Interpretation of evidence-based guidelines for the treatment of pediatric inguinal hernia via IPEG minimally invasive approach

doi:10.3877/cma.j.issn.1674-392X.2018.04.003

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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2018, Vol. 12 ›› Issue (04): 247-248. doi: 10.3877/cma.j.issn.1674-392X.2018.04.003

Special Issue: ；；；

• Guideline and Consensus • Previous Articles Next Articles

Interpretation of evidence-based guidelines for the treatment of pediatric inguinal hernia via IPEG minimally invasive approach

Yonggang Huang¹, Ping Wang¹^,^†()

^1. Department of Hernia and Abdominal Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China

Received:2017-12-10 Online:2018-08-18 Published:2018-08-18
Contact: Ping Wang
About author:
Corresponding author: Wang Ping, Email: 13906539083@163.com

Abstract

Key words: Minimally invasive surgery, Pediatric Inguinal hernia, Evidence-based Guideline, Patent processus vaginalis

Yonggang Huang, Ping Wang. Interpretation of evidence-based guidelines for the treatment of pediatric inguinal hernia via IPEG minimally invasive approach[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(04): 247-248.

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证据级别		?
?	1a级	同质化随机对照试验的系统综述
?	1b级	可信区间范围较小的单项随机对照试验
?	2a级	同质化队列研究的系统综述
?	2b级	单项队列研究(包括低质量的随机对照试验,随访率<80%)
?	3a级	同质化病例对照研究的系统综述
?	3b级	单项病例对照研究
?	4级	病例系列报道(包括质量较差的队列研究和病例对照研究)
?	5级	无明确批判性评价的专家意见
推荐级别		?
?	A级	1级证据一致支持的推荐
?	B级	2级或3级证据一致支持或1级证据推断的推荐
?	C级	4级证据支持,2级或3级证据推断的推荐
?	D级	4级证据支持,或不一致、不确定的任何级别证据支持的推荐

证据级别		?
?	1a级	同质化随机对照试验的系统综述
?	1b级	可信区间范围较小的单项随机对照试验
?	2a级	同质化队列研究的系统综述
?	2b级	单项队列研究(包括低质量的随机对照试验,随访率<80%)
?	3a级	同质化病例对照研究的系统综述
?	3b级	单项病例对照研究
?	4级	病例系列报道(包括质量较差的队列研究和病例对照研究)
?	5级	无明确批判性评价的专家意见
推荐级别		?
?	A级	1级证据一致支持的推荐
?	B级	2级或3级证据一致支持或1级证据推断的推荐
?	C级	4级证据支持,2级或3级证据推断的推荐
?	D级	4级证据支持,或不一致、不确定的任何级别证据支持的推荐

体内打结	单孔或多孔
?	荷包,或"Z"字,或"N"字缝合
?	疝囊翻转结扎(只用于女性)
?	或进一步分离或切除部分疝囊
?	翻转皱襞(腹膜覆盖)
体外打结	单孔或多孔
?	经皮内镜辅助结扎
?	用于将缝线环绕内环口的各种器械(钢针,腰穿针,Reverdin针,腔内穿刺针,其他特殊工具)
?	其他方法:注水法,穿破腹膜,脐内侧韧带覆盖
其他	腔镜辅助的微小伤口腹膜外分离和结扎
?	单侧疝囊切除

体内打结	单孔或多孔
?	荷包,或"Z"字,或"N"字缝合
?	疝囊翻转结扎(只用于女性)
?	或进一步分离或切除部分疝囊
?	翻转皱襞(腹膜覆盖)
体外打结	单孔或多孔
?	经皮内镜辅助结扎
?	用于将缝线环绕内环口的各种器械(钢针,腰穿针,Reverdin针,腔内穿刺针,其他特殊工具)
?	其他方法:注水法,穿破腹膜,脐内侧韧带覆盖
其他	腔镜辅助的微小伤口腹膜外分离和结扎
?	单侧疝囊切除

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