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精准实践:网片和手术类型在妇科泌尿手术和研究中的关键作用。

Precision in Practice: The Critical Role of Mesh and Procedure Type Specification in Urogynecological Surgeries and Research.

机构信息

Department of Urogynaecology, Cork University Maternity Hospital, Wilton Road, Wilton, Cork, Ireland.

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, affiliated with the Hebrew University School of Medicine, Jerusalem, Israel.

出版信息

Int Urogynecol J. 2024 Sep;35(9):1763-1767. doi: 10.1007/s00192-024-05820-5. Epub 2024 May 29.

Abstract

Recently, the debate surrounding the use of mesh in urogynecological procedures has intensified, leading to FDA warnings and heightened safety concerns. This clinical opinion emphasizes the vital need to specify mesh types in these procedures, drawing attention to the risk profiles and clinical outcomes associated with various meshes and the procedures that utilize them. A significant issue identified in contemporary literature is the tendency to group diverse mesh types under the same umbrella, disregarding their unique characteristics and applications. We describe the range of mesh types, their application routes, and associated complications, highlighting the risks of this nonspecific approach to patient safety and informed decision making. We critically examine the generalization of mesh terminology in clinical and research dialogues. Concluding with specific recommendations for health care providers and researchers, the paper advocates for a more nuanced understanding and communication in the field, ultimately aiming to improve patient care and safety in urogynecological practice.

摘要

最近,网片在妇科泌尿手术中应用的争论愈演愈烈,导致了 FDA 的警告和安全隐患的增加。本临床意见强调了在这些手术中明确指出网片类型的重要性,提请注意与各种网片和使用这些网片的手术相关的风险概况和临床结果。当代文献中一个重要的问题是,倾向于将不同的网片类型归为同一类,而忽略了它们独特的特点和应用。我们描述了网片类型的范围、它们的应用途径以及相关的并发症,强调了这种对患者安全和知情决策的非特异性方法的风险。我们对临床和研究对话中网片术语的泛化进行了批判性的审查。最后为医疗保健提供者和研究人员提出了具体的建议,本文主张在该领域有更细致的理解和沟通,最终目的是提高妇科泌尿实践中患者的护理和安全性。

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