Mori George A, Tiernan Jim P
John Goligher Colorectal Unit, St James's University Hospital, Leeds, United Kingdom.
Clin Colon Rectal Surg. 2022 Mar 7;35(3):212-220. doi: 10.1055/s-0042-1742414. eCollection 2022 May.
Despite advancements in understanding and technique, there remain significant challenges in the management of a complex perineal wound following pelvic surgery. Complications including wound sepsis, fistulation, persistent sinus, and herniation produce additional morbidity and health care costs. This article details the methods of optimizing patient and operative factors to mitigate this risk, alongside strategies to deal with sequelae of wound failure.
尽管在认识和技术方面取得了进展,但盆腔手术后复杂会阴伤口的处理仍面临重大挑战。包括伤口感染、形成瘘管、持续窦道和疝在内的并发症会增加发病率和医疗费用。本文详细介绍了优化患者和手术因素以降低这种风险的方法,以及应对伤口愈合不良后遗症的策略。