开放性消化性溃疡修补术后渗漏的外科审计

Ibrahim Asghar, S. Fatima, A. Shaikh, Nargis Shaikh, K. Qureshi
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引用次数: 1

摘要

目的:对开放性消化性溃疡穿孔修补术后渗漏进行批判性分析。方法:纳入2018年9月至2021年3月在拉卡纳市SMBBMU外科就诊的符合纳入标准的患者。在解释了研究的程序、风险和益处后,签署了知情同意书。x线检查腹部直立姿势、白细胞计数、血清淀粉酶。术后记录穿孔部位及手术方式。患者随访30天,以评估渗漏情况。结果:年龄平均±SD为42.6±8.5岁。203例纳入研究的患者中,男性145例(71.4%),女性58例(28.6%),13例(6.4%)患者出现渗漏。结论:消化性溃疡穿孔修复后渗漏发生率较低,但不能排除残留混杂因素。关键词:渗漏,消化性溃疡穿孔,修复,腹膜炎,腹腔镜,外科。
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Surgical Audit of Leakage after Open Surgical Repair of Perforated Peptic Ulcer
Objective: to critically analyze the leakage after open surgical repair of peptic ulcer perforation. Methods: All patients who fulfilled the inclusion criteria and visited to surgical department SMBBMU, Larkana from September, 2018 to March, 2021 were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. X-ray abdomen erect posture, leukocyte count, and serum amylase were performed. After surgery, site of perforation and type of surgery were recorded. Patients were followed for 30 days in order to assess the leakage. Results: Mean ± SD of age was 42.6±8.5 years. Out of 203 patients included in the study, 145 (71.4%) were male while 58 (28.6%) were female, Leakage was noted in 13 (6.4%) patients. Conclusion: It is to be concluded that leakage was less likely prevalent after peptic ulcer perforation repair, but we cannot rule out residual confounders. Practical implication Keywords: Leakage, Peptic Ulcer Perforation, Repair, Peritonitis, Laparoscopy, Surgery.
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