Table of Content

01 October 2022, Volume 10 Issue 4

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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

2022, 10(4):  2. 

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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.

Comparative study of esophageal stent and percutaneous gastrostomy in esophageal obstruction

LI Xinqiu, LI Kun

2022, 10(4):  7. 

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Objective To analyze the effect of esophageal stent and percutaneous gastrostomy in the treatment of esophageal malignant obstruction. Method 70 patients with esophageal cancer obstruction admitted to Renhuai People's Hospital from January 2020 to December 2021 were selected and divided into two groups according to different treatment methods, 35 patients in each group. The patients in the control group were treated with esophageal stent implantation, while the patients in the study group were treated with percutaneous gastrostomy under the guidance of computed tomography. The level of nutritional indicators, recovery of related indicators and complications were compared between the two groups. Result The body mass index, serum albumin, prealbumin and hemoglobin levels in the study group were significantly higher than those in the control group (P ＜ 0.05).

The operation time of the patients in the study group was shorter than that in the control group, the amount of intraoperative bleeding was less than that in the control group, and the postoperative pain score was lower than that in the control group, and the quality of life score was higher than that in the control group, with significant differences (P ＜ 0.05). The patients in both groups had a high tolerance during the operation. The operation was carried out smoothly. The success rate of the operation was 100%. There were no fatal serious complications. The patient's condition and vital signs were stable after the operation. There were no serious complications in the two groups, such as fistula exchange catheter falling off, massive hemorrhage, gastrointestinal injury, etc. The total incidence of complications in the study group was 20.00% (7/35), and 22.86% (8/35) in the control group,there was no significant difference (χ2=3.426,P=0.386). Conclusion In the treatment of esophageal obstruction, percutaneous gastrostomy is more effective than esophageal stent in improving patients' nutritional indicators, and has higher clinical safety.

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

2022, 10(4):  11. 

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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.

Effect analysis of laparoscopic common bile duct exploration combined with laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy in the treatment of common bile duct calculi and cholecystolithiasis

LU Jinhui, LIU Yawei, LI Xu, WANG Juanjuan, LEI Hengyang

2022, 10(4):  15. 

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Objective To analyze laparoscopic common bile duct exploration (LCBDE) combined with laparoscopic cholecystectomy (LC) and endoscopic retrograde pancreatic angiography (ERCP) combined with LC in the treatment of common bile duct calculi clinical effect and safety of gallstone disease. Method A total of 300 patients with choledocholithiasis and cholecystolithiasis undergoing surgical treatment in The Affiliated Hospital of Gansu Medical College from February 2020 to February 2022 were randomly divided

into LCBDE+LC group and ERCP+LC group, with 150 cases in each group. Patients in the two groups were treated with LCBDE+LC and ERCP+LC respectively, and the operative indicators and postoperative recovery of patients in the two groups were compared. Result There was no case of conversion to laparotomy in the two groups. The operative time and intraoperative blood loss in the ERCP+LC group were less than those in the LCBDE+LC group, but the utilization rate of abdominal drainage tube was lower than that in the LCBDE+LC group (P ＜ 0.05). There were no significant differences in the success rate of intraperitoneal adhesion, stone removal and stone removal rate between 2 groups (P ＞ 0.05). The postoperative exhaust time and recovery time of PATIENTS in LCBDE+LC group were shorter than those in ERCP+LC group (P＜ 0.05). There was no significant difference in the incidence of postoperative complications between 2 groups (P ＞ 0.05). Conclusion Both LCBDE+LC and ERCP+LC can achieve good surgical results in the treatment of choledocholithiasis and cholecystolithiasis, but the choice of surgical method should be considered comprehensively according to the age of patients, clinical symptoms and other factors, so as to improve the success rate of treatment.

Clinical value of 3-dimensional laparoscopic radical gastrectomy for gastric cancer

WEI Xin, QIAN Lei

2022, 10(4):  19. 

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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.

Application of multiple serum tumor markers in the diagnosis of primary liver cancer 

MENG Jianyuan, HUANG Hai, ZHU Gangjian

2022, 10(4):  23. 

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Objective To explore the application of multiple serum tumor markers in the diagnosis of primary liver cancer. Method 105 patients with primary liver cancer, benign liver disease and non liver disease who were treated in Wuzhou Workers' Hospital from January 2019 to December 2021 were selected, and 35 patients were included in the liver cancer group, the benign liver disease group and the control group respectively according to different diseases. Detect the abnormal prothrombin (DCP), alpha fetoprotein (AFP) α- L-fucosylase(AFU), carbohydrate antigen 19-9 (CA19-9), and evaluate the diagnostic value of the above indicators alone and in

combination. Result The DCP, AFP, AFU, CA19-9 water of patients with liver cancer were higher than those of the other two groups on average, and there was significant difference between the two groups (P<0.05). According to the analysis of the working characteristic curve of the subjects, the best diagnostic thresholds of serum DCP, AFP, AFU and CA19-9 were 39.38mAU/ml, 48.35μg/L, 25.93U/L and 50.54U/ml, respectively. The Jordan index of the tandem test of AFP+AFU and DCP+AFP+AFU was the largest, 0.757. Conclusion Among serum DCP, AFP, AFU and CA19-9, AFP combined with AFU has the highest diagnostic efficacy.

Clinical observation on the treatment of mixed hemorrhoids with automatic elastic thread ligation combined with external hemorrhoidectomy

MIAO Chunshan, ZHANG Yanqiu

2022, 10(4):  27. 

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Objective To investigate the clinical efficacy and safety of automatic elastic thread ligation combined with external hemorrhoidectomy for patients with mixed hemorrhoids. Method 160 patients with mixed hemorrhoids were selected from December 2019 to March 2022 in Jinhu County Hospital of Traditional Chinese Medicine in Huai'an City. According to the results of random red and white ball lottery, they were divided into the control group (80 patients with white balls) and the observation group (80 patients with red balls). The control group was treated with traditional external incision and internal ligation, and the observation group was treated with the combined scheme of automatic elastic thread ligation and external hemorrhoid resection. The pain, edema, and bleeding of the patients in the two groups 1 day, 3 days, and 6 days after surgery were observed and

evaluated The changes of symptoms such as anal distension were observed and the incidence of complications such as wound bleeding and urine retention was observed and counted. Result The pain score, edema symptom score and anal distension score of patients in the observation group on the 1st, 3rd and 6th day after operation were lower than those in the control group (P ＜ 0.05). The difference is significant between the two groups in the probability of complications such as wound bleeding and urine retention (P ＜ 0.05). Conclusion The combination of automatic elastic thread ligation and external hemorrhoidectomy is the first choice for clinical treatment of mixed hemorrhoids. Compared with the traditional treatment, it can effectively reduce the postoperative pain, edema, anal distension and other symptoms, with fewer complications and ideal safety.

Progress of traditional Chinese and western medicine for wound repair after hemorrhoids surgery

LI Yikun, GUO Xiutian

2022, 10(4):  31. 

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Due to the particularity of the operation site, the operation of mixed hemorrhoids often adopts open treatment after the operation. The risk of wound contamination is high. The poor growth of wound granulation tissue, edema, and slow wound healing are common problems that anorectal surgeons have when treating patients. In recent years, the understanding of related mechanisms of wound repair has been deepened, especially the application of new materials and technologies, providing more clinical options. Traditional Chinese medicine has the advantages of precise curative effect, high safety and low price in the treatment of wounds, and is widely used in clinical practice. This paper reviews the research progress of traditional Chinese and western medicine on wound repair.

Clinical application of hepatic artery infusion chemotherapy in advanced liver cancer

ZHANG Yongzhen, ZHAO Mengpeng, WANG Wenming, HAN Xinqiang

2022, 10(4):  34. 

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Hepatocellular carcinoma (HCC) is one of the six most common malignant tumours globally. Early diagnosis and timely surgical resection can maximise the benefits for patients. However, based on the unique pathophysiological characteristics of the liver, most patients have been in the advanced stage of the tumour at the initial diagnosis and lost the opportunity of surgical resection; transcatheter arterial chemoembolisation (TACE) is its definitive treatment, but HCC patients with portal vein tumor thrombus (PVTT) are relatively contraindicated to TACE treatment. Hepatic artery infusion chemotherapy (HAIC) using the characteristics of liver first-pass effect, continuous high-concentration infusion of chemotherapeutic drugs directly into tumour blood supply arteries has made remarkable achievements in middle and advanced HCC in recent years. However, there is no unified diagnosis and treatment standard and specification for HAIC. This paper reviews the clinical application of HAIC in advanced HCC.

Application of percutaneous abdominal puncture and drainage in the diagnosis and treatment of closed abdominal injury combined with splenic contusion and laceration

WEI Licheng

2022, 10(4):  41. 

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Objective To explore the effect of percutaneous abdominal puncture and drainage in the diagnosis and treatment of closed abdominal injury combined with splenic contusion and laceration. Method From January 2016 to June 2021, 52 patients with closed abdominal injury combined with splenic contusion and laceration admitted to Hechi People's Hospital were selected for non-surgical treatment through percutaneous abdominal puncture and drainage. The clinical data of the patients were analyzed retrospectively, and the clinical diagnosis and treatment results, complications and improvement of quality of life were counted. Result Among 52 patients with closed abdominal injury and splenic contusion and laceration, 51 patients had positive puncture results. The positive rate and accuracy of puncture were 98.08%. One case was false positive due to puncture complications. The

incidence of puncture complications was 1.92%. Moreover, none of the patients in this study had non therapeutic laparotomy and death. Among them, except for 1 case of secondary bleeding and 1 case of delayed intestinal perforation, the remaining 50 cases were cured and discharged after conservative treatment, and the success rate of conservative treatment was 96.15%. After 3 months of follow-up, there were no complications except 1 case of adhesive intestinal obstruction, and the quality of life score of the patients was significantly higher than that before discharge (P ＜ 0.05). Conclusion Percutaneous abdominal puncture and catheter drainage for the treatment of abdominal closed injury combined with splenic contusion and laceration has a high positive rate of puncture and diagnostic accuracy. At the same time, it can reduce puncture complications, improve the success rate of

conservative treatment, and improve the quality of life of patients.

Laparoscopic posterior triangular approach combined with blunt cold separation in laparoscopic cholecystectomy

YU Jun, YANG Weiwei

2022, 10(4):  45. 

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Objective To investigate the effect of laparoscopic posterior triangular approach combined with blunt cold separation in laparoscopic cholecystectomy. Method From January 2020 to December 2021, 74 patients undergoing laparoscopic cholecystectomy in Suqian Integrated Traditional Chinese and Western Medicine Hospital were selected. All patients were dissected by blunt cold separation method during the operation. According to different surgical approaches, they were divided into the test group (41 cases via the posterior triangle approach of the gallbladder) and the control group (33 cases via the anterior triangle approach of the gallbladder). The basic surgical indicators of the two groups were compared and the complications were counted. Result The operation time (51.37±7.84)min in the test group was shorter than that in the control group (56.85±7.36)min, and the

amount of intraoperative bleeding (30.22±5.68)ml was less than that in the control group (34.49±6.30)ml, the difference was statistically significant (P ＜ 0.05). There was no significant difference in gastrointestinal function recovery and discharge time between the two groups (P ＞ 0.05). The conversion rate of the test group (0) was lower than that of the control group (12.12%), and the incidence of surgical complications (2.44%) was lower than that of the control group (15.15%), with statistically significant differences (P ＜ 0.05). Conclusion Laparoscopic cholecystectomy through the posterior triangle approach can better expose the gallbladder and its adjacent relationship with surrounding tissues, facilitate the identification of extrahepatic bile duct structure and variation, combine with blunt cold separation, shorten the operation time, effectively prevent and reduce iatrogenic bile duct

injuries, reduce conversion to laparotomy, and is safe and effective. 

Effects of propofol combined with etomidate anesthesia induction on hemodynamics and inflammatory factors in patients undergoing laparoscopic cholecystectomy

WEN Chengcuo

2022, 10(4):  49. 

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Objective To investigate the effect of propofol combined with etomidate anesthesia induction on hemodynamics and inflammatory factors in patients undergoing laparoscopic cholecystectomy. Method 80 cases of laparoscopic cholecystectomy patients admitted to Qinghai Tibetan Hospital from January 2020 to January 2022 were selected and divided into two groups with 40 cases each according to the method of numerical random table. The control group was anesthetized with propofol, and the observation group was anesthetized with propofol and etomidate. The hemodynamic changes at different time points during the operation were compared between the two groups, the changes of inflammatory factors were detected in the two groups, and the adverse reactions of anesthetic drugs were evaluated. Result After induction, the heart rate and mean arterial pressure in the observation group were significantly higher than those in the control group (P ＜ 0.05); the level of inflammatory indicators in the

observation group was lower than that in the control group on the first day after operation, and the recovery time of eye opening, catheter removal and directional force was shorter than that in the control group, with significant differences (P ＜ 0.05). There was no significant difference in the incidence of adverse reaction to anesthesia between the two groups (P ＞ 0.05). Conclusion Propofol combined with etomidate anesthesia induction for laparoscopic cholecystectomy has good effect, stable hemodynamics and high safety.

The effect of percutaneous transhepatic cholangioscopic lithotripsy on patients with gallstones and its impact on quality of life

FAN Wenchuan, HUANG Liheng

2022, 10(4):  53. 

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Objective To investigate the clinical effect of percutaneous transhepatic cholangioscopy (PTCS) hard lens lithotripsy in the treatment of intrahepatic bile duct stones. Method From March 2019 to January 2022, 40 patients with hepatolithiasis admitted to Yanting County People's Hospital, were selected and divided into the observation group and the control group according to the random number table, with 20 patients in each group. The patients in the control group were treated with traditional laparoscopic intrahepatic bile duct lithotomy, and the patients in the observation group were treated with PTCS hard lens lithotripsy. The patients in both groups were followed up for 3 months after operation. The operation related indexes, liver function level, quality of life, recurrence and complications of the two groups were compared. Result The intraoperative bleeding volume of the patients in the observation group was lower than that in the control group, and the hospital stay, postoperative exhaust time, and operation time were shorter than those in the control group. The success rate of primary lithotripsy and the stone clearance rate 2 weeks after operation were higher than those in the control group, with significant differences (P ＜ 0.05). The levels of serum alanine aminotransferase, glutamic oxaloacetic transaminase, total bilirubin and serum albumin in the two groups were significantly lower than those in the control group 2 weeks after operation; The scores of physiological function, somatic pain, health status and emotional function of the patients in the two groups increased 3 months after operation compared with those before operation, and the scores in the observation group were significantly higher than those in the control group; Within 3 months after operation, the total incidence of complications and recurrence rate in the observation group were lower than those in the control group, with significant differences (P ＜ 0.05). Conclusion PTCS hard lens lithotripsy can effectively reduce liver injury, restore liver function, improve patients' quality of life, reduce the risk of complications and the possibility of stone recurrence.

Laparoscopic cholecystolithiasis with chronic cholecystitis via posterior triangle anatomy

XIA Baojie, ZHU Xuehe, ZHI Wenbin

2022, 10(4):  58. 

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Objective To investigate the efficacy and safety of the posterior triangle approach in laparoscopic cholecystectomy for patients with cholecystolithiasis and chronic cholecystitis. Method From January 2019 to April 2022, 120 patients with cholecystolithiasis and chronic cholecystitis who were admitted by Chuzhou Hospital of Traditional Chinese Medicine in Huai'an City were selected, all of whom received laparoscopic surgery. According to different approaches, the observation group (60 cases) and the control group (60 cases) were divided into two groups. The control group adopted the triangular approach through the gallbladder, and the observation group implemented the posterior triangular approach through the gallbladder. The clinical indicators of the two groups

were recorded and compared, Detect and analyze the difference of inflammatory level and immune function changes between the two groups before and after operation, and observe and count the total incidence of postoperative complications in each group. Result The total operation time and recovery time of patients in the observation group were shorter than those in the control group, and the intraoperative bleeding was less than that in the control group (P ＜ 0.05). At 72h after operation, the TNF-α and IL-6 levels in the observation group were lower than those in the control group, and the percentage of CD4+and CD8+T cells were higher than those in the control group (P ＜ 0.05). Conclusion Laparoscopic cholecystolithiasis with chronic cholecystitis can be performed by the posterior triangle approach, which can effectively reduce the inflammatory reaction caused by surgery, and has less postoperative complications and high safety.

Analysis of the effect of acupoint sticking combined with rehabilitation therapy on postoperative gastrointestinal function recovery in elderly patients after gastrointestinal surgery

SUN Linxia, SHI Junjun

2022, 10(4):  62. 

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Objective To analyze the effect of acupoint sticking combined with rehabilitation therapy on postoperative gastrointestinal function recovery in elderly patients. Method From February 2020 to February 2022, 300 elderly patients after gastrointestinal surgery in the Second People's Hospital of Pingliang were selected as the research objects, and divided into the control group (150 cases, receiving conventional treatment) and the observation group (150 cases) by random number table method. , and acupoint sticking combined with rehabilitation therapy), the recovery of gastrointestinal function, the improvement of quality of life and the improvement of nutritional status were compared between the two groups. Result The hospitalization time, defecation time, eating

time, bowel sound recovery time and anal exhaust time of the observation group were shorter than those of the control group, and the difference was significant (P ＜ 0.05). There was no significant difference in the quality of life between the two groups before treatment (P ＞ 0.05). After treatment, the scores of various indicators of the quality of life in the two groups were improved, and the observation group was more prominent than the control group (P ＜ 0.05). There was no significant difference in the levels of albumin and hemoglobin between the two groups before treatment (P ＞ 0.05). After treatment, the levels of albumin and hemoglobin in the two groups were increased, and the observation group was higher than the control group, and the difference was significant (P ＜ 0.05). Conclusion The application of acupoint sticking combined with rehabilitation therapy in elderly patients is beneficial to the recovery of gastrointestinal function after operation, improves the quality of life and nutritional status of patients, and promotes the recovery of patients.

Study on the application of accelerated rehabilitation surgery in colorectal cancer surgery

SHI Weiwei, WAN Song

2022, 10(4):  67. 

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Objective To analyze the application of accelerated rehabilitation surgery (ERAS) in colorectal cancer surgery. Method 120 colorectal cancer patients hospitalized in Nanjing Gaochun People's Hospital from May 2018 to May 2021 were selected and randomly divided into control group and observation group with 60 patients each. The control group received traditional rehabilitation intervention and the observation group received ERAS intervention. The postoperative recovery indicators, serum inflammation indicators and the total incidence of complications of the two groups were compared. Result The first anal exhaust, defecation time and hospitalization time in the observation group were shorter than those in the control group, with significant differences (P ＜ 0.05). The serum tumor necrosis factor-α, C reactive protein and interleukin-6 in the observation group were lower than those in the control group 3 days after operation, and the total incidence of complications (1.67%) was lower than

that in the control group (13.33%), with significant differences (P ＜ 0.05). Conclusion ERAS can shorten recovery time, reduce inflammatory response and reduce complications in colorectal cancer patients.

Analysis of the efficacy and safety of different methods in the treatment of small colorectal polyps

YAN Jingzhe, LIU Xuewei, ZHANG Chenghua

2022, 10(4):  71. 

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Objective To analyze the value of different schemes in the treatment of small colorectal polyps. Method From January 2020 to January 2021, 60 patients with small colorectal polyps admitted to Jilin Cancer Hospital were selected and randomly divided into two groups (30 patients in each group). The control group was treated with hot snare resection under enteroscope, and the observation group was treated with cold snare resection under enteroscope. The clinical efficacy, complications, surgery and recovery, and recurrence rate of the two groups were compared. Result The clinical efficacy of the observation group (96.67%) was higher than that of the control group (80.00%), and the incidence of complications (6.67%) was lower than that of the control group (26.67%), with significant differences (P<0.05). The number of polyps removed and the diameter of polyps in the observation group were not significantly different from those in the control group, but the polyp removal time and colonoscopy

operation time were shorter than those in the control group, with significant differences (P ＜ 0.05). There was no significant difference between the observation group and the control group in the time of underground activity and hospitalization expenses, but the hospitalization time was shorter than the control group, and the incision size was larger than the control group, with significant differences (P ＜ 0.05). Conclusion Compared with the treatment of small colorectal polyps with hot snare resection under colonoscopy, cold snare resection under colonoscopy is safer and more effective. By shortening the resection time, it can promote patients to go to the ground and leave hospital as soon as possible.

Comparative analysis of the effect of laparoscopic surgery and traditional open surgery in the treatment of inguinal hernia

WANG Ruihong, LU Yibin

2022, 10(4):  75. 

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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. 

Comparison of curative effect of filling tension-free hernioplasty and traditional hernioplasty in inguinal hernia

HAO Guojun, RAN Haihai

2022, 10(4):  78. 

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Objective To compare the effect of plug tension-free hernioplasty (Rutkow method) and traditional hernioplasty (Bassini method) in inguinal hernia. Method 100 patients with inguinal hernia admitted to Pingliang Second People's Hospital from March 2019 to March 2021 were selected and divided into the control group and the observation group according to the random number table method, with 50 of each group. The patients in the observation group received filling Rutkow tension-free hernia repair, while the patients in the control group received traditional Bassini hernia repair. The incidence of complications, perioperative indicators, treatment satisfaction, as well as quality of life and microenvironment related indicators before and after treatment were compared between the two groups. Result The amount of bleeding during operation in the observation group was less than that in the

control group, the duration of pain, the time of getting out of bed and hospitalization were shorter than those in the control group, but the operation time was longer than that in the control group, with significant differences (P ＜ 0.05). The incidence of wound infection, hematoma, scrotal effusion, urinary retention and other complications in the observation group was lower than that in the control group, and the treatment satisfaction, improvement of microenvironment related indicators and quality of life in the observation group were significantly better than those in the control group (P ＜ 0.05). Conclusion Filling tension-free hernioplasty for inguinal hernia patients can effectively shorten the duration of pain, the time of getting out of bed and hospitalization, reduce intraoperative bleeding, reduce the incidence of complications, improve treatment satisfaction, and improve microenvironment

indicators and quality of life.

Clinical comparison of laparoscopic transperitoneal preperitoneal prosthesis and open tension-free hernioplasty for adult inguinal hernia

WEI Xiaoyuan

2022, 10(4):  83. 

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Objective To observe the difference between laparoscopic transperitoneal preperitoneal prosthesis (TAPP) and open tension free hernioplasty (OTFH) in the treatment of adult inguinal hernia. Method 80 adult patients with inguinal hernia admitted to Guiping People's Hospital from January 2019 to December 2021 were selected and divided into the observation group (TAPP treatment) and the control group (OTFH treatment) according to the random number table. Record the surgical indicators of patients, compare the changes of stress indicators, evaluate the clinical efficacy and follow up the complications. Result The operation time and activity time of the patients in the observation group were shorter than those in the control group, and the amount of

intraoperative bleeding was less than that in the control group, with significant differences (P ＜ 0.05), but there was no significant difference in the hospital stay between the two groups (P ＞ 0.05). After operation, the levels of stress indicators in both groups were increased, while those in the control group were significantly higher; The levels of stress indexes in the observation group were significantly higher than those in the control group (P＜0.05). There was no significant difference in the total effective rate between the two groups (97.50% vs 92.50%, P=0.608). The total incidence of complications in the observation group was lower than that in the control group (20.00%), with a significant difference (P ＜ 0.05). Conclusion TAPP is more effective and safe than OTFH in treating adult inguinal hernia.

Effect of moxa stick moxibustion on gastrointestinal function recovery in patients after laparoscopic appendectomy

MEI Yaping, SONG Ziping, YIN Mo

2022, 10(4):  87. 

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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.

Effect of cooperative nursing mode on self-efficacy and quality of life of patients with rectal cancer after colostomy

ZHANG Yu

2022, 10(4):  91. 

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Objective To explore the effect of cooperative nursing mode on self-efficacy and quality of life of patients with rectal cancer after colostomy. Method From April 2020 to February 2022, 70 patients with colostomy after rectal cancer surgery in Nanjing Liuhe District People's Hospital were selected as the study samples, and they were divided into the experimental group and the conventional group according to the different nursing methods, with 35 patients in each group. Traditional nursing mode was adopted in the conventional group, and cooperative nursing mode was adopted in the experimental group. The self-efficacy and quality of life of the two groups were compared. Result After nursing, the self-efficacy scores of the two groups showed an upward trend, and the self-efficacy scores of the experimental group were higher than those of the conventional group, the difference

is significant (P ＜ 0.05). After nursing, the scores of physical function, role function, cognitive function and emotional function in the experimental group were higher than those in the conventional group, the difference is significant (P ＜ 0.05). Conclusion On the basis of routine nursing, the application of cooperative nursing mode has a significant effect on the patients with rectal cancer after colostomy. It can improve their self-efficacy, improve their quality of life, which is conducive to the improvement and recovery of the disease.

Effect of nursing intervention under positive incentive mode on postoperative emotion and self-care ability of rectal cancer patients

LI Mingyue

2022, 10(4):  95. 

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Objective To observe the effect of nursing intervention in patients with rectal cancer after operation under the positive incentive mode. Method From January 2019 to January 2022, 80 patients with rectal cancer after operation in Nanjing Liuhe District People's Hospital were selected and divided into control group and study group according to different nursing methods, with 40 patients in each group. The control group was given routine nursing mode, while the study group was given positive incentive nursing mode on this basis. The emotion and self-care ability of the two groups were analyzed and compared. Result Before nursing, there was no significant difference in the scores of self rating anxiety scale (SAS) and self rating depression scale (SDS) between the two

groups (P ＞ 0.05); after nursing, the SAS and SDS scores of patients in the study group were lower than those in the control group (P ＜ 0.05). Before nursing, there was no significant difference in self-care ability between the two groups (P ＞ 0.05); after nursing, the scores of self-care responsibility, skills, knowledge and self-concept of patients in the study group were higher than those in the control group, with significant differences (P ＜ 0.05). The improvement of patients in the study group after nursing was better than that before nursing. Conclusion Based on the conventional nursing mode, the application of positive incentive mode in the postoperative patients with rectal cancer can reduce the patients' negative emotions, enhance the patients' self-care ability, improve the prognosis and shorten the rehabilitation time.

Nursing experience of 52 cases of limb arterial thrombosis undergoing endovascular treatment

SUN Haiyan, GAO Jieqing, XING Chunping, LIU Ping, QIN Shaohua, ZHAO Tanghai

2022, 10(4):  99. 

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Objective To summarize the nursing experience of endovascular therapy in patients with limb arterial thrombosis. Method The clinical data of 52 patients with limb arterial thrombosis treated by endovascular treatment were retrospectively analyzed, and the nursing problems and corresponding nursing measures in the perioperative period of endovascular treatment mainly based on catheter-directed thrombolysis (CDT) were discussed. Result The patients in this group were able to tolerate transluminal surgery, and the success rate of surgery was 94.2% (49/52), 23 cases of CDT alone, 19 cases of CDT+percutaneous transluminal angioplasty (PTA), 10 cases of CDT+PTA+ stent angioplasty, and no perioperative deaths. Conclusion Through comprehensive and

meticulous preoperative preparation, real-time communication with patients during surgery, listening to patient complaints, close observation of the disease and prevention of the occurrence of various complications after surgery, etc, the occurrence of adverse events is avoided in a timely and effective manner, and nursing protection is provided for the success of surgery. The  implementation of comprehensive and predictive nursing measures is an important prerequisite for the satisfactory results of intraluminal technology in the treatment of patients with limb arterial thrombosis.

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

2022, 10(4):  103. 

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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.