...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of minimally invasive gynecology >Women's preferences for minimally invasive incisions.
【24h】

Women's preferences for minimally invasive incisions.

机译：妇女对微创切口的偏爱。

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

STUDY OBJECTIVE: To determine whether traditional, robotic, or single-site laparoscopic incisions are more appealing to women. DESIGN: Descriptive study using a survey (Canadian Task Force classification III). SETTING: Single-specialty referral-based gynecology practice. PATIENTS: All patients older than 18 years who came for care to the Newton-Wellesley Hospital Minimally Invasive Gynecological Surgery Center from April 2, 2010, to June 30, 2010. INTERVENTIONS: Three identical photos of an unscarred female abdomen were each marked with a black pen to indicate typical incision lengths and locations for robotic, single-site, and traditional laparoscopic surgery. Subjects were then asked to rank these incisions in order of preference. Additional demographic and surgical history questions were included in the survey. MEASUREMENTS AND MAIN RESULTS: Two-hundred fifty of 427 patients (58.5%) returned surveys, and of these, 241 completed critical survey elements. Preference for traditional laparoscopic incisions was 56.4% (95% confidence interval [CI], 50.1%-62.7%), for a single incision was 41.1% (95% CI, 34.8%-47.3%), and for robotic surgery was 2.5% (95% CI, 0.5%-4.5%). Two-sample test of proportion (Z test) showed the difference in preference for traditional over the other methods to be significant: p = .007 for a single incision and p <.001 for robotic surgery. Multivariatble analysis for factors influencing choice of single-site incision demonstrated that Latina/Hispanic ethnicity was the only significant factor (p = .02). CONCLUSION: Women prefer both single-site and traditional laparoscopic incisions over robotic procedures. Inasmuch as aesthetics are an important consideration for many women and clinical outcomes are similar, during the informed-consent procedure, location and length of incisions should be included in the discussion of risks, benefits, and alternatives.
机译：研究目的：确定传统的，机器人的或单点腹腔镜切口对女性更有吸引力。设计：使用调查进行描述性研究（加拿大工作组III级）。地点：基于专科转诊的妇科实践。患者：从2010年4月2日至2010年6月30日，在Newton-Wellesley医院微创妇科手术中心就诊的所有18岁以上患者。黑色笔指示机器人，单部位和传统腹腔镜手术的典型切口长度和位置。然后要求受试者按照偏好对这些切口进行排序。调查还包括其他人口统计学和手术史问题。测量和主要结果：427例患者中有250例（58.5％）返回了调查，其中241项已完成关键的调查元素。传统腹腔镜切口的首选率为56.4％（95％置信区间[CI]，50.1％-62.7％），单切口为41.1％（95％CI，34.8％-47.3％），机器人手术为2.5％ （95％CI，0.5％-4.5％）。比例的两样本检验（Z检验）表明，传统方法与其他方法相比，偏好差异显着：单切口p = .007，机器人手术p <.001。对影响单点切口选择的因素进行多变量分析表明，拉丁裔/西班牙裔是唯一的重要因素（p = .02）。结论：与机器人手术相比，女性更喜欢单部位和传统的腹腔镜切口。由于美学是许多女性的重要考虑因素，并且临床结果相似，因此，在知情同意的程序中，切口的位置和长度应包括在风险，收益和替代方法的讨论中。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号