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    Journal of General Surgery for Clinicians 2019 Vol.7
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    Journal of General Surgery for Clinicians    2019, 7 (4): 4-.  
    Abstract48)            Save
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    Journal of General Surgery for Clinicians    2019, 7 (4): 9-.  
    Abstract22)            Save
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    Analysis of gastrointestinal motility recovery and prognosis after laparoscopic repair for gastric perforation
    XIAN Zhi-rong
    Journal of General Surgery for Clinicians    2019, 7 (4): 14-.  
    Abstract38)            Save
    Abstract: Objective To analyze the gastrointestinal motility recovery and prognosis after laparoscopic
    repair for gastric perforation. Methods From February 2016 to February 2019,91 patients with gastric
    perforation were enrolled in the hospital. They were divided into two groups according to the random number
    table. The 45 patients in the control group were treated with open surgery, and 46 patients in the study group
    were treated with laparoscopic repair. The gastric motility recovery and prognosis were compared between
    the two groups. Results The total effective rate of clinical treatment in the study group was 95.65%which was
    higher than that in the control group (P<0.05). The bleeding volume (21.59±4.31)ml, recovery time of bowel
    sounds (12.85±4.77)h and hospitalization time (6.32±1.20)d in the study group was signifi cantly less
    than the control group (P<0.05); and thecomplication in study group was 6.52%, which was lower than
    the control group, and the difference was statistically signifi cant (P<0.05). Conclusion The laparoscopic
    repair for patients with gastric perforation can promote gastrointestinalmotility, reduce hospitalization
    time, reducethe incidence of complications, and effectively improve the clinical treatment effect. It is
    worthy of popularization in clinical use.
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    Hybrid procedure in the treatment of incarcerated inguinal hernia
    QIU Chang-ru, LI Si-rong
    Journal of General Surgery for Clinicians    2019, 7 (4): 17-.  
    Abstract35)            Save
    Abstract: Objective To evaluate the effi cacy of hybrid procedure in incarcerated inguinal hernia.
    Methods Twenty-one patients with incarcerated inguinal hernia treated by hybrid technique in Meizhou
    Hospital of Traditional Chinese Medicine from February 2017 to February 2019 were selected. A total of 21
    patients needed hybrid operation. The age ranged from 32 to 78 years, with an average age of (55± 11.31)
    years. All patients had unilateral inguinal hernia incarceration. The incarceration time was from 4 hours to
    48 hours. There were 4 cases with hypertension, cereal and urinary diseases, benign prostatic hyperplasia
    and other basic diseases. The clinical data of operation time, hospitalization time and postoperative
    complications were analyzed. Results Among the 17 patients, the operation time was 60-140 minutes,
    with an average of (90±23.32) minutes. There were 3 cases of inguinal swelling, 5 cases of scrotal
    edema and 2 cases of seroma after operation. No incision infection and intractable abdominal pain were
    found. The symptoms of swelling and scrotal edema disappeared after symptomatic treatment or 4 weeks
    after discharge, and no puncture and drainage was performed. The average hospitalization time was about
    (6±3.4) days, and no recurrence occurred after 24 months of follow-up. Conclusions Hybrid procedure
    is a safe and effective technique with fast recovery. and can be used in highly—selected patients who
    sufered from incareerated inguinal hernia.
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    To explore the value of parachute suture in pph
    CHEN Jun-hao, WEI Guo-huai, HUANG Jun-yi
    Journal of General Surgery for Clinicians    2019, 7 (4): 20-.  
    Abstract24)            Save
    Abstrat: Objective To compare the effect of parachute suture and double-purse suture in PPH for
    internal hemorrhoids III and IV and the complications after operation. Methods From January 2013
    to September 2018, 95 patients with grade Ⅲ and Ⅳ internal hemorrhoids or mixed hemorrhoids who
    underwent PPH were reviewed. 53 patients underwent double-purse suture and 42 patients underwent
    parachute suture. The rectal mucosa excision and follow-up were compared between the two groups.
    Results The thickness of rectal mucosa resected in the double-purse group was signifi cantly thicker than
    that in the parachute group, while the width and integrity of the resected mucosa in the parachute group
    were signifi cantly better than that in the double-purse group (P<0.01). In the comparison of the postoperative
    conditions, the degree of pain in the double-purse group was significantly higher than that in the
    parachute group, and the recovery time was also longer than that in the parachute group. Conclusion
    Parachute suture combined with mucosal suspension can increase the length and uniformity of resected
    rectal mucosa, reduce the incidence of postoperative pain, and has a certain clinical value in the treatment
    of grade Ⅲ and Ⅳ internal hemorrhoids.
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    Research of clinical value of preserving left colic artery during laparoscopic anterior resection for rectal cancer
    ZENG Jun, LI Rong-jiang, LIU Xiao-hui
    Journal of General Surgery for Clinicians    2019, 7 (4): 24-.  
    Abstract34)            Save
    Abstract: Objective To analyze the clinical value of preserving left colic artery during laparoscopic
    anterior resection for rectal cancer. Methods Fifty-six cases of patients with rectal cancer and who
    treated from June 2015 to April 2019 were selected,and the patients were divided into the observation
    group (n=28) and the control group (n=28) by the random table method. All patients underwent
    laparoscopic resection of rectal cancer. And the observation group underwent the left colonic artery (low
    ligation) during the operation,while the control group underwent the no reservation of left colonic artery
    (high ligation) during operation.Then, the operation effects of two groups were evaluated. Results The
    operation time in the observation group was longer than that inthe control group (P<0.05), There was
    no significant difference in the intraoperative bleeding volume and radical tumor index between the
    observation group and the control group (P> 0.05); The recovery of intestinal function, anal exhaust
    and hospitalization time in the observation group were shorter than those in the control group (P<0.05);
    The complication rate in the observation group was 7.14%,which was lower than that in the control
    group of 28.57%(P<0.05). Conclusion For patients undergoing laparoscopic resection of rectal cancer,
    the intraoperative preservation of LCA can reduce postoperative complications such as the anastomotic
    leakage and urinary retention, promote intestinal function recovery as soon as possible, and complete
    radical resection of tumor.
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    Advances in clinical diagnosis and treatment of acute severe pancreatitis
    WANG Long-hui, LIU Qun-liang, ZHOU Yun-peng
    Journal of General Surgery for Clinicians    2019, 7 (4): 30-.  
    Abstract29)            Save
    Abstract: Severe acute pancreatitis (SAP) is the most dangerous type of acute pancreatitis (AP),
    often associated with multiple organ dysfunction syndrome (MODS) and systemic infl ammatory response
    syndrome (SIRS), with a high mortality rate. Become a major challenge in the diagnosis and treatment
    of clinical diseases. Early diagnosis and early intervention of this disease are particularly important to
    reduce the risk and mortality of patients with complications. This article reviews recent advances in the
    diagnosis and treatment of acute severe pancreatitis in recent years.
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    Journal of General Surgery for Clinicians    2019, 7 (4): 35-.  
    Abstract22)            Save
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    Journal of General Surgery for Clinicians    2019, 7 (4): 39-.  
    Abstract30)            Save
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    Journal of General Surgery for Clinicians    2019, 7 (4): 42-.  
    Abstract17)            Save
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    Observation of application of calcium alginate silver ion dressing and chuangyu-ning in hemorrhoid replacement
    HUANG Jian-ying, CI Yu-kun
    Journal of General Surgery for Clinicians    2019, 7 (4): 45-.  
    Abstract33)            Save
    Abstract: objective to observe and discuss the effect of calcium alginate silver ion dressing and
    chuangyu-ning on hemorrhoid replacement. Methods From June 2018 to May 2019, 112 cases of
    hemorrhoids admitted to Qingdao Municipal Hospital were selected as experimental subjects, divided
    into experimental groups(56 cases) and control groups(56 cases), and traditional Vaseline was given to
    control group patients. Method treatment, The experimental group were treated with calcium alginate
    silver ion dressing and Chuangyuning method. Clinical indexes such as bleeding amount, pain degree
    and healing time were recorded and analyzed in two groups of patients. Results After a period of
    treatment, the survey showed that the patient's perception of pain was 51.79%. The proportion of mild
    pain sensation was 33.93%; Moderate pain accounted for 10.71%; Severe pain accounted for 3.57%.
    In contrast, the pain was significantly lower in the experimental group than in the control group. The

    average wound healing time in the experimental group was(22.94±0.35) days, and the wound edema

    index was(0.32±0.11) minutes. In contrast, the experimental group was significantly superior to the
    control group. During the treatment, there was no signifi cant bleeding in either group. Conclusion In
    the treatment of hemorrhoid after surgery, using calcium alginate ion dressing and chuangyuanning
    can greatly shorten the healing time of the wound, reduce the bleeding amount and the degree of pain.
    Therefore, in clinical practice, Calcium alginate silver ion dressing and Chuangyuanning can be used in
    the routine drug after hemorrhoid surgery.

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