大腹股沟疝修补术中组件分离技术与无组件分离技术的结果及其对生活质量的影响:一项多中心回顾性队列研究。

IF 1.2 4区 医学 Q3 SURGERY
Nail Omarov,Derya Salim Uymaz,Mesut Kaya
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引用次数: 0

摘要

目的 本研究旨在比较在复杂腹股沟疝修补术(VHR)中接受前部组件分离技术(ACST)和未接受组件分离技术(非 CST)的患者的治疗效果,并探讨这些技术对生活质量(QoL)的影响。方法 回顾性分析了 105 例接受大型腹股沟疝手术的患者。这些患者被分为 ACST 组(48 人)和非 CST 组(57 人)。记录了人口统计学、术中和术后数据。术后 2 周、4 周、6 个月、12 个月和 24 个月进行随访。结果 两组中女性比例均较高(P = 0.512)。两组患者的年龄和体重指数无明显差异(P = 0.705 和 P = 0.803)。两组的平均缺损大小和网孔大小相似(P = 0.775 和 P = 0.245)。两组的平均手术时间和失血量相似(P = 0.801 和 P = 0.142)。两组患者的视觉模拟评分中位数差异无统计学意义(P = 0.551)。在随访期间,只有 ACST 组的 3 名患者(6.3%)和非 CST 组的 4 名患者(7.0%)复发。结论 ACST 是治疗复杂 VHR 患者的可行手术方案。此外,通过改善 QoL,复发率与接受标准 VHR 的患者相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The outcomes of component separation technique versus no component separation technique in the repair of large ventral hernias and impact on quality of life: a multicenter retrospective cohort study.
Purpose This study aimed to compare the results of patients who underwent anterior component separation techniques (ACST) and those who did not undergo component separation techniques (non-CST) in complicated ventral hernia repairs (VHRs) and to investigate the effect of these techniques on quality of life (QoL). Methods A total of 105 patients who were operated for large ventral hernias were retrospectively analyzed. The patients were divided into the ACST group (n = 48) and the non-CST group (n = 57). Demographic, intraoperative, and postoperative data were recorded. Postoperative follow-up was conducted at 2 and 4 weeks, and 6, 12, and 24 months. The primary and secondary outcomes and QoL were measured. Results The female ratio was higher in both groups (P = 0.512). There was no significant difference between age and body mass index between the groups (P = 0.705 and P = 0.803). The mean defect size and mesh size were similar between the groups (P = 0.775 and P = 0.245). The mean operation duration and amount of blood loss were similar between the groups (P = 0.801 and P = 0.142). There was no statistically significant difference in the median visual analog scale scores between the groups (P = 0.551). During follow-up, only 3 patients (6.3%) in the ACST group and 4 patients (7.0%) in the non-CST group had recurrence. There was no significant difference in the short- and long-term QoL between the groups. Conclusion The ACST is a feasible surgical option for patients with complicated VHRs. In addition, by improving QoL, the recurrence rate is similar to patients undergoing standard VHR.
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来源期刊
CiteScore
2.30
自引率
7.10%
发文量
75
期刊介绍: Manuscripts to the Annals of Surgical Treatment and Research (Ann Surg Treat Res) should be written in English according to the instructions for authors. If the details are not described below, the style should follow the Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publications available at International Committee of Medical Journal Editors (ICMJE) website (http://www.icmje.org).
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