-8 weeks
期刊介绍: Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.
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