• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >A preliminary evaluation of two different meshes in minimally invasive inguinal hernia surgery
【24h】

A preliminary evaluation of two different meshes in minimally invasive inguinal hernia surgery

机译：两种不同网眼在微创腹股沟疝手术中的初步评价

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Many meshes are available for use in laparoscopic inguinal hernia repair. The surgeon must consider several factors when choosing a mesh for hernia repair including clinical outcomes, cost, and ease of use. The purpose of this study was to compare two different lightweight polypropylene meshes for laparoscopic and robotic inguinal hernia repairs. Methods Subjects were randomized immediately before surgery. Data were reported in N (%) and median [Q1-Q3], comparisons of mesh insertion time were tested using a 2 x 2 ANOVA on the ranked times, comparisons between categorical variables were tested with Fisher's Exact, and all data were analyzed using SAS (R) 9.4 (SAS Institute, Inc.). Results Between January 2015 and June 2016, 50 subjects were enrolled; two were excluded. Of 48 eligible subjects, most were Caucasian (N = 42, 88%), male (N = 37, 77%), with a median age of 63, and were randomized evenly between 3DMax (TM) mesh and Ultrapro (R) mesh. Robotic mesh placement significantly increased insertion time regardless of mesh type (p < .0001). When comparing NASA-TLX self-assessment surveys, there was no significant difference between the meshes in difficulty of placement. The type of mesh did not significantly impact the insertion time regardless of robot use (p = 0.523). Conclusion Our data demonstrate that mesh insertion times comparing two different lightweight polypropylene meshes were not significantly different. Increased insertion times associated with robotic repair are likely due to the mechanics of robotic suturing and associated learning curve. Our data suggest that these meshes can be used interchangeably based on the surgeon's preference.
机译：背景：腹腔镜腹股沟疝修补术中有许多网片可用。外科医生在选择疝修补网时必须考虑几个因素，包括临床结果、成本和易用性。本研究的目的是比较腹腔镜和机器人腹股沟疝修补术中两种不同的轻质聚丙烯网片。方法受试者在手术前立即随机分组。数据以N（%）和中位数[Q1-Q3]报告，网格插入时间的比较使用2 x 2方差分析对排名时间进行测试，分类变量之间的比较使用Fisher's Exact进行测试，所有数据使用SAS（R）9.4（SAS Institute，Inc.）进行分析。结果2015年1月至2016年6月，共纳入50名受试者；两人被排除在外。在48名符合条件的受试者中，大多数为白种人（N=42,88%），男性（N=37,77%），中位年龄为63岁，并在3DMax（TM）网格和Ultrapro（R）网格之间均匀随机分配。无论网格类型如何，机器人网格放置都显著增加了插入时间（p<0.0001）。当比较NASA-TLX自我评估调查时，网格之间的放置难度没有显著差异。无论使用何种机器人，网格类型对插入时间没有显著影响（p=0.523）。结论我们的数据表明，两种不同的轻质聚丙烯网片的植入时间没有显著差异。与机器人修复相关的插入时间增加可能是由于机器人缝合的机制和相关的学习曲线。我们的数据表明，这些网格可以根据外科医生的偏好互换使用。

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