实践中的精确性:泌尿妇科手术和研究中网片和手术类型规范的关键作用。

IF 1.8 3区 医学 Q3 OBSTETRICS & GYNECOLOGY
International Urogynecology Journal Pub Date : 2024-09-01 Epub Date: 2024-05-29 DOI:10.1007/s00192-024-05820-5
Reut Rotem, Daniel Galvin, Yair Daykan, Sumaiya Al-Shukaili, Barry A O'Reilly, Orfhlaith E O'Sullivan
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引用次数: 0

摘要

最近,围绕在泌尿妇科手术中使用网片的争论愈演愈烈,引起了美国食品及药物管理局的警告和对安全性的高度关注。本临床意见强调了在这些手术中明确网片类型的重要必要性,并提请注意与各种网片和使用网片的手术相关的风险概况和临床结果。当代文献中发现的一个重要问题是,人们倾向于将不同类型的网片归为同一类,而忽视了它们的独特性和应用。我们描述了网片类型的范围、应用途径和相关并发症,强调了这种非特异性方法对患者安全和知情决策造成的风险。我们对临床和研究对话中网片术语的泛化进行了批判性审视。最后,本文向医疗服务提供者和研究人员提出了具体建议,倡导在这一领域进行更加细致入微的理解和交流,最终旨在改善泌尿妇科实践中的患者护理和安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Precision in Practice: The Critical Role of Mesh and Procedure Type Specification in Urogynecological Surgeries and Research.

Recently, the debate surrounding the use of mesh in urogynecological procedures has intensified, leading to FDA warnings and heightened safety concerns. This clinical opinion emphasizes the vital need to specify mesh types in these procedures, drawing attention to the risk profiles and clinical outcomes associated with various meshes and the procedures that utilize them. A significant issue identified in contemporary literature is the tendency to group diverse mesh types under the same umbrella, disregarding their unique characteristics and applications. We describe the range of mesh types, their application routes, and associated complications, highlighting the risks of this nonspecific approach to patient safety and informed decision making. We critically examine the generalization of mesh terminology in clinical and research dialogues. Concluding with specific recommendations for health care providers and researchers, the paper advocates for a more nuanced understanding and communication in the field, ultimately aiming to improve patient care and safety in urogynecological practice.

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来源期刊
CiteScore
3.80
自引率
22.20%
发文量
406
审稿时长
3-6 weeks
期刊介绍: The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
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