埋藏阴茎患者潘尼切除术的技术考虑因素和结果:系统回顾和数据库分析。

IF 1.4 4区 医学 Q3 SURGERY
Annals of Plastic Surgery Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI:10.1097/SAP.0000000000004025
Brooke Barrow, Matteo Laspro, Hilliard T Brydges, Ogechukwu Onuh, Thor S Stead, Jamie P Levine, Lee C Zhao, Ernest S Chiu
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引用次数: 0

摘要

背景:成人获得性埋藏阴茎(AABP)通常继发于肥胖,是一种越来越常见的疾病。埋藏阴茎通常不利于排尿和性功能、心理健康和生活质量。手术治疗包括切除多余的软组织,并进行包括阴茎环切除术在内的辅助手术。然而,很少有研究调查在 AABP 手术修复的情况下进行泛影葡胺切除术的风险:方法:按照 PRISMA 2020 指南,对 PubMed、Embase 和 Cochrane 数据库进行了系统性回顾。对患者人口统计学、并发症和手术技术进行了描述性统计。之后,对美国外科学院国家外科质量改进计划(NSQIP)数据库中的AABP患者进行了分析:结果:包括 57 名患者在内的四项研究报告了作为阴茎埋藏修复术 (PBPR) 一部分的阴茎环切除术。手术方法包括改良梯形切口和传统横切口。所有作者都使用了术后引流管。开裂和伤口感染是最常见的并发症。单变量 NSQIP 分析显示,PBPR 患者的体重指数更高,合并症更多,伤口并发症发生率更高。多变量分析显示,与孤立的 BPR 相比,PBPR 并未显著增加 30 天的并发症(P > 0.05),而体重指数仍是一个重要的预测因素:结论:AABP 的手术修复可大大提高患者的生活质量。现有文献和基于 NSQIP 的分析显示,在 AABP 修复术中同时进行泛影葡胺切除术的并发症情况相当。未来有必要进行研究,以更好地描述这种 PBPR 的长期结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Technical Considerations and Outcomes for Panniculectomy in the Setting of Buried Penis Patients: A Systematic Review and Database Analysis.

Background: Often secondary to obesity, adult-acquired buried penis (AABP) is an increasingly common condition. AABP is often detrimental to urinary and sexual function, psychological well-being, and quality of life. Surgical treatment involves resection of excess soft tissue, with adjunct procedures, including a panniculectomy. However, few studies have been conducted investigating the risks of panniculectomy in the context of AABP surgical repair.

Methods: A systematic review of PubMed, Embase, and Cochrane databases was performed, following the PRISMA 2020 guidelines. Descriptive statistics regarding patient demographics, complications, and surgical technique were conducted. After this, an analysis of AABP patients within the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was conducted.

Results: Four studies including 57 patients reported panniculectomy as part of buried penis repair (PBPR). Surgical approaches included a modified trapezoid and traditional transverse incision. All authors utilized postoperative drains. Dehiscence and wound infection were the most frequent complications. Univariate NSQIP analysis revealed that PBPR patients had higher body mass index, more comorbidities, and greater wound complication rates. Multivariate analysis revealed that PBPR did not significantly increase 30-day complications compared to isolated BPR ( P > 0.05), while body mass index remained a significant predictor.

Conclusions: Surgical repair of AABP can greatly improve patient quality of life. The available literature and NSQIP-based analysis reveal that concurrent panniculectomy in AABP repair has a comparable complication profile. Future studies are necessary to better characterize the long-term outcomes of this PBPR.

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来源期刊
CiteScore
2.70
自引率
13.30%
发文量
584
审稿时长
6 months
期刊介绍: The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.
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