GORE ENFORM生物材料重建腹侧疝

IF 0.7 4区 医学 Q4 SURGERY
Plastic surgery Pub Date : 2024-05-01 Epub Date: 2022-08-22 DOI:10.1177/22925503221120575
Andrew W Hollins, Andrew Atia, Gloria Zhang, Catalin Mateas, Michael Schmidt, Rebecca Fillipo, William W Hope, Howard Levinson
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引用次数: 0

摘要

腹疝修补术(VHR)是美国最常见的手术之一。可降解补片是推荐的选择,患者呈现高风险合并症或感染风险增加。GORE®ENFORM BiomaterialTM是一种生物合成可降解网状物,最近已被批准用于腹疝重建,尚无临床结果报告。方法:本研究为单外科病例系列研究。如果患者接受GORE®ENFORM BiomaterialTM的VHR,则纳入研究。使用GORE®ENFORM BiomaterialTM的决定是资深外科医生根据患者疾病控制中心的分类做出的决定。患者合并症、疝气特征、术后疝气复发和手术部位发生率(SSOs)在住院随访预约和图表回顾中收集。患者被要求使用患者报告结果测量信息系统(PROMIS)疼痛强度短表3a和疝气特异性生活质量(HerQLes)调查完成术前和术后患者报告结果(PROs)。结果:本研究共纳入15例患者。平均随访时间为315天。术后26.7%的患者发生单点感染并伴有4个手术部位感染。两名患者需要手术冲洗并移除补片。1例患者疝气复发。15例患者中有8例完成了术前和术后的PROs。结论:这是第一个报道使用ENFORM补片修复腹疝的临床研究。这些结果表明,在复杂的腹疝重建中,Enform补片是一种可考虑的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ventral Hernia Reconstruction with GORE ENFORM Biomaterial.

Introduction: Ventral hernia repair (VHR) is one of the most common surgeries performed in the United States. Degradable mesh is the recommended choice for patients presenting with high-risk co-morbidities or increased risk for infection. GORE® ENFORM BiomaterialTM is a biosynthetic degradable mesh that has recently been approved for use in ventral hernia reconstruction with no reports of its clinical outcomes. Methods: This study was a single surgeon case series. Patients were included in the study if they underwent VHR with GORE® ENFORM BiomaterialTM. The decision to use GORE® ENFORM BiomaterialTM was the senior surgeon's decision based on the patient's center for disease control classification. Patient comorbidities, hernia characteristics, postoperative hernia recurrence, and surgical site occurrences (SSOs) were collected at in-patient follow-up appointments and chart review. Patients were asked to complete preoperative and postoperative patient-reported outcomes (PROs) using the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Intensity short form 3a and the hernia-specific quality of life (HerQLes) survey. Results: A total of 15 patients were included in this study. The average length of follow-up was 315 days. Postoperatively, 26.7% of patients had an SSO with 4 surgical site infections. Two patients required an operative washout with mesh removal. One patient experienced hernia recurrence. Eight of the 15 patients completed preoperative and postoperative PROs. Conclusion: This is the first clinical study to report the outcomes of ventral hernia repair using ENFORM mesh. These results show that Enform mesh is an option to consider in complex ventral hernia reconstruction.

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来源期刊
Plastic surgery
Plastic surgery Medicine-Surgery
CiteScore
1.70
自引率
0.00%
发文量
73
期刊介绍: Plastic Surgery (Chirurgie Plastique) is the official journal of the Canadian Society of Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery, Group for the Advancement of Microsurgery, and the Canadian Society for Surgery of the Hand. It serves as a major venue for Canadian research, society guidelines, and continuing medical education.
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