关键词: flap fixation interrupted sutures mastectomy running sutures seroma tissue glue

Mesh : Female Humans Breast Neoplasms / surgery Mastectomy / adverse effects methods Network Meta-Analysis Postoperative Complications / prevention & control etiology Seroma / etiology prevention & control Surgical Flaps Suture Techniques

来  源:   DOI:10.1002/jso.27589

Abstract:
Flap fixation is the most promising solution to prevent seroma formation after mastectomy. In this systematic review with network meta-analysis (NMA), three different techniques were compared. The NMA included 25 articles, comprising 3423 patients, and revealed that sutures are superior to tissue glue in preventing clinically significant seroma. In addition, running sutures seemed to be superior to interrupted sutures. An RCT comparing these suture techniques seems necessary, given the quality and nature of existing literature.
摘要:
皮瓣固定是预防乳房切除术后血清肿形成的最有希望的解决方案。在这篇网络荟萃分析(NMA)的系统综述中,比较了三种不同的技术。NMA包括25篇文章,包括3423名患者,并发现缝合线在预防临床上明显的血清肿方面优于组织胶。此外,穿行缝线似乎优于中断缝线。RCT比较这些缝合技术似乎是必要的,鉴于现有文献的质量和性质。
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