评价肠造口闭合时补片加固在预防造口切口疝中的作用:随机对照试验

Q4 Medicine
Shady Elzeftawy, Magdy Basheer, H. Elghadban, M. Shetiwy, Abdelazeem Elganash, Abdelrahman Albahy
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引用次数: 0

摘要

背景:切口疝是一种被低估的造口术后并发症,发生率约为40%。网状补口术可能是一种简单可行的降低切口疝发生率的方法。目前关于该技术在预防切口疝闭合后的有效性存在争议。方法:本前瞻性临床研究将2019年2月至2021年4月在曼苏拉大学医院住院的符合条件的临时造口患者分为两组。ⅰ组采用常规缝合筋膜闭合,ⅱ组采用补片强化筋膜闭合。结果:1组和2组的平均造口时间分别为26.76周和24周(p = 0.430)。两组患者手术部位感染(SSI)发生率分别为20%和19% (p = 0.868)。造口切口疝(SSIH)发生率1组显著增高(20% vs 2%, p = 0.009)。结论:在整个造口过程中预防性补片加固可显著降低造口切口疝的发生率,但未显著增加造口切口感染的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Mesh Reinforcement during Intestinal Stoma Closure in Prevention of Stomal Site Incisional Hernia: Randomized Controlled Trial
Background: Incisional hernia is an undervalued complication after stoma closure, with rates about 40%. Mesh-reinforced stoma reversal might be a simple and applicable approach to decrease the frequency of incisional hernia. There is a current debate about efficacy of this technique in preventing incisional hernias following stoma closure. Methods: In this prospective clinical study, all patients with temporary stoma who admitted to Mansoura University Hospital at the period from February 2019 to April 2021 and fulfill the eligibility criteria were distributed into 2 groups. In group I conventional sutured fascial closure was done while in group-II mesh reinforced fascial closure was done during stoma reversal. Results: Time to stoma closure had mean values of 26.76 and 24 weeks in Groups 1 and 2 respectively (p = 0.430). Surgical site infections (SSI) were encountered in 20% and 19% of patients in the two groups (p = 0.868). The occurrence of stoma site incisional hernia (SSIH) showed a significant increase in Group 1 (20% vs 2% in the other group – p = 0.009). Conclusion: prophylactic mesh reinforcement throughout stoma closure significantly reduces the incidence of stoma site incisional hernia with no significant increase in the incidence of the stoma site wound infection.
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来源期刊
Surgery, Gastroenterology and Oncology
Surgery, Gastroenterology and Oncology Medicine-Gastroenterology
CiteScore
0.30
自引率
0.00%
发文量
11
期刊介绍: Starting with this issue "Annals of Fundeni Hospital", founded in 1996 as the scientific journal of the prestigious hospital Fundeni becomes "Journal of Translational Medicine and Research" (JTMR), an Journal of the Academy of Medical Sciences of Romania. Therefore, an 18 years old Journal, attested and indexed in Elsevier Bibliographic Databases, Amsterdam and also indexed in SCOPUS, is continuing a tradition of excellence that lasted almost two decades. The new title of the Journal is inspired first of all from the important developments of translational research In Fundeni Clinical Institute and the "C.C Iliescu Institute for Cardio-Vascular Diseases", in parallel with the national and international trend to promote and develop this important area or medical research. Although devoted mainly to translational research, JTMR will continue to promote both basic and clinical research.
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