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使用 Gelpi 牵开器和弹性 O 形环伤口牵开器对犬髋关节腹侧入路的比较

Comparison of the Ventral Approach to the Canine Hip Joint Using Gelpi Retractors and an Elastic O-Ring Wound Retractor.

作者信息

Trębacz Piotr, Frymus Jan, Pawlik Mateusz, Czopowicz Michał, Barteczko Anna, Kurkowska Aleksandra, Zdeb Krzysztof, Galanty Marek

机构信息

Department of Surgery and Anaesthesiology of Small Animals, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, 02-776 Warsaw, Poland.

CABIOMEDE Sp. z.o.o., ul. Karola Olszewskiego 21, 25-663 Kielce, Poland.

出版信息

Animals (Basel). 2023 Nov 20;13(22):3582. doi: 10.3390/ani13223582.

DOI:10.3390/ani13223582
PMID:38003199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10668639/
Abstract

This study included 10 fresh adult cadavers of large breed dogs (6 males and 4 females). Their weight ranged from 25 to 45 kg (mean ± SD: 33.9 ± 6.2 kg). The breeds represented were crossbreed dogs ( = 5), German shepherds ( = 2), Bernese mountain dogs ( = 1), American Staffordshire terriers ( = 1), and Gordon setters ( = 1). Access to the target area and identification of the femoral head and neck was achieved with two Gelpi retractors inserted orthogonally and with the O-WR in all procedures. In each dog, the approach to the hip joint was made on the left and right sides. There was no significant difference in the area of the surgical wound bed between the two sides using either the Gelpi retractors (-0.52 ± 1.87 cm; CI 95%: -1.86, 0.81 cm; = 0.398) or the O-WR (-0.27 ± 2.34 cm; CI 95%: -1.94, 1.41 cm; = 0.729). The area of the surgical wound bed was 6.28 ± 1.72 cm (2.72-9.70 cm) for the Gelpi retractors and 6.34 ± 1.81 cm (4.13-10.77 cm) for the O-WR, and the difference between the Gelpi retractors and the O-WR was not significant (-0.06 ± 1.72 cm; CI 95%: -0.86, 0.74 cm; = 0.879).

摘要

本研究纳入了10只成年大型犬新鲜尸体(6只雄性,4只雌性)。它们的体重在25至45千克之间(均值±标准差:33.9±6.2千克)。所代表的犬种有杂交犬(n = 5)、德国牧羊犬(n = 2)、伯恩山犬(n = 1)、美国斯塔福郡梗(n = 1)和戈登雪达犬(n = 1)。在所有操作过程中,通过正交插入两个Gelpi牵开器并使用O-WR牵开器来暴露目标区域并识别股骨头和股骨颈。在每只犬中,均在左右两侧进行髋关节入路。使用Gelpi牵开器时,两侧手术伤口床面积无显著差异(-0.52±1.87平方厘米;95%置信区间:-1.86,0.81平方厘米;p = 0.398),使用O-WR牵开器时亦无显著差异(-0.27±2.34平方厘米;95%置信区间:-1.94,1.41平方厘米;p = 0.729)。Gelpi牵开器的手术伤口床面积为6.28±1.72平方厘米(2.72 - 9.70平方厘米),O-WR牵开器的手术伤口床面积为6.34±1.81平方厘米(4.13 - 10.77平方厘米),Gelpi牵开器与O-WR牵开器之间的差异不显著(-0.06±1.72平方厘米;95%置信区间:-0.86,0.74平方厘米;p = 0.879)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/5d27c8476daa/animals-13-03582-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/4d36964673ce/animals-13-03582-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/0f8ec4b0b8ac/animals-13-03582-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/e4e41a3d37c9/animals-13-03582-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/0f9ed5f07fee/animals-13-03582-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/5d27c8476daa/animals-13-03582-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/4d36964673ce/animals-13-03582-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/0f8ec4b0b8ac/animals-13-03582-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/e4e41a3d37c9/animals-13-03582-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/0f9ed5f07fee/animals-13-03582-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/10668639/5d27c8476daa/animals-13-03582-g005.jpg

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本文引用的文献

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2
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S Afr Fam Pract (2004). 2023 Feb 16;65(1):e1-e6. doi: 10.4102/safp.v65i1.5651.
3
Hand-held surgical retractors.手持式手术牵开器。
Br J Surg. 2023 Aug 11;110(9):1120-1121. doi: 10.1093/bjs/znac439.
4
Wound Retractor Laparoscopic Port System for Laparoscopic Ovariectomy in .用于腹腔镜卵巢切除术的伤口牵开器腹腔镜端口系统 于……
Animals (Basel). 2022 Mar 10;12(6):700. doi: 10.3390/ani12060700.
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Cost-effectiveness analysis of O-Ring wound retractor in elective laparoscopic colorectal surgery.O 型环伤口牵开器在择期腹腔镜结直肠手术中的成本效益分析。
Ann Ital Chir. 2021;92:460-464.
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Usefulness of a circumferential wound retractor in emergency colorectal surgery as a preventive measure for surgical site infection. Alexis O-Ring® and emergency surgery.环形切口牵开器在急症结直肠手术中作为预防手术部位感染的一种手段的实用性。Alexis O 型环®与急症手术。
Rev Gastroenterol Mex (Engl Ed). 2020 Oct-Dec;85(4):399-403. doi: 10.1016/j.rgmx.2019.08.009. Epub 2020 May 26.
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