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编辑评论:髋关节镜检查术中的腹腔内液体外渗——虽然罕见,但不能掉以轻心。

Editorial Commentary: Intra-abdominal Fluid Extravasation During Hip Arthroscopy-Although Rare, Don't Be Complacent.

机构信息

Tel Aviv University (E.R.).

出版信息

Arthroscopy. 2020 Apr;36(4):1061-1062. doi: 10.1016/j.arthro.2020.01.009.

Abstract

Hip arthroscopy has become the gold standard for the treatment of femoroacetabular impingement syndrome. Intra-abdominal fluid extravasation is the most commonly reported major complication, with variable rates depending on the measurement method. Little is known about the evolution of the fluid extravasation throughout the surgical procedure, and the risk factors for this complication are in need of validation. We recommend performing mitigating actions including keeping the surgical time to a minimum, monitoring core body temperature, performing psoas release (if planned) last, and keeping inflow fluid pressure as low as possible.

摘要

髋关节镜检查已成为治疗股骨髋臼撞击综合征的金标准。腹腔内液体外渗是最常报告的主要并发症,其发生率因测量方法而异。对于整个手术过程中外渗液的演变知之甚少,并且需要验证这种并发症的危险因素。我们建议采取缓解措施,包括将手术时间保持在最短、监测核心体温、最后进行腰大肌松解(如果计划进行)以及将流入液压力保持在尽可能低的水平。

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