Omuz bölgesi yağ kalınlığının rotator manşet operasyonlarının süresine etkisi var mıdır?

Sefa Akti, Serdar Akti, Daghan Dogruyol, Selin Haver, Hakan Zeybek, Deniz Çankaya
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Abstract

Objective: Accurate estimation of operation time will reduce operating room costs and increase patient satisfaction. In recent studies, authors have found that thicker adipose tissue at the operation site is associated with higher rate of complications. However, there is no study in the literature investigating the effect on operation time of an increase in adipose tissue thickness. This present study hypothesised that thicker adipose tissue in the shoulder surgery would prolong the operation time, so the study was planned accordingly. Material and Methods: Preoperative magnetic resonance images of patients applied with rotator cuff repair between 2015 and 2020 were independently evaluated by two observers. The acromial fat thickness was measured as the fat thickness of the operation area, and the scapular fat tissue thickness as the fat thickness of the region relatively far from the operation area. The data obtained were evaluated using multivariate analysis and a binary logistic regression model. Results: Evaluation was made of a total of 106 patients. The mean total operation time was 89±33 mins. The mean acromial fat thickness was 12.2±4.89 mm and mean scapular fat thickness was 27.9±12.5mm. The increase in acromial fat thickness was determined to have extended the operation time (OR=5.75, 29.21, p
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目的:准确估计手术时间,降低手术室成本,提高患者满意度。在最近的研究中,作者发现手术部位较厚的脂肪组织与较高的并发症发生率相关。然而,目前尚无文献研究脂肪组织厚度增加对手术时间的影响。本研究假设肩部手术中脂肪组织较厚会延长手术时间,因此进行了相应的研究计划。材料与方法:2015年至2020年期间进行肩袖修复的患者术前磁共振图像由两名观察员独立评估。测量肩峰脂肪厚度为手术区脂肪厚度,肩胛骨脂肪组织厚度为离手术区相对较远的区域脂肪厚度。使用多元分析和二元逻辑回归模型对获得的数据进行评估。结果:共对106例患者进行评估。平均总手术时间89±33 min。肩峰脂肪平均厚度为12.2±4.89 mm,肩胛骨脂肪平均厚度为27.9±12.5mm。肩峰脂肪厚度的增加延长了手术时间(OR=5.75, 29.21, p
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