【吻合口相关并发症的预防策略及治疗理念】。

4区 医学 Q3 Medicine Chirurg Pub Date : 2022-04-01 Epub Date: 2021-06-17 DOI:10.1007/s00104-021-01438-1
Georgi Kalev, Christoph Marquardt, Thomas Schiedeck
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引用次数: 1

摘要

肠造口术后并发症对患者的生活质量有相当大的影响。准确的手术技术对预防这些疾病非常重要,需要深厚的外科知识和足够的经验。术前咨询的重要性以及术后护理的造口治疗师是明确证明。根据并发症的严重程度,最初需要进行门诊保守治疗。只有当保守治疗不再足够时,才应考虑手术局部翻修或剖腹手术,因此手术指征应非常谨慎地确定。本文概述了目前关于预防和治疗术后造口并发症的证据。
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[Stoma-associated complications-Prevention strategy and treatment concepts].

Postoperative complications after the creation of an intestinal stoma have a considerable impact on the patient's quality of life. The accurate surgical technique is very important for their prevention and requires profound surgical knowledge as well as sufficient experience. The importance of the preoperative consultation as well as the postoperative care by stoma therapists is clearly proven. Depending on the severity of the complication, outpatient conservative treatment is initially indicated. A surgical local revision or laparotomy should only be considered if conservative treatment is no longer sufficient, whereby the indications for surgery should be set very cautiously. This article provides an overview of the current evidence regarding the prevention and treatment of postoperative stoma complications.

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来源期刊
Chirurg
Chirurg 医学-外科
CiteScore
1.10
自引率
0.00%
发文量
91
审稿时长
4-8 weeks
期刊介绍: Der Chirurg; Zeitschrift fur Alle Gebiete der Operativen Medizen The magazine is intended for surgeons in hospitals, clinics and research. Each issue includes a comprehensive theme: Practical summaries access to selected topics and provide the reader with a compilation of current knowledge in all fields of surgery. Besides imparting relevant background knowledge, the emphasis is on the review of scientific results and practical experience. The reader will find concrete recommendations.
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