Yazid Mark M, De la Fuente Hagopian Alexa, Farhat Souha, Doval Andres F, Echo Anthony, Pei Kevin Y
Institute for Reconstructive Surgery, Houston Methodist Hospital, Houston, USA.
General Surgery, Parkview Health, Fort Wayne, USA.
Cureus. 2022 Jun 24;14(6):e26290. doi: 10.7759/cureus.26290. eCollection 2022 Jun.
Background Abdominal wall reconstruction (AWR) has evolved with the continued advent of new techniques such as component separation (CS). General (GS) and plastics surgeons (PS) are trained to perform this procedure. Differences in patient population and clinical outcomes between specialties are unknown. Methods Using a national database, patients who underwent incisional/ventral hernia repair managed with CS were grouped according to the primary specialty. Patient demographics, perioperative details, and postoperative complications were compared, and the risk factors associated with clinical outcomes were analyzed. Results A total of 4,088 patients were identified. PS operated more often in the inpatient setting, and patients had a higher prevalence of hypertension and clean-contaminated wounds. Hypertension and being operated by a PS were associated with an increased risk of needing a blood transfusion after CST. Conclusion CS surgical outcomes are similar and comparable specialties. Primary specialty does not affect postoperative complications or 30-day mortality after CS.
背景 随着诸如成分分离术（CS）等新技术的不断出现，腹壁重建（AWR）也在不断发展。普通外科医生（GS）和整形外科医生（PS）都接受过进行此手术的培训。不同专业之间患者群体和临床结果的差异尚不清楚。方法 使用国家数据库，将接受CS治疗的切口疝/腹疝修补术患者按主要专业分组。比较患者人口统计学、围手术期细节和术后并发症，并分析与临床结果相关的危险因素。结果 共识别出4088例患者。PS在住院环境中手术的频率更高，患者高血压患病率和清洁-污染伤口的比例更高。高血压和由PS进行手术与CST后需要输血的风险增加有关。结论 CS手术结果在各专业中相似且具有可比性。主要专业不影响CS后的术后并发症或30天死亡率。
