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手术中使用乳胶和硅胶引流管——橡胶引流管的禁令真的是向前迈进了一步,还是倒退了一步?

Latex and silicone drains in surgery − is the ban on rubber drains really a step forward or rather a step back?

出版信息

Rozhl Chir. 2022 Winter;101(11):525-529. doi: 10.33699/PIS.2022.101.11.525-529.

Abstract

The use of silicone and latex drains is an integral part of surgical practice. Experience and the review of the world literature show that silicone drain is characterized by a much lower rate of fibrotic reaction of the tissue around the drain. The ability of a latex, or rubber, or popularly called rubber drain, to induce the formation of ligaments in its surroundings is advantageously used in situations where the targeted formation of scar tissue is desired. This feature is absent in silicone drains. However, nowadays the rule in most surgical departments is to use almost exclusively silicone drains, which is based on prevention of latex allergy. This article is devoted to the description of the different and mutually irreplaceable use of silicone and latex drains. Subsequently, he also discusses the question of whether the twilight of the use of latex drains in modern medicine is really progress, or rather retrogression.

摘要

硅胶和乳胶引流管的使用是外科手术实践的一个组成部分。经验和对世界文献的回顾表明,硅胶引流管的组织纤维化反应率要低得多。乳胶(或橡胶)引流管的特性是能够在周围组织中形成韧带,这在需要有针对性地形成疤痕组织的情况下是有利的。而硅胶引流管则没有这种特性。然而,如今在大多数外科部门的规则是几乎只使用硅胶引流管,这是基于预防乳胶过敏的考虑。本文致力于描述硅胶和乳胶引流管的不同且不可替代的用途。随后,他还讨论了在现代医学中是否真的需要淘汰乳胶引流管,这是进步还是倒退。

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