Top Read Articles

Published in last 1 year |  In last 2 years |  In last 3 years |  All

Please wait a minute...


For Selected: Download Citations EndNote Reference Manager ProCite BibTeX RefWorks Toggle Thumbnails

Select

Laparoscopic total extraperitoneal hernia repair for the treatment of inguinal hernia with different fixation methods HUANG Jianfeng, SUN Zhenzhi, LIU Yuhui, WANG Tao, JIN Jitao, NIE Yong Journal of General Surgery for Clinicians    2021, 9 (1): 3-.   Abstract （208）            Knowledge map    Save Related Articles | Metrics

Select

Clinical study of laparoscopic high ligation of peritoneal hernia sac without injury of hernia needle in the treatment of indirect inguinal hernia in children CHEN Rongyu, XU Guixian, YE Yingchao Journal of General Surgery for Clinicians    2021, 9 (2): 3-.   Abstract （151）            Knowledge map    Save Abstract: Objective To investigate the clinical value of laparoscopic high ligation of hernia sac without injury by hernia needle in the treatment of indirect inguinal hernia in children. Methods 90 children with indirect inguinal hernia admitted to Gaozhou Maternal and Child Health Hospital from January 2018 to June 2019 were randomly divided into traditional operation (group A), hernia needle + laparoscopy (group B) and laparoscopy (Group C) with 30 patients of each group. Group A was treated with traditional high ligation of hernia sac, group B was treated with laparoscopic high ligation of hernia needle without injury of peritoneal hernia sac, and group C was treated with laparoscopic high ligation of hernia sac. Results The operation time of group A was longer than that of group B and group C, and the incidence of complications was higher, the difference was significant (P<0.05); The incision length, intraoperative blood loss, autonomous activity time and hospitalization time of the three groups were compared. The results of group B were better than those of group A and group C, and the results of group A were the worst, with significant difference (P<0.05). Conclusion Laparoscopic high ligation of hernia sac without injury of hernia needle in the treatment of indirect inguinal hernia in children has the advantages of fast, minimally invasive and safe, which can significantly promote the physical rehabilitation of children after operation. Related Articles | Metrics

Select

A comparative study in the treatment of postoperative low extremity deep vein thrombosis QI Haoshan, ZHAO Juncheng, ZHANG Kun, LI Dalin, CHEN Yunhui, YAN Jingqiang, HUANG Shujie Journal of General Surgery for Clinicians    2021, 9 (3): 2-.   Abstract （137）            Knowledge map    Save Abstract: Objective To estimate the risk of bleeding after thrombolytic therapy in patients with secondary deep venous thrombosis, in order to find a better therapy for higher bleeding risk postoperative patients. Methods 48 patients diagnosed postoperative DVT were divided into PMT group included 27 patients and CDT group included 21 patients. The PMT group was treated by PMT or PMT+CDT, the CDT group given thrombolysis only directed by catheterization. The effects of thrombus removal and later follow-up effects in the two groups were compared. Results Thrombus degradation was obviously better in PMT group compared with the CDT group [(90.21±17.28)% vs (75.65±27.59)%]. Lower dosage of urokinase [(105.45±126.34)WU vs (345.87±118.38)WU] and shorter hospital stays [(6.72±1.88)d vs (8.82±2.97)d],less time in bed[（2.90±2.71）d vs（ 5.40±2.06）d]was also detected in PMT group patients. There is nonmajor bleeding occurred in both groups. Nonmajor bleeding was higher in PMT group, but they did not achieve statistical significance(P>0.05). In later follow-up, PTS Villalta scores of 12 and 24 months in PMT were better than CDT. Conclusion Both PMT and single CDT were both effective and safety methods in treating postoperative DVT more than one week, associated low bleeding risk，however the strategy combined PMT had the advantage in low dosage of urokinase using, better thrombus eliminating, and reducing the hospital stays and time in bed. Villalta score was lower in PMT-group, connected with lower risk of PTS morbidity. Related Articles | Metrics

Select

Meta analysis of the application effect of clinical nursing pathway in patients with thyroid tumor surgery GONG Lili, CHEN Chen Journal of General Surgery for Clinicians    2021, 9 (2): 37-.   Abstract （109）            Knowledge map    Save Objective To explore the application effect of clinical nursing pathway in patients with thyroid tumor surgery. Methods CNKI, VIP database,Wanfang database, CBMdisc and other databases were searched to search the clinical randomized controlled trials or clinical controlled trials of clinical nursing pathway in patients with thyroid surgery from when building the library to June 2019. The literature was screened and extracted. RevMan 5.0 software was used to evaluate the quality of literature. Finally, RevMan 5.3 was used for analysis. Results A total of 19 clinical controlled studies were included, including 2371 patients with thyroid surgery, including 1193 patients with the clinical nursing pathway (experimental group) and 1178 patients with the traditional clinical nursing (control group). The average hospitalization time of the experimental group was significantly less than that of the control group, the satisfaction and knowledge mastery of the experimental group was significantly higher than that of the control group, the bed rest time of the experimental group was significantly lower than that of the control group, and the incidence of complications of the experimental group was significantly lower than that of the control group. Conclusion The implementation of clinical nursing pathway for patients with thyroid surgery can significantly shorten the average length of hospital stay, improve patient satisfaction and mastery of knowledge, and reduce the occurrence of complications. Related Articles | Metrics

Select

Journal of General Surgery for Clinicians    2019, 0 (3): 1-.   Abstract （107）            Knowledge map    Save Related Articles | Metrics

Select

Clinicopathological characteristics and prognosis of invasive ductal/lobular mixed carcinoma, invasive lobular carcinoma and invasive ductal carcinoma of breast LENG Minfang, CHENG Wende, XIAO Xiaoqin, LIU Feng Journal of General Surgery for Clinicians    2021, 9 (1): 24-.   Abstract （97）            Knowledge map    Save Abstracts: Objective To study the pathological characteristics of breast infiltrative ductal / lobular mixed carcinoma(IDC-L), infiltrative lobular carcinoma(ILC) and infiltrative ductal carcinoma(IDC). Methods From September 2011 to September 2020,254 breast cancer patients were selected, Among them, there were 18 cases of IDC-L, 20 cases of ILC and 216 cases of IDC. The prognosis of the three groups of patients was observed. Results IDC- L, ILC and IDC patients had significant differences in age, tumor size, multicentric lesions, vascular invasion, HER2 status, Ki-67 expression. IDC-L patients had younger onset age, more tumor diameter>2.0 cm, while IDC patients had less multicentric lesions and vascular invasion, while HER2 positive rate and Ki-67 high expression ratio in IDC-L and ILC patients were lower than IDC, the difference was statistically significant(P<0.05). Age, climacteric state, tumor size, lymph node state, multicentric lesions, lymphatic vessel invasion, HER2 state and Ki-67 expression were all the influencing factors of clinic pathological differences. Breast cancer-free interval and overall survival were related to tumor size, lymph node status, lymphatic vessel invasion and Ki-67 expression (P<0.05). Conclusion In breast cancer patients, the clinicopathological characteristics of ILC and IDC-L are similar to each other, but there are obvious differences among ILC, IDC-L and IDC. The breast cancer patients can be differentiated clinically and treated better. Related Articles | Metrics

Select

Application value of fine capsule anatomy combined with cricothyroid space exposure of recurrent laryngeal nerve in total thyroidectomy for patients with thyroid cancer JIN Xiongwei, LI Hongshuai, YANG Zuohao, LI Manzhi, ZHANG Hao Journal of General Surgery for Clinicians    2022, 10 (1): 2-.   Abstract （88）            Knowledge map    Save Objective To explore the application value of fine capsule anatomy combined with cricothyroid space exposure of recurrent laryngeal nerve in total thyroidectomy for thyroid cancer patients. Method 90 patients with thyroid cancer in Dongguan Kanghua Hospital from January 2018 to September 2020 were selected. They were randomly divided into two groups, with 45 cases in each group. The control group was treated with conventional total thyroidectomy and inferior thyroid artery exposure of recurrent laryngeal nerve, while the observation group was treated with refined capsule anatomy combined with cricothyroid space exposure of recurrent laryngeal nerve. The operation conditions, changes of thyroid function indexes before and after operation, postoperative complications and recurrence after 6 months of follow-up were compared between the two groups. Result There was no significant difference in the operation time, intraoperative blood loss and the number of lymph node dissection between the two groups (P ＞ 0.05); The detection results of serum parathyroid hormone and Ca2+ in the observation group on 1 day and 3 days after operation were higher than those in the control group, and the difference was significant(P ＜ 0.05); The incidence of recurrent laryngeal nerve injury, hypoparathyroidism and hypocalcemia in the observation group were lower than those in the control group, the difference between the data was significant (P ＜ 0.05); there was no significant difference in the recurrence rate of the two groups after 6 months of follow-up (P ＞ 0.05). Conclusion In total thyroidectomy for patients with thyroid cancer, fine capsule anatomy combined with exposure of recurrent laryngeal nerve in cricothyroid space is beneficial to protect the function of recurrent laryngeal nerve and parathyroid gland. Related Articles | Metrics

Select

Clinical study on combined treatment of laparoscopy, choledochoscope and duodenoscopy for senile mild biliary pancreatitis JIAO Zhendong, GUO Zhihua, LIU Yimin Journal of General Surgery for Clinicians    2021, 9 (3): 8-.   Abstract （76）            Knowledge map    Save Abstract: Objective To evaluate the safety and effectiveness of combination of laparoscopy, choledochoscope and duodenoscope combination of three glasses in the treatment of senile mild biliary pancreatitis and traditional open cholecystectomy plus choledocholithotomy. Methods 80 patients with mild biliary pancreatitis from January 2013 to December 2020 in the Hepatobiliary Surgery Department of Baoji People's Hospital were retrospectively analyzed. The patients received laparotomy or threemirror combined surgery respectively. According to different surgical methods, they were divided into control group (traditional laparotomy) and observation group (combined therapy of three mirrors) with 40 cases each. Two groups’ postoperative complications, intraoperative blood loss, stone removal success rate, surgical success rate, severe pancreatitis rate, gastrointestinal function recovery time, blood amylase recovery time, hospitalization time and hospitalization expenses were compared. Results The incidence rate of postoperative complications and intraoperative blood loss of observation group were lower than that of control group. However, there was no significant difference between the two groups in stone clearance rate, severe pancreatitis rate and operation success rate. The hospitalization time and gastrointestinal function recovery time of the observation group are lower than those of the control group. In addition, compared with endoscopic retrograde cholangiopancreatography treatment and laparoscopic cholecystectomy + laparoscopic common bile duct exploration sequential inertia treatment after 1~2 weeks, the recovery time of blood amylase in the open surgery is significantly prolonged. However, there was no significant difference in hospitalization expenses between the two groups. Conclusion Combined treatment of three glasses for elderly senile biliary pancreatitis is a safer and more effective method. It has fewer surgical complications, shorter hospital stay, but requires secondary surgery. Related Articles | Metrics

Select

Effect of ultrasound-guided continuous transversus abdominis plane block on postoperative analgesia and early recovery in patients undergoing radical resection of rectal cancer HUANG Zhidong, LI Chaoyang, YANG Jixiong Journal of General Surgery for Clinicians    2021, 9 (2): 7-.   Abstract （75）            Knowledge map    Save Objective To investigate the effect of continuous transverse abdominal plane block on postoperative analgesia and early recovery in patients with radical rectal cancer. Methods 56 patients with rectal cancer treated at the Second Affiliated Hospital of Guangdong Medical University from July 2017 to July 2019 were selected, which were divided into 28 cases, patients with controlled intravenous analgesia, patients with an ultrasound-guided continuous transverse abdominal plane block. The amount of fluid access and anesthetic use during patient surgery, The numerical rating scale (NRS) of 2h, 6h, 12h, 24h, 48h, 72h cough and resting were recorded; Patient relief, hospitalization time, first exhaust time after surgery, first bed time were recorded; The adverse reactions and complications such as nausea and vomiting after surgery were recorded; Patient recovery was assessed to a postoperative recovery quality scale. Results There was no significant difference between surgical time, anesthesia time, urine volume, propofol dosage, intraoperative bleeding volume, and total fluid volume in the two groups (P>0.05), The usage quantity of Remifentanil in study group less than the control group, The difference is significant (P<0.05); Postoperative 2h, 6h, 12h, 24h, The NRS at cough and resting were lower than the control group, the difference is significant (P<0.05); Postoperative 48h、72h, there was no significant difference in the NRS at coughing and resting (P>0.05); Preoperative 1d, there was no significant difference in the total score, emotional state, self-care ability, physical comfort, pain, and psychological support scores of the two groups (P>0.05); Postoperative 3d, total score, physical comfort, emotional state, pain, and psychological support scores were higher than in the control group, the difference is significant (P<0.05); There was no significant hospitalization time difference between the two groups (P>0.05); The first hospital discharge time and the first postoperative exhaust time were shorter than the control group, the rates of nausea, vomiting, relief and analgesia were lower than in the control group, the difference was significant (P<0.05). Conclusion Ultrasonic-guided continuous transverse abdominal plane block can significantly improve the postoperative cough and resting analgesia effect in patients with radical rectal cancer, and significantly improve the early recovery condition. Related Articles | Metrics

Select

Application of enhanced recovery after surgery concept in perioperative nursing of laparoscopic appendectomy ZHOU Xialei, LU Xian, TANG Xueqin Journal of General Surgery for Clinicians    2023, 11 (1): 69-.   Abstract （75）            Knowledge map    Save Objective To explore the application effect of enhanced recovery after surgery concept in perioperative nursing of laparoscopic appendectomy. Method A total of 280 patients with acute appendicitis diagnosed and treated in Kunshan Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine from January 2020 to December 2021 were retrospectively selected as the research objects and they were randomly divided into observation group (n=140) and control group (n=140). The control group was given routine surgical nursing, while the observation group was given rapid rehabilitation surgical nursing. The postoperative related indexes and recovery of the patients in the two groups were compared. Result The postoperative anal exhaust time, the first time to get out of bed, the postoperative defecation time, the postoperative knife pain score and the length of hospital stay in the observation group were significantly better than those in the control group, and the differences were statistically significant (P ＜ 0.05). The total incidence of postoperative complications in the observation group was 4.28%, which was lower than 10.71% in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The perioperative implementation of fast track surgical nursing in laparoscopic appendectomy can accelerate the recovery of postoperative gastrointestinal function, reduce the length of hospital stay and the incidence of postoperative complications, which is worthy of clinical surgical nursing promotion and application. Related Articles | Metrics

Select

Research on the relationship between self-compassion and resilience in chronic pain patients MENG Jing, LI Yang, LIU Yu, CHEN Jing Journal of General Surgery for Clinicians    2021, 9 (1): 16-.   Abstract （73）            Knowledge map    Save Abstract: Objective To explore the correlation between self-compassion and psychological elasticity in patients with chronic pain, provide a theoretical basis for the clinical development of psychological intervention programs. Methods This study uses the General Information Questionnaire, Self-Compassion Scale and psychological resilience. A survey was conducted on 195 chronic pain patients in Qingdao Municipal Hospital, the influencing factors and correlation between self compassion and resilience in patients with chronic pain were analyzed. Results The total score of self-compassion for chronic pain patients was (53.12±8.59) points, and the total score of psychological elasticity was (58.65±16.31) points. There is a positive correlation between self-compassion and psychological resilience in patients with chronic pain，with a correlation coefficient of 0.415; Multiple linear regression analysis showed that the cultural level and gender of patients with chronic pain were the main factors affecting patients’ Self-compassion(P<0.05). Conclusion By adjusting the level of psychological resilience of chronic pain patients can be improved psychological defense, and reduce psychological stress. Related Articles | Metrics

Select

Effect of rational emotional behavior therapy on psychological and stress response after radical mastectomy CHEN Zejie Journal of General Surgery for Clinicians    2021, 9 (2): 44-.   Abstract （73）            Knowledge map    Save Objective To explore the effect of rational emotional behavior therapy on psychological and stress response after radical mastectomy. Methods Patients who underwent radical mastectomy for breast cancer in Shantou Central Hospital from January 2019 to January 2020 were selected. The random number table was divided into a control group and an observation group, each with 40 cases. Patients in the control group received conventional nursing care, and patients in the observation group received reasonable emotional behavior therapy on the basis of conventional treatment, including cognitive education, guidance and understanding, psychological intervention and reasonable behavior intervention. After all, the stress level and nursing satisfaction of the two groups of patients, to determine the impact of reasonable emotional therapy on the surgical stress response of patients undergoing radical breast cancer surgery. Results Compared with the control group, after receiving reasonable emotional intervention, the total score of self-rating depression scale (SDS), quality of life scale(QLQ)-C30 and automatic thinking questionnaire(ATQ) of patients in the observation group increased significantly, and the difference was statistically significant (P<0.05); The stress level of the observation group was significantly lower than that of the control Group (P<0.05); And the nursing satisfaction score of the observation group was significantly higher than that of the control group (P<0.05). Conclusion The application of rational emotional behavior intervention in the surgical process of breast cancer patients can effectively alleviate the adverse psychology of patients, reduce post-operative stress response, and improve nursing satisfaction, which can be further studied and applied in clinical practice. Related Articles | Metrics

Select

Endoscopic retrograde appendicitis treatment for acute uncomplicated appendicitis: therapeutic effect and safety evaluation LI Xin Journal of General Surgery for Clinicians    2021, 9 (1): 31-.   Abstract （72）            Knowledge map    Save Abstract: Objective To analyze the efficacy and safety of endoscopic retrograde appendicitis treatment for acute uncomplicated appendicitis. Methods The subjects of this study were 80 patients with acute uncomplicated appendicitis admitted to Foshan Women and Children Hospital from July 2018 to May 2020. They were divided into conventional groups (laparoscopic appendectomy) according to different treatment methods. Study group (retrograde endoscopic appendicitis treatment), 40 cases in each group. Compare the levels of serum tumor necrosis factor (TNF-α), C-reactive protein (CRP), and interleukin (IL) -6 before and after treatment in the two groups, as well as the time in bed, hospitalization time, operation time, and incidence of complications , To explore the efficacy and safety of endoscopic retrograde appendicitis treatment. Results Before treatment, the levels of TNF-α, CRP and IL-6 of the two groups were not statistically different (P>0.05). After treatment, the levels of TNF-α, CRP, and IL-6 in the study group were lower than those in the conventional group (P<0.05); the bed time, hospital stay, and operation time of the study group were shorter than those in the conventional group (P<0.05); The complication rate of the group was 2.50%, which was lower than that of the conventional group (15.00%,P<0.05). Conclusion The use of endoscopic retrograde appendicitis treatment for acute uncomplicated appendicitis is less invasive, can reduce surgical stress response, is very conducive to the rapid recovery of patients after surgery, and has good safety. Related Articles | Metrics

Select

Comparison of PhysioTouch negative pressure lymphatic reflux promotion system and bare handed lymphatic drainage technology combined with comprehensive rehabilitation in patients with upper limb lymphedema after breast cancer surgery TANG Ji Journal of General Surgery for Clinicians    2022, 10 (4): 11-.   Abstract （70）            Knowledge map    Save Objective To investigate the effect of PhysioTouch negative pressure lymphatic return promotion system combined with manual lymphatic drainage technology combined with comprehensive rehabilitation in patients with upper limb lymphedema after breast cancer surgery. Method 132 patients with upper limb lymphedema after breast cancer surgery who were admitted to Enshi Central Hospital from May 2020 to June 2021 were selected. According to the random number table, they were divided into a bare hand group (bare hand lymphatic drainage technology) and a negative pressure group (PhysioTouch negative pressure lymphatic reflux promotion system), 66 cases in each group. Both groups were given comprehensive rehabilitation treatment. The clinical effect and shoulder joint function of the two groups were observed. Result After treatment, the total effective rate of the negative pressure group was 93.94% higher than that of the unarmed group 81.82%, and the scores of shoulder joint function, muscle strength, activity ability and daily activity ability were higher than those of the unarmed group, with significant differences (P ＜ 0.05). Conclusion PhysioTouch negative pressure lymphatic drainage promotion system and bare handed lymphatic drainage technology combined with comprehensive rehabilitation can improve shoulder joint function and clinical efficacy in patients with upper limb lymphedema after breast cancer surgery. PhysioTouch negative pressure lymphatic drainage promotion system has obvious advantages in improving shoulder joint pain, muscle strength, mobility, and daily action ability. Related Articles | Metrics

Select

Comparison of laparoscopic and open gastroduodenal perforation repair and its influence on gastrointestinal motility LI Ziwang, LUO Hongzhi, XIE Wangzhong Journal of General Surgery for Clinicians    2021, 9 (1): 8-.   Abstract （66）            Knowledge map    Save Related Articles | Metrics

Select

The application value of artificial intelligence computer aided system in benign and malignant thyroid nodules YANG Xiaoyun, TIAN Ye, ZHANG Wei, JIANG Jue, WANG Juan, ZHOU Qi Journal of General Surgery for Clinicians    2021, 9 (1): 12-.   Abstract （66）            Knowledge map    Save Abstract: Objective To explore the diagnostic value of artificial intelligence computer aided system (AI-CAD) in benign and malignant thyroid nodules. Methods To analyzed 473 patients with 517 thyroid nodule in Xi 'an Jiaotong University the second affiliated hospital from June 2019 to December 2019， all nodules were confirmed by pathology, based on AI-CAD, the judgment standard is divided into three groups, the AI score of benign group was 0~0.40, the AI score of suspicious group score was 0.41~0.60 and the AI score of malignant group was 0.61~1.00. The distribution of scores in each group was observed by boxplot, and the diagnostic accuracy was compared among the three groups with pathological results as the gold standard. Results The diagnostic accuracy rates of benign and malignant thyroid nodules were respectively 88.94%, 69.75% and 84.53%. There was significant difference between groups (P<0.001). Conclusion Artificial intelligence assisted system has high value for the differential diagnosis of benign and malignant thyroid nodules, especially for the determination of benign nodules, which is beneficial to help beginners to improve their confidence in diagnosis. Related Articles | Metrics

Select

Journal of General Surgery for Clinicians    2021, 9 (2): 53-.   Abstract （65）            Knowledge map    Save Related Articles | Metrics

Select

Effect of dexmedetomidine combined with ropivacaine transverse abdominis plane block on elderly patients undergoing radical resection of colorectal cancer LI Chaoyang, HUANG Zhidong, YANG Jixiong Journal of General Surgery for Clinicians    2021, 9 (1): 35-.   Abstract （64）            Knowledge map    Save Abstract: Objective To investigate the effect of dexmedetomidine combined with ropivacaine transverse abdominis plane block on elderly patients undergoing radical resection of colorectal cancer. Methods From July 2018 to July 2020, 64 patients with colorectal cancer who underwent radical surgery in the Second Affiliated Hospital of Guangdong Medical University were selected as the research objects and randomly divided into study group and control group, 32 cases in each group, The control group was given ropivacaine transversus abdominis plane block, and the study group was given dexmedetomidine on the basis of the control group. The operation recovery of the two groups were compared, including extubation cases, respiratory recovery time, rescue analgesia, recovery time, intraoperative blood loss, extubation time; the condition recovery, including eating time, hospitalization time, postoperative first exhaust time, first out of bed time, defecation time. The degree of postoperative pain was evaluated by visual analogue scale. The levels of immunoglobulin (Ig)G, IgA and IgM were detected by immunoturbidimetric method. The postoperative recovery quality scale was used to evaluate the recovery status of patients, and the incidence of arrhythmia, blood pressure drop, nausea, vomiting, headache, dizziness and other complications were compared between the two groups. Results There was no significant difference in intraoperative blood loss, extubation time, and extubation cases between the two groups (P>0.05). The rescue analgesia rate, respiratory recovery time and recovery time of the study group were less than those of the control group (P<0.05); At 2h, 6h, 12h and 24h after operation, the scores of visual analogue at cough and rest in the control group were higher than those in the study group, with significant difference (P<0.05); Before operation, there was no significant difference in IgM, IgG and IgA between the two groups (P>0.05); After operation, IgM, IgG and IgA in the two groups were increased, and those in the study group were higher than those in the control group, with significant difference (P<0.05); The time of getting out of bed for the first time, defecation time, postoperative first exhaust time and hospitalization time of the study group were less than those of the control group, with significant difference (P<0.05); There was no significant difference in the score of recovery quality scale between the two groups on the first day before operation (P>0.05); On the third day after operation, the scores of physical comfort, total score of recovery quality scale, psychological support, pain and emotional state of the study group were higher than those of the control group In the control group, the difference was significant (P<0.05); The incidence of nausea, vomiting, headache and dizziness in the study group was lower than that in the control group, the difference was significant (P<0.05), and there was no significant difference in the incidence of arrhythmia and blood pressure drop between the two groups (P>0.05). Conclusion Dexmedetomidine combined with ropivacaine transversus abdominis plane block can significantly improve the analgesic effect of elderly patients with colorectal cancer radical operation, enhance the immune ability of patients, improve the motor and gastrointestinal function of patients, and improve the quality of recovery. Related Articles | Metrics

Select

Perioperative nursing care of 38 patients with acute superior mesenteric artery ischemia receiving endovascular treatment SUN Haiyan, QIN Shaohua, ZHAO Tanghai, GAO Xuequn, MA Weiwei, WANG Hongjuan, YU Jie, WANG Meili Journal of General Surgery for Clinicians    2021, 9 (3): 52-.   Abstract （63）            Knowledge map    Save Abstract: Objective To discuss the nursing of patients with acute superior mesenteric artery ischemia (ASMAI). Methods The clinical data of 38 patients with ASMAI receiving endovascular treatment were retrospectively analyzed,and the nursing problems in the perioperative period of endovascular treatment mainly with catheter-directed thrombolysis (CDT) were discussed,and the corresponding nursing measures were formulated.Results The technical success rate was 100.0%(38/38), and the average time of CDT was (45.2±7.4) h. The abdominal pain symptoms and signs of 36 patients were completely disappeared or significantly relieved after endovascular treatment, the other 2 patients were invalid after CDT treatment, and were cured by open surgery. The survival rate was 100%. There were 1 case of sacrococcygeal pressure injury, 1 case of conjunctival hemorrhage,1 case of fever , 2 cases of hematoma at puncture point and other perioperative complications. Conclusion Comprehensive and meticulous perioperative observation and nursing is an important guarantee for endovascular technique in the treatment of ASMAI patients. Related Articles | Metrics

Select

Effect of total thyroidectomy and unilateral thyroidectomy in the treatment of T1 and T2 differentiated thyroid cancer HE Jingliang, HUANG Jinlin, MAI Shuyan Journal of General Surgery for Clinicians    2022, 10 (2): 2-.   Abstract （63）            Knowledge map    Save Objective To investigate the effect of total thyroidectomy and unilateral lobectomy in the treatment of T1 and T2 differentiated thyroid cancer. Method 72 patients with T1 and T2 differentiated thyroid cancer treated in Shunde Hospital Guangzhou University of Chinese Medicine from January 2016 to July 2020 were selected as the research objects, and they were divided into groups according to their different surgical methods. 32 patients in the control group underwent total thyroidectomy; total thyroidectomy was performed in 40 cases in the experimental group. The treatment effect, operation index, hospital stay,complication rate and disease recurrence of the two groups were analyzed. Result The total effective rate was 93.8% in the control group and 95.0% in the experimental group. There was no significant difference between the two groups (P ＞ 0.05); The operation time, bleeding volume and complications in the control group were lower than those in the experimental group (P ＜ 0.05). There was no significant difference in the amount of bleeding and postoperative hospital stay between the two groups (P ＞ 0.05), and there was no significant difference in the short-term recurrence rate (P ＞ 0.05). Conclusion Total thyroidectomy and unilateral thyroidectomy have certain value in the treatment of patients with T1 and T2 differentiated thyroid cancer. Unilateral total thyroidectomy can reduce the amount of bleeding, operation time and complication rate, and the short-term treatment effect is the same as that of total thyroidectomy. Related Articles | Metrics