未经证实:尽管是最常见的泌尿外科手术之一,鞘膜积液手术(子宫内膜切除术)后并发症的风险估计尚不确定.有关鞘膜积液切除术的决策涉及平衡并发症的风险与手术疗效的权衡,这在很大程度上取决于鞘膜积液手术的并发症风险。
UNASSIGNED:为了检查巨大的鞘膜积液手术并发症的90天风险,当代样本。
UNASSIGNED:我们回顾性回顾了2010年初至2018年底在赫尔辛基都会区所有五家公立医院进行的非复发性鞘膜积液手术,并评估了并发症的结局。
UNASSIGNED:评估了以下结果:(1)中度或重度(Clavien-DindoII-V)鞘膜积液手术并发症的风险,(2)由于手术并发症而再次手术的风险,(3)意外术后到急诊室或门诊就诊的风险,均在术后90d内。
未经评估:我们确定了866例鞘膜积液手术(38[4.3%]双侧手术)。共有139例(16.1%)患者在术后90d内出现中、重度鞘膜积液手术并发症。在139种并发症中,94人(10.9%或67.6%的中度或重度并发症患者)Clavien-DindoII级,43(5.0%和30.9%,分别)三级,两个(0.2%和1.4%,分别)四级,共有45例患者(占所有患者的5.2%和有中度或重度并发症的32.4%)因并发症需要立即再次手术.共有219名手术患者(占所有手术患者的25.3%)意外前往急诊室。回顾性研究设计限制了结果的可靠性。
UNASSIGNED:鞘膜积液术后并发症很常见,需要进一步研究。这些估计可用于临床医生和患者之间的共同决策。
UNASSIGNED:我们调查了鞘膜积液手术后的并发症发生率,发现通常认为轻微手术后的并发症很常见:每9例患者有中度并发症,每20例患者有重度并发症。每4例患者都有一次计划外的术后急诊就诊。
UNASSIGNED: Despite being one of the most frequent urological procedures, the risk estimates for complications after hydrocele surgery (
hydrocelectomy) are uncertain. Decision-making about
hydrocelectomy involves balancing the risk of complications with efficacy of surgery-a tradeoff that critically depends on the complication risks of hydrocele surgery.
UNASSIGNED: To examine the 90-d risks of complications of hydrocele surgery in a large, contemporary sample.
UNASSIGNED: We retrospectively reviewed all surgeries performed for nonrecurrent hydroceles conducted in all five Helsinki metropolitan area public hospitals from the beginning of 2010 till the end of 2018, and evaluated the complication outcomes.
UNASSIGNED: The following outcomes were evaluated: (1) risk of moderate or severe (Clavien-Dindo II-V) hydrocele surgery complications, (2) risk of reoperation due to a surgical complication, and (3) risk of an unplanned postoperative visit to the emergency room or outpatient clinic, all within 90 d after surgery.
UNASSIGNED: We identified 866 hydrocele operations (38 [4.3%] bilateral operations). A total of 139 (16.1%) patients had moderate or severe hydrocele surgery complications within 90 d after surgery. Of the 139 complications, 94 were (10.9% of all or 67.6% of patients with moderate or severe complications) Clavien-Dindo grade II, 43 (5.0% and 30.9%, respectively) grade III, two (0.2% and 1.4%, respectively) grade IV, and none grade V. A total of 45 patients (5.2% of all and 32.4% of those who had moderate or severe complications) required immediate reoperation due to complications. All together 219 operated patients (25.3% of all operated patients) had an unplanned visit to the emergency room. The retrospective study design limits the reliability of the results.
UNASSIGNED: Complications after hydrocele surgery are common and warrant further research. These estimates can be useful in shared decision-making between clinicians and patients.
UNASSIGNED: We investigated the complication rates after hydrocele surgery and found that complications are common after a procedure often considered minor: every ninth patient had a moderate and every 20th a severe complication. Every fourth patient had an unplanned postoperative visit to the emergency room.