关键词: Abdominal binder Abdominoplasty Compression garment Post-operative Seroma intra-abdominal pressure

来  源:   DOI:10.1016/j.jpra.2024.05.014   PDF(Pubmed)

Abstract:
UNASSIGNED: It is commonly believed that using abdominal binders or compression garments (CGs) after an abdominoplasty could encourage fluid to drain, which would prevent fluid from building up at the surgical site and reduce the risk of seroma and other similar problems.
UNASSIGNED: To evaluate the effect of the use of abdominal binders or CG on the post-operative outcomes following abdominoplasty.
UNASSIGNED: Systematic review.
UNASSIGNED: Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines were followed to select relevant studies from 2004 to 2024. Data from the included studies were extracted to assess the quality and risk of bias using a modified Jadaad score.
UNASSIGNED: Post-operative seroma formation.
UNASSIGNED: Ventilatory function, intra-abdominal pressure (IAP), and subcutaneous edema were the outcomes of interest.
UNASSIGNED: Only 5 trials totaling 130 patients were included in this review. Utilizing post-operative CG following abdominoplasty showed a non-significant tendency to decrease seroma development, ventilatory function, and subcutaneous edema. The limited evidence available also suggested that using post-operative CG increases IAP.
UNASSIGNED: Weak evidence supports the beneficial use of abdominal binders following abdominoplasty.
UNASSIGNED: Low-quality scientific evidence available from the scant data and low caliber of the literature support the use of CG post-abdominoplasty. Therefore, unified outcome reporting and rigid randomized clinical trials are necessary to obtain valid data.
摘要:
通常认为,在腹部成形术后使用腹部粘合剂或压缩服(CG)可以促进液体排出,这将防止液体在手术部位积聚,并降低血清肿和其他类似问题的风险。
评估使用腹部结合剂或CG对腹部成形术后术后结果的影响。
系统评价。
遵循系统审查和荟萃分析(PRISMA)指南的首选报告项目,以选择2004年至2024年的相关研究。使用改良的Jadaad评分提取纳入研究的数据以评估偏倚的质量和风险。
术后血清肿形成。
通风功能,腹内压(IAP),和皮下水肿是感兴趣的结果。
本综述仅纳入5项试验,共130名患者。使用腹部成形术后的术后CG显示出减少血清肿发展的非显着趋势,通气功能,和皮下水肿。现有的有限证据还表明,使用术后CG会增加IAP。
微弱的证据支持在腹部成形术后使用腹部粘合剂是有益的。
从缺乏数据和低口径的文献中获得的低质量科学证据支持使用CG后腹部成形术。因此,需要统一的结局报告和严格的随机临床试验才能获得有效数据.
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