Three-Year Clinical Outcomes and Quality of Life after Retromuscular Resorbable Mesh Repair Using Fibrin Glue

医学 纤维蛋白胶 四分位间距 外科 围手术期 纤维接头 生活质量(医疗保健) 疝修补术 护理部
作者
Martin P. Morris,Viren Patel,Adrienne N. Christopher,Robyn B. Broach,Sean P. Harbison,John P. Fischer
出处
期刊:Plastic and Reconstructive Surgery [Ovid Technologies (Wolters Kluwer)]
卷期号:149 (6): 1440-1447 被引量:3
标识
DOI:10.1097/prs.0000000000009125
摘要

Background: With 400,000 hernias repaired annually, there is a need for development of efficient and effective repair techniques. Previously, the authors’ group compared perioperative outcomes and hospital costs of patients undergoing ventral hernia repair with retromuscular mesh using suture fixation versus fibrin glue. This article reports on 3-year postoperative outcomes, including hernia recurrence, long-term clinical outcomes, and patient-reported quality of life. Methods: Patients who underwent ventral hernia repair performed by a single surgeon between 2015 to 2017 were identified. Patients with retromuscular resorbable mesh placed were included and matched by propensity score. Primary outcomes included hernia recurrence, surgical-site infection, surgical-site occurrence, and surgical-site occurrence/surgical-site infection requiring procedural interventions. Secondary outcomes included quality of life as assessed by the Hernia-Related Quality of Life Survey. Results: Sixty-three patients were eligible, and 46 patients were matched (23 suture fixation and 23 fibrin glue), with a median age of 62 years, a median body mass index of 29 kg/m 2 , and a median defect size of 300 cm 2 (interquartile range, 180 to 378 cm 2 ). Median follow-up was 36 months (interquartile range, 31 to 36 months). There was no difference in the incidence of hernia recurrence (13.0 percent for suture fixation and 8.7 percent for fibrin glue; p = 0.636) or other postoperative outcomes between techniques (all p > 0.05). Five patients required reoperation because of a complication (10.9 percent). Overall quality of life improved preoperatively to postoperatively at all time points (all p < 0.05), and no differences in quality-of-life improvement were seen between techniques ( p > 0.05). Conclusion: Ventral hernia repair with atraumatic resorbable retromuscular mesh fixation using fibrin glue demonstrates equivalent postoperative clinical and quality-of-life outcomes when compared to mechanical suture fixation. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
文艺稚晴发布了新的文献求助10
1秒前
tanjuan发布了新的文献求助10
2秒前
4秒前
英俊的铭应助慧敏采纳,获得10
4秒前
獭獭关注了科研通微信公众号
6秒前
海城好人完成签到,获得积分10
9秒前
15秒前
lin完成签到,获得积分10
18秒前
科研通AI2S应助Wjc采纳,获得10
19秒前
容荣发布了新的文献求助10
19秒前
文艺稚晴完成签到 ,获得积分20
21秒前
Fanzhijuan完成签到,获得积分10
22秒前
24秒前
张先森完成签到,获得积分10
24秒前
容荣完成签到,获得积分10
25秒前
27秒前
toosweet完成签到 ,获得积分10
27秒前
28秒前
慧敏发布了新的文献求助10
30秒前
Hyux完成签到,获得积分10
30秒前
Yoh1220发布了新的文献求助10
31秒前
Benjamin发布了新的文献求助20
31秒前
科研通AI2S应助jjn采纳,获得10
34秒前
34秒前
peipei完成签到,获得积分10
34秒前
野性的曼香完成签到,获得积分10
37秒前
tian完成签到,获得积分10
38秒前
清爽达完成签到 ,获得积分10
38秒前
秀丽大凄发布了新的文献求助10
38秒前
木子青山发布了新的文献求助10
39秒前
阳光如豹完成签到,获得积分10
39秒前
syh完成签到,获得积分20
39秒前
dd完成签到 ,获得积分10
40秒前
41秒前
yzhilson完成签到 ,获得积分10
44秒前
Jasper应助yngaofawei采纳,获得10
45秒前
可耐的威完成签到,获得积分10
45秒前
李爱国应助阳光如豹采纳,获得10
48秒前
汉堡包应助tanjuan采纳,获得10
50秒前
53秒前
高分求助中
求助这个网站里的问题集 1000
Floxuridine; Third Edition 1000
Models of Teaching(The 10th Edition,第10版!)《教学模式》(第10版!) 800
La décision juridictionnelle 800
Rechtsphilosophie und Rechtstheorie 800
Nonlocal Integral Equation Continuum Models: Nonstandard Symmetric Interaction Neighborhoods and Finite Element Discretizations 600
Academic entitlement: Adapting the equity preference questionnaire for a university setting 500
热门求助领域 (近24小时)
化学 医学 材料科学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 物理化学 催化作用 免疫学 细胞生物学 电极
热门帖子
关注 科研通微信公众号,转发送积分 2873111
求助须知:如何正确求助?哪些是违规求助? 2482078
关于积分的说明 6723186
捐赠科研通 2167318
什么是DOI,文献DOI怎么找? 1151395
版权声明 585724
科研通“疑难数据库(出版商)”最低求助积分说明 565269