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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

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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

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Clinical study on different ultrasonic signs in predicting lymph node metastasis of thyroid papillary carcinoma LIU Caihong, HAO Ying, ZHAO Zhenlong, WEI Ying, PENG Lili, LI Yan, YU Ming’an Journal of General Surgery for Clinicians    2023, 11 (1): 8-.   Abstract （61）            Knowledge map    Save Objective To study the ultrasonographic features of papillary thyroid carcinoma nodules (PTC) with lymph node metastasis (LNM). Method The data of patients with PTC who underwent thermal ablation from July 2019 to December 2020 were retrospectively studied. The patients were divided into LNM group and non-LNM group. The imaging features and parameters between the two groups both on conventional ultrasound and contrast-enhanced ultrasound were compared. Result A total of 91 patients with PTC were included, including 31 cases in the LNM group and 60 cases in the non-LNM group. In the LNM group, the proportion of nodules with length/width ratio larger than 1.0 or with microcalcification were higher than those in the non-LNM group, and the difference were statistically significant (P ＜ 0.05); The peak intensity (PI)difference was lower than that in the non-LNM group (P ＜ 0.05). ROC curve analysis was performed to test the diagnostic efficiency of PI difference to diagnose PTC with LNM. The area under the curve was 0.63, the optimum critical value was -7.3, the sensitivity was 42% and the specificity was 43%. Conclusion The imaging features and parameter showed significant differences between the LNM group and non-LNM group. The above results may be helpful to predict the biological characteristics of PTC. Related Articles | Metrics

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Efficacy and safety analysis of AcoStream thrombus clearance device in the treatment of lower limb deep vein thrombosis ZENG Jinfu, HUANG Yonghao, HUANG Wei, WANG Weiping, HE Dongmei Journal of General Surgery for Clinicians    2023, 11 (3): 61-.   Abstract （54）            Knowledge map    Save 目的 探讨AcoStream 血栓抽吸装置用于下肢深静脉血栓治疗的血栓清除率、显效消肿率以及安全性的影响。方法 选取2019 年1 月至2022 年9 月在化州市人民医院住院治疗的30 例下肢深静脉血栓患者，依据治疗方式的不同分为观察组与对照组，各15 例。观察组患者接受AcoStream 机械血栓抽吸治疗，对照组患者接受单纯导管接触溶栓治疗，比较两组患者术前及术后生活质量、手术相关指标，以及术后相关并发症。结果 观察组患者的术中尿激酶用量少于对照组，患者的小腿和大腿消肿率均高于对照组，且术中溶栓时间、患者住院时间均短于对照组，差异均有显著性（P ＜ 0.05）。但观察组的住院费用显著高于对照组，差异有显著性（P ＜ 0.05）。观察组患者的溶栓有效率以及Ⅱ级和Ⅲ级占比均高于对照组，差异有显著性（P ＜ 0.05）；同时，观察组并发症总发生率[6.67%（1/15）] 显著低于对照组[40.00%（6/15）]，差异有显著性（χ2=4.658，P=0.031）。结论 AcoStream 机械血栓清除装置用于下肢深静脉血栓治疗，安全有效，能提高患者术后生活质量。 Related Articles | Metrics

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Analysis of the effect of manual lymphatic drainage nursing on relieving postoperative lymphedema and axillary reticulum syndrome in patients with breast cancer XIAO Qiumei, PANG Meirui, CHEN Wanxia Journal of General Surgery for Clinicians    2023, 11 (1): 64-.   Abstract （48）            Knowledge map    Save Objective To analyze the intervention effect of manual lymphatic drainage nursing on relieving postoperative lymphedema and axillary reticulum syndrome of breast cancer. Method From January 2018 to January 2020, 50 patients with lymphedema and axillary reticulum syndrome after breast cancer surgery were selected from Zhanjiang Maternal and Child Health Care and Family Planning Service Center. They were randomly divided into two groups by double-blind method. The control group was 25 patients, receiving routine care; 25 patients in the observation group were treated with manual lymphatic drainage based on the control group; The intervention effect and symptom relief of the two groups were compared. Result The effective rates of the patients in the observation group were 72.0%, 80.0% and 100.0% respectively after 3, 6 and 12 months of intervention, which were higher than 44.0%, 56.0% and 72.00% in the control group (P ＜ 0.05). The decrease of the difference in circumference of the patients in the observation group after 3, 6 and 12 months of intervention was higher than that in the control group, and the abduction angle of the shoulder joint of the affected limb at 1, 3, 6 and 12 months after intervention was higher than that in the control group, and the time for the postoperative tightness, cord structure, numbness and pain of the affected limb was shorter than that in the control group (P ＜ 0.05). After 1 month of intervention, the scores of daily social function, upper limb activity function and upper limb symptoms in the observation group were lower than those in the control group (P ＜ 0.05). Conclusion Manual lymphatic drainage nursing can alleviate the clinical symptoms of lymphedema and axillary reticulum syndrome after breast cancer surgery, increase the range of motion of the affected limb, and have a good intervention effect. Related Articles | Metrics

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Research status of targeted combination with other therapies for primary liver cancer HUANG Dong, CHEN Bin Journal of General Surgery for Clinicians    2023, 11 (2): 20-.   Abstract （47）            Knowledge map    Save Primary liver cancer lacks obvious typical clinical manifestations in the early stage, once obvious symptoms or signs appear, the disease has mostly entered the middle and advanced stages, most of them have lost the opportunity for surgery when they are diagnosed, and some operable patients have early recurrence after surgery and have a poor prognosis. Therefore, non-surgical treatments such as targeted therapy, immunotherapy, radiofrequency ablation, vascular interventional therapy, and traditional Chinese medicine therapy have significant effects on the treatment of liver cancer in the middle and advanced stages, especially targeted therapy for liver cancer is a hot topic now. In this paper, this article reviews the current research progress of targeted therapy for liver cancer and the research status of combination with other treatments. Related Articles | Metrics

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Advances in finding benefits for colorectal cancer patients with ostomy JI Yanyan, WANG Kaixuan, LI Chang, YANG Lu, ZHANG Dianliang, LIU Zhimei Journal of General Surgery for Clinicians    2023, 11 (2): 24-.   Abstract （45）            Knowledge map    Save With the increasing incidence of colorectal cancer, the number of enterostomy patients is increasing. The psychological problems of enterostomy patients become increasingly prominent. As an important part of positive psychology, benefit discovery can change patients' health behaviors and improve their mental state and quality of life to some extent. In this paper, the research progress of benefit finding in enterostomy patients was summarized from the concept of benefit finding, measurement tools, influencing factors and intervention strategies of benefit finding in enterostomy patients, to provide reference for domestic research on benefit finding in enterostomy patients. Related Articles | Metrics

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Analysis of the efficacy of vacuum-assisted rotary resection system in the treatment of benign breast tumors DING Lulu, ZHOU Shaofei, ZHOU Dongfeng Journal of General Surgery for Clinicians    2022, 10 (4): 2-.   Abstract （44）            Knowledge map    Save Objective To study the application value of vacuum-assisted rotary resection system in the treatment of benign breast tumors. Method 120 patients with breast benign tumors who were operated in Pingdu Maternal and Child Health Hospital from November 2018 to October 2019 were selected and divided into the observation group (60 cases) and the control group (60 cases) according to different surgical methods. The observation group adopted vacuum assisted rotary resection technology, and the control group adopted traditional open surgery. The operation related indexes, postoperative complications and patient satisfaction were compared between the two groups. Result The operation time (12.08±3.69)min, incision length (3.78±0.78)mm and intraoperative bleeding (6.65±3.01)ml in the observation group were significantly better than those in the control group (P ＜ 0.05). The incidence of postoperative complications in the observation group was 15.00% (9/60), lower than 31.67% (19/60) in the control group. Postoperative pain and patient satisfaction were better than those in the control group, with significant differences (P ＜ 0.05). Conclusion The vacuum assisted rotary resection system can be used to treat benign breast tumors. The operation time is short, the surgical incision is small, the amount of bleeding is small, the healing is fast, the postoperative pain is relieved in time, the cosmetic effect is good, and the postoperative patient satisfaction is high. Related Articles | Metrics

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Clinical value of 3-dimensional laparoscopic radical gastrectomy for gastric cancer WEI Xin, QIAN Lei Journal of General Surgery for Clinicians    2022, 10 (4): 19-.   Abstract （42）            Knowledge map    Save Objective To discuss the clinical value of 3D laparoscopic radical gastrectomy for gastric cancer. Method 72 patients with gastric cancer treated in our hospital from April 2020 to October 2021 were randomly divided into control group and study group, with 36 cases in each group. The control group received 2D laparoscopic radical gastrectomy for gastric cancer and the study group received 3D laparoscopic radical gastrectomy for gastric cancer. The perioperative indicators, serum indicators and the incidence of complications were compared between the two groups. Result The operation time, exhaust time, diet recovery time, hospitalization time and lymph node cleaning time of patients in the study group were lower than those in the control group, and the amount of bleeding during operation, the number of wrong grasping during operation were less than those in the control group, and the number of lymph node cleaning was higher than that in the control group, with significant differences (P ＜ 0.05); The levels of albumin, prealbumin, transferrin and retinol binding protein in the study group were higher than those in the control group, while the level of C reactive protein was lower than that in the control group, and the incidence of complications was lower than that in the control group, with significant differences (P ＜ 0.05). Conclusion 3D laparoscopic radical gastrectomy for gastric cancer is effective for patients with gastric cancer. It can effectively accelerate the rehabilitation process of patients, maintain the stability of serum indicators, and reduce complications. It has great clinical value. Related Articles | Metrics

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The choice and efficacy of treatment for elderly patients with choledocholithiasis combined with cholecystolithiasis LIU Dongdong, YU Anxing, LI Bin Journal of General Surgery for Clinicians    2023, 11 (2): 7-.   Abstract （42）            Knowledge map    Save Objective To explore the choice and efficacy of treatment for elderly patients with choledocholithiasis combined with cholecystolithiasis. Method The elderly patients with cholecystolithiasis and choledocholithiasis diagnosed in Pingdu People's Hospital hospital from February 2017 to November 2019 were selected and randomly divided into the observation group (n=34) and the control group (n=32). The observation group was treated with step-by-step endoscopic sphincteropapillotomy(EST) combined with laparoscopic cholecystectomy (LC), and the control group was treated with LC combined with laparoscopic common bile duct exploration T-tube choledochotomy (LCBDE). The total operation time, indwelling time of drainage tube after operation, intraoperative bleeding, postoperative hospital stay, conversion from laparoscopy to laparotomy, stone removal rate, and postoperative complications (including fever, bile leakage, pancreatitis) were compared between the two groups. Result The total operation time, drainage tube retention time, and postoperative hospitalization time of patients in the observation group were shorter than those in the control group, with less intraoperative bleeding and lower conversion rate to laparotomy in the observation group (P ＜ 0.05). There was no significant difference between the two groups in stone removal rate and postoperative complication rate (P ＞ 0.05). Conclusion Both EST+LC and LC+LCBDE can effectively treat the elderly patients with cholecystolithiasis and choledocholithiasis, but in county hospitals with both technology and equipment, EST+LC is more beneficial for elderly patients with choledocholithiasis and choledocholithiasis. Related Articles | Metrics

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Systematic overall nursing effect on the influence of postoperative edema and quality of life after surgery of perianal abscess CHEN Jing, LIU Xinxin, ZHOU Dongfeng Journal of General Surgery for Clinicians    2023, 11 (2): 54-.   Abstract （42）            Knowledge map    Save Objective To explore the effect of systematic holistic nursing on postoperative wound edema and quality of life in patients with perianal abscess. Method From January 2019 to January 2020, there were 64 patients with perianal abscess surgery treated in Municipal Hospital of Qingdao. They were divided into observation groups and control groups according to the random digital table method. The control group is given conventional nursing, and the observation group gives systematic overall care. By investigating the wound edema situation, patient satisfaction, and quality of life of the two groups after nursing, the perianal wound edema score and health survey scale 36 were used to compare the nursing effects of the two groups. Result The edema scores of the observation group were significantly lower than the control group, and the difference was statistically significant (P ＜ 0.05). The nursing satisfaction rate in the observation group was significantly higher than that in the control group; the physiological function, psychological function, and sleep quality of the observation group Self -care scores are higher than the control group, the differences were significant (P ＜ 0.05). Conclusion Systematic overall care for patients with perianal abscess can effectively improve the effect of surgery, reduce surgical wound edema, improve the quality of life of patients, and improve patient prognosis. Related Articles | Metrics

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Clinical effect of laparoscopic hernioplasty for inguinal hernia GE Xingpeng Journal of General Surgery for Clinicians    2023, 11 (2): 29-.   Abstract （41）            Knowledge map    Save Objective To explore the application value of laparoscopic hernioplasty in the treatment of inguinal hernia, observe the prognosis of patients, and evaluate the treatment effect. Method 80 patients with inguinal hernia admitted to the First People's Hospital of Guannan County, Lianyungang City from May 2021 to May 2022 were randomly divided into two groups by digital table method. The control group (n=40) adopted open tension-free inguinal hernia repair. The study group (n=40) adopted laparoscopic hernia repair. The operation and postoperative related indicators, quality of life scores, pain and sleep scores, and complications of the two groups were compared. Result The operation time of the patients in the study group was longer than that in the control group, the time of getting out of bed and hospitalization were shorter after operation, and the amount of intraoperative bleeding was less than that in the control group, with significant difference (P ＜ 0.05); The pain score, sleep quality score and complication rate in the study group were significantly lower than those in the control group (P ＜ 0.05). Conclusion Laparoscopic hernioplasty for inguinal hernia can improve the clinical symptoms, relieve postoperative pain, improve the quality of life and clinical safety. Related Articles | Metrics

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The clinical application effect on the laparoscopic tension-free hernia repair for the treatment of the patients with abdominal incisional hernia SUN Peng, HAN Song, CHENG Liang, LU Congying, LIU Yanlin, LIU Xuzhong, LIU Jing, SONG Dapeng Journal of General Surgery for Clinicians    2023, 11 (1): 2-.   Abstract （40）            Knowledge map    Save Objective To investigate the clinical effect and prognosis of laparoscopic tension-free hernia repair for the treatment of the patients with abdominal incisional hernia. Method The clinical data of 72 patients with abdominal incisional hernia were retrospectively analyzed in Affiliated Jiaozhou Hospital of Tongji University from June 2018 to June 2021. These patients with abdominal incisional hernia were randomly divided into the experimental group and the control group according to different operation methods including laparoscopic tensionfree repair and open hernia repair. Thirty patients underwent open hernia repair operation in the control group and 42 did laparoscopic tension-free repair in the experimental group. The operation time, intraoperative blood loss, length of hospital stay and pain score at 24 hours after operation, incidence of complications and recurrent incisional hernia after operation were observed to evaluate the surgical outcome. Result The operation time, intraoperative blood loss, length of hospital stay and pain score at 24 hours after operation in the experimental group were better than those of in the control group (P ＜ 0.05). The postoperative complication rate (9.52%) in the experimental group was significantly lower than that in the control group (30.00%) (P ＜ 0.05).2 patients had recurrence of incisional hernia in the experimental group after 1 year with a recurrence rate was 4.76% (2/42) and 3 patients did recurrence of incisional hernia in the control group after 1 year with a recurrence rate was 10.00% (3/30). There was no obviously significant difference in the recurrence rate of incisional hernia between the experimental group and the control group (P ＞ 0.05). Conclusion Compared with traditional open surgery, laparoscopic tension-free repair for the treatment of the patients with abdominal incisional hernia has many advantages of shorter operation time, less intraoperative blood loss, lower incidence of postoperative complications and lower recurrence rate of abdominal incisional hernia. Laparoscopic tension-free repair for the treatment of the patients with abdominal incisional hernia is a safe and effective minimally invasive technique and has good recent and long-term clinical efficacy at the same time. Related Articles | Metrics

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Comparison of short-term clinical effects between total laparoscopic and laparoscopic assisted radical gastrectomy for gastric cancer WEI Xin, QIAN Lei Journal of General Surgery for Clinicians    2023, 11 (1): 33-.   Abstract （39）            Knowledge map    Save Objective To explore the short-term clinical efficacy of total laparoscopic and laparoscopic assisted radical gastrectomy for gastric cancer. Method The data of 80 patients with gastric cancer treated by complete laparoscopic surgery and laparoscopic surgery in Qiqihar Public Security Hospital from May 2020 to May 2021 were retrospectively analyzed. The patients were treated by complete laparoscopic surgery as the observation group (n=40), and the patients were treated by laparoscopic surgery as the control group (n=40). The postoperative effects of the two groups were compared and statistically analyzed. Result The VAS scores of patients in the observation group were higher than those of patients in the control group at 1, 2 and 3 days after operation (P ＜ 0.05); The first scheduling time, the incidence of complications, the length of abdominal incision and the first postoperative fluid diet time in the observation group were significantly better than those in the control group (P ＜ 0.05); The operation time of patients in the control group was significantly better than that of patients in the observation group (P ＜ 0.05); There was no significant difference in the number of lymph nodes and application of analgesics, between the two groups（P ＞ 0.05）. Conclusion Compared with laparoscopy, although the operation time of complete laparoscopic assisted surgery is longer, its first scheduling time and the first liquid diet time are shorter, which is more conducive to the early rehabilitation of patients and can be selectively used in clinical practice. Related Articles | Metrics

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Effect of predictive nursing on postoperative nausea and vomiting in patients undergoing thyroid surgery JIANG Qifang, YAN Rong Journal of General Surgery for Clinicians    2023, 11 (2): 46-.   Abstract （39）            Knowledge map    Save Objective To explore the preventive effect of predictive nursing on postoperative nausea and vomiting in patients undergoing thyroid surgery. Method 90 patients who received thyroid surgery in Taixing People's Hospital from April 2020 to April 2021 were selected. According to the results of random odd and even lot drawing, the observation group (odd lot, 45 cases) and the control group (even lot, 45 cases) were divided. The control group took routine care. The observation group implemented predictive care. The incidence of adverse reactions such as nausea and vomiting after surgery in the two groups were observed and counted, The changes of quality of life scores before and after nursing were evaluated. Result The incidences of nausea, vomiting, cough and other adverse reactions in the observation group were significantly lower than those in the control group (P ＜ 0.05); At the same time, the scores of the corresponding items of the quality of life of the patients in the observation group after nursing were higher than those in the control group, with a significant difference (P ＜ 0.05). Conclusion Predictive nursing intervention combined with thyroid surgery can effectively prevent postoperative adverse reactions such as nausea and vomiting, and improve the quality of life of patients. Related Articles | Metrics

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Effect of moxa stick moxibustion on gastrointestinal function recovery in patients after laparoscopic appendectomy MEI Yaping, SONG Ziping, YIN Mo Journal of General Surgery for Clinicians    2022, 10 (4): 87-.   Abstract （38）            Knowledge map    Save Objective To investigate the effect of moxa stick moxibustion on gastrointestinal function recovery of patients after laparoscopic appendectomy. Method From June 2021 to December 2021, 74 patients with laparoscopic appendicitis in Taixing Hospital of Traditional Chinese Medicine were selected and randomly divided into control group (n=37) and study group (n=37). The control group received routine postoperative care, while the study group received moxibustion intervention on this basis. Objective and subjective indexes of gastrointestinal function recovery were compared between the two groups. Result After intervention, the time of first exhaust, first defecation and recovery of bowel sounds in the study group were lower than those in the control group (P ＜ 0.05). Before intervention, there was no significant difference in the subjective indexes of gastrointestinal function recovery between the two groups (P ＞ 0.05); After intervention, the abdominal distension syndrome and VAS score in the study group were lower than those in the control group (P ＜ 0.05). Conclusion Through this study, it can be seen that the implementation of moxa stick moxibustion intervention in patients after laparoscopic appendicitis surgery can significantly improve gastrointestinal function, shorten the recovery time of rapid exhaust, defecation and bowel sounds after surgery, relieve pain, improve abdominal distension syndrome, accelerate the improvement of the patient's condition, and facilitate the patient's recovery. Related Articles | Metrics

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Comparative analysis of the effect of laparoscopic surgery and traditional open surgery in the treatment of inguinal hernia WANG Ruihong, LU Yibin Journal of General Surgery for Clinicians    2022, 10 (4): 75-.   Abstract （37）            Knowledge map    Save Objective To analyze the effect of laparoscopic surgery and traditional open surgery in the treatment of inguinal hernia. Method From July 2018 to July 2021, 50 male patients with inguinal hernia from Xingpu Hospital in Suzhou Industrial Park were selected and randomly divided into the reference group (treated with traditional open surgery) and the research group (treated with laparoscopic surgery) by using the method of random color ball sampling. There were 25 patients in each group, and the surgical indicators and postoperative quality of life of the two groups were compared. Result The incidence of complications such as scrotal hematoma and incision infection in the study group was significantly lower than that in the control group (P ＜ 0.05); The operation time, hospital stay and bed rest time of the patients in the study group were shorter than those in the reference group, and the amount of intraoperative bleeding was less than that in the reference group, with a significant difference (P ＜ 0.05). The post-operative pain scores of patients in the study group were lower than those in the reference group, and the quality of life scores were higher than those in the reference group, with significant differences (P ＜ 0.05). Conclusion Laparoscopic surgery is more effective in the treatment of inguinal hernia, which can reduce complications, optimize surgical indicators, promote postoperative recovery, reduce pain.  Related Articles | Metrics

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Research progress on the mechanism of flora imbalance and pancreatic cancer ZHANG Yuting, ZHANG Yanjun, GONG Zengfeng, PENG Yanni, WEI Jing, WANG Fujuan, YAN Hongfang, MIAO Long Journal of General Surgery for Clinicians    2023, 11 (2): 16-.   Abstract （37）            Knowledge map    Save Pancreatic cancer is one of the malignant tumors with the worst prognosis, with a five-year survival rate of less than 10%, and surgical resection is currently the main treatment method. However, due to the lack of typical clinical manifestations in the early stage of pancreatic cancer, it is usually diagnosed in the late stage of the disease, and most patients lose the opportunity of surgical treatment, while other treatments bring poor efficacy, therefore, early diagnosis of pancreatic cancer is more and more important in clinical practice, and early diagnosis will greatly improve the prognosis of pancreatic cancer patients. More and more studies have shown that the occurrence of pancreatic cancer is related to the alteration of microflora in human body. In this paper, we summarize the current research on human microflora and pancreatic cancer development, and explore the changes of human microflora in the development of pancreatic cancer and the possible mechanisms of action. Human microbes are expected to be markers for early diagnosis of pancreatic cancer, which may open a new pathway for biomarkers and targeted therapy. Related Articles | Metrics

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Clinical effect of laparoscopic hernioplasty in the treatment of elderly indirect inguinal hernia GU Bin, XU Weigang Journal of General Surgery for Clinicians    2023, 11 (1): 41-.   Abstract （36）            Knowledge map    Save Objective To investigate the clinical effect of laparoscopic hernioplasty in the treatment of elderly indirect inguinal hernia. Method 40 elderly patients with indirect inguinal hernia who were admitted to Xingpu Hospital in Suzhou Industrial Park from January 2019 to April 2022 were selected to undergo hernia repair. They were divided into control group and observation group with 20 patients each according to different operation methods. The control group was treated with traditional open tension-free hernioplasty, and the observation group was treated with laparoscopic hernioplasty. Result The patients in the observation group had less intraoperative bleeding, shorter incision length, shorter time to get out of bed and stay in hospital, and the incidence of postoperative complications was significantly lower than that in the control group (P ＜ 0.05). Conclusion Laparoscopic hernioplasty for the treatment of indirect inguinal hernia in the elderly has higher safety, less damage and is more conducive to the recovery of patients. Related Articles | Metrics

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Application of the concept of enhanced recovery after surgery combined with path-based health education in nursing care of patients with lower extremity arteriosclerosis obliterans LV Liqiong, CAO Xiaolu, JING Qian, GUO Mixia, YANG Wenya, LU Yuzhi Journal of General Surgery for Clinicians    2022, 10 (4): 103-.   Abstract （36）            Knowledge map    Save Objective To explore the application value of enhanced recovery after surgery (ERAS) concept combined with pathologic health education in patients with Arteriosclerotic obliterans (ASO). Method A total of 124 ASO inpatients in Renmin Hospital of Wuhan University from October 2018 to October 2021 were selected as the study subjects. According to the random number table method, they were divided into control group and ERAS group, 62 cases in each group. The control group received routine nursing intervention during perioperative period. ERAS group received perioperative nursing intervention based on routine nursing intervention using ERAS concept combined with path-based health education nursing intervention. Postoperative recovery and incidence of complications were observed between the two groups, and changes in disease-related knowledge, mental resilience level and quality of life were compared before and after intervention. Result The time of getting out of bed for the first time and hospitalization in ERAS group were shorter than those in the control group. The score of visual analog scale (VAS) and the incidence of complications in ERAS group were lower than those in the control group (P ＜ 0.05); The 6-minute walking test (6MWT) walking distance in ERAS group was significantly higher than that in control group (P ＜ 0.05); After the intervention, the scores of disease related knowledge, psychological resilience and quality of life in the two groups were higher than those before the intervention (P ＜ 0.05), and the ERAS group was higher than the control group, with significant differences (P ＜ 0.05). Conclusion ERAS concept combined with path-based health education can effectively promote postoperative rehabilitation of ASO patients in lower limbs, reduce the incidence of postoperative complications, and improve disease cognition, mental resilience and quality of life. Related Articles | Metrics