scholarly journals Observation of Clinical Treatment Effect of Plastic Surgery of Asymmetric Double Eyelids

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Liang Gao ◽  
Shuang Xu ◽  
Miao Zhang ◽  
Jing Chen ◽  
Li Ma
Keyword(s):  
Blood Loss ◽  
Plastic Surgery ◽  
Operation Time ◽  
Healing Time ◽  
Control Group ◽  
Observation Group ◽  
Intraoperative Blood Loss ◽  
Incision Size ◽  
The Difference ◽  
Double Eyelid

Objective: To explore the clinical efficacy of plastic surgery of asymmetric double eyelid. Methods: The clinical data of 70 patients with asymmetrical double eyelid who underwent plastic surgery in our hospital from April 2018 to December 2019 were retrospectively analyzed. The patients were divided into different groups based on different plastic surgery procedures. The control group (n=35 cases) were the patients who underwent double eyelid incision method, and the patients who used embedding double eyelid method were included in the observation group (n=35 cases). The operation time, intraoperative blood loss, incision size, healing time of incision, satisfaction of plastic surgery and occurrence of complications were compared between the two groups. Results: The operation time and incision healing time of the observation group were shorter than those of the control group. The intraoperative blood loss and incision were less than those of the control group, and the satisfaction was higher than that of the control group. The difference was statistically significant (P<0.05). The incidence of complications in the observation group was slightly lower than the control group, but the difference was not statistically significant (P>0.05). Conclusion: For asymmetric double eyelid, it should undergo embedding double eyelid plastic surgery, because the operation time and incision healing time are shorter. And intraoperative blood loss and incision size are smaller, which can improve patient satisfaction and reduce the incidence of complications.

scholarly journals Study on the Effect of Removing the Slide Wire Screw on Locking Plate by Nail Groove Reconstruction Method

2021 ◽  
Author(s):  
Guanglei Zheng ◽  
Yingjie Qi
Keyword(s):  
Blood Loss ◽  
Locking Plate ◽  
Operation Time ◽  
Healing Time ◽  
Control Group ◽  
Reconstruction Method ◽  
Intraoperative Blood Loss ◽  
Limb Function ◽  
Experimental Group ◽  
Tungsten Steel

Abstract Background: This paper is to describe and evaluate the nail groove reconstruction method in removing slide wire screw on locking plate. Then compare the method with tungsten steel drilling nail method, to explore a new method of removing slide wire screw on locking plate.Method: A total of 1254 patients with removal fracture internal fixation devices were collected from the Affiliated Hospital of Hangzhou Normal University from July 2015 to September 2021, of which 62 cases met the inclusion and exclusion criteria. All patients were randomly divided into the experimental group and the control group. 31 people per group. There were 19 males and 12 females in the experimental group, the age of patients was 35.68±11.70years; while 18 males and 13 females in the control group, the age of patients was 36.27±10.37years. Nail groove reconstruction method was used in the experimental group, and the tungsten steel drilling nail method was used in the control group. Collect and count surgical-related indicators, the data of two groups were compared and analyzed from four aspects: intraoperative blood loss, operation time, incision healing time and limb function recovery time.Result: All slide wire screws were removed successfully, and all patients had no serious postoperative complications such as internal fixation retention and neurovascular injury. The experimental group was better than the control group in the following three aspects: the amount of intraoperative blood loss, the operative time, the recovery time of limb function, and the differences were statistically significant(p < 0.05). There was no significant difference in incision healing time between the two groups.Conclusion: The nail groove reconstruction method has less damage to the bone and soft tissue, less intraoperative blood loss, shorter operation time, and faster postoperative recovery of limb function. The nail groove reconstruction method is a simple and effective method, it has obvious advantages compared with the traditional method.

scholarly journals A non-bioartificial liver support system combined with transplantation in HBV-related acute-on-chronic liver failure

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Peng Li ◽  
Xi Liang ◽  
Shan Xu ◽  
Ye Xiong ◽  
Jianrong Huang
Keyword(s):  
Survival Rate ◽  
Blood Loss ◽  
Liver Failure ◽  
Control Group ◽  
Observation Group ◽  
Intraoperative Blood Loss ◽  
Chronic Liver Failure ◽  
Short Term ◽  
Liver Support ◽  
Liver Support System

AbstractWe aim to determine the impact of an artificial liver support system (ALSS) treatment before liver transplantation (LT), and identify the prognostic factors and evaluate the predictive values of the current commonly used ACLF prognostic models for short-term prognosis after LT. Data from 166 patients who underwent LT with acute-on-chronic liver failure (ACLF) were retrospectively collected from January 2011 to December 2018 from the First Affiliated Hospital of Zhejiang University School of Medicine. Patients were divided into two groups depending on whether they received ALSS treatment pre-LT. In the observation group, liver function tests and prognostic scores were significantly lower after ALSS treatment, and the waiting time for a donor liver was significantly longer than that of the control group. Both intraoperative blood loss and period of postoperative ICU care were significantly lower; however, there were no significant differences between groups in terms of total postoperative hospital stays. Postoperative 4-week and 12-week survival rates in the observation group were significantly higher than those of the control group. Similar trends were also observed at 48 and 96 weeks, however, without significant difference. Multivariate Cox regression analysis of the risk factors related to prognosis showed that preoperative ALSS treatment, neutrophil–lymphocyte ratio, and intraoperative blood loss were independent predicting factors for 4-week survival rate after transplantation. ALSS treatment combined with LT in patients with HBV-related ACLF improved short-term survival. ALSS treatment pre-LT is an independent protective factor affecting the 4-week survival rate after LT.

scholarly journals Application value of minimally invasive percutaneous dilational tracheostomy for ICU critical patients

2019 ◽  
Vol 36 (2) ◽  
Author(s):  
Hongmei Gan ◽  
Aihong Dong ◽  
Haiyan Xu
Keyword(s):  
Heart Rate ◽  
Minimally Invasive ◽  
Operation Time ◽  
Healing Time ◽  
Control Group ◽  
Observation Group ◽  
Percutaneous Dilational Tracheostomy ◽  
Intraoperative Bleeding ◽  
Incision Length ◽  
Critical Patients

Objective: To find out the application value of minimally invasive percutaneous dilational tracheostomy in critically ill patients in intensive care unit (ICU). Methods: One hundred and forty critically ill patients who underwent tracheostomy in ICU of our hospital were included in the study from August 2016 to December 2017. They were divided into an observation group and a control group by random number table method, 70 in each group. The control group received conventional tracheotomy, while the observation group received percutaneous dilational tracheostomy. The operation time, incision length, amount of intraoperative bleeding and healing time of incision were compared between the two groups, and the changes of vital signs and complications after operation were recorded. The family members of the patients signed the informed consent. Results: The operation time, healing time and incision length of the observation group were (9.92±4.13) min, (1.31±0.21) cm and (6.91±0.72) respectively, shorter than (24.09±6.82) min, (3.40±0.65) cm and (67.48±0.61) d in the control group, and the differences were statistically significant (P<0.05). The amount of intraoperative bleeding of the observation group was (7.81±1.83) mL, less than (16.34±2.83) mL in the control group; the difference was statistically significant (P<0.05). The heart rate and oxygen saturation of the observation group before and during the operation were not significantly different (P>0.05). The heart rate of the control group during the operation was significantly higher than that before the operation (P<0.05); the oxygen saturation of the control group before and during the operation had no significant difference (P>0.05). The incidence of complications in the observation group was 24.3%, which was significantly lower than that in the control group (55.7%, X2=8.279, P=0.014). Conclusion: Minimally invasive percutaneous dilational tracheostomy has advantages of small trauma, less infection and beautiful incision, and it will not increase postoperative complications. It is of great value in the treatment of ICU critical patients. doi: https://doi.org/10.12669/pjms.36.2.594 How to cite this:Gan H, Dong A, Xu H. Application value of minimally invasive percutaneous dilational tracheostomy for ICU critical patients. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.594 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals The Clinical Outcome of the Reduction of the Patellar Inferior Pole Fracture with Wire Cerclage Through A Generated Bone hole, in Combination with Patellar Concentrator: A Retrospective Comparative Study

2021 ◽  
Author(s):  
Rong Chen ◽  
Hong Cao ◽  
Zhibo Sun ◽  
Liangbo Jiang ◽  
Xiangwei Li ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Blood Loss ◽  
Operation Time ◽  
Healing Time ◽  
Control Group ◽  
Operative Blood Loss ◽  
Inferior Pole ◽  
Wire Cerclage ◽  
Post Operation ◽  
Experimental Group

Abstract Objective: The patellar inferior pole fracture is typically comminuted. Hence, achieving firm fixation and early activity is highly challenging. In this article, we employed the method of wire cerclage through a generated bone hole to reduce the fracture. Our objective was to compare the clinical efficacy of patellar concentrator alone with a combination of cerclage and patellar concentrator in the treatment of patellar inferior pole fracture.Methods: We conducted a retrospective review of patients with patellar inferior pole fractures, who underwent patellar concentrator fixation only (the control group) or cerclage combined with patellar concentrator fixation (the experimental group), performed by a single surgeon, between July 2015 and October 2019. Our analysis included surgical indexes like7 aspects (fracture gap after operation, operation time, intra-operative blood loss,intra-operative number of C-arm fluoroscopies conducted, Insall-Salvati ratio calculated immediately after operation, initial range of motion on the 7th day after operation, and fracture healing time), as well as the Bostman score and complications recorded on 1-, 3-, 6-, and 12-month follow up post operation.Results:A total of 94 patients with patellar inferior pole fracture and a minimum 1-year followup were recruited. Following operation, the control group had 33(71.74%) patients with a fracture gap of 0-2 mm and 13(28.26%)patients with a fracture gapgreater than 2 mm(P=0.002). Conversely,the experimental grouphad46(95.83%)patients with a fracture gap of 0-2 mm and 2(4.17%) patients with a fracture gapgreater than 2 mm(P=0.002). Compared to the control group, the experimental group did not experience enhanced operation time or intra-operative blood loss (P=0.811, P=0.823). The Insall-Salvati ratio and initial range of motion in the experimental group were larger than the control group (P=0.037, P=0.000). Alternately, the number of intra-operative C-arm fluoroscopies conductedand fracture healing time of the experimental group were considerably less than the control group (P=0.003,P=0.000).Moreover, at 1-, 3-, 6-, and 12-month follow ups after operation, the Bostman scores of the experimental group were remarkably higher than the control group (P< 0.05).At 12 months post operation, 23 cases (50%) were classified as excellent, 22 cases (47.83%) were good, and 1 case (2.17%) was poor in the control group(P=0.005). In the meantime, in the experimental group, 38 cases (79.17%) were deemed as excellent and 10 cases (20.83%) were good (P=0.005).Lastly, complications were detected in 3 cases (6.52%;1 case of internal fixation loss,2 cases of hematoma) within the control group, and in 1 case(2.08%; marginal wound necrosis) within the experimental group. There was no wound infection, implant discomfort, or broken fixation in eithergroup.Conclusion: Managingthe patellar inferior pole fracture with wire cerclage through a generated bone hole is both simple and effective. Moreover, an additional step of patellar concentrator fixation facilitates early functional exercise, with satisfactory clinical outcome.

scholarly journals Observation on the Clinical Effect of Modified Circumcision in the Treatment of Phimosis and Excessive Foreskin

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Jiechang Ju
Keyword(s):  
Clinical Effect ◽  
Treatment Plan ◽  
Operation Time ◽  
Healing Time ◽  
Control Group ◽  
Clinical Effects ◽  
The Difference ◽  
And Control ◽  
Wound Healing Time ◽  
Experimental Group

Objective: To study the clinical effect of modified circumcision in the treatment of phimosis and excessive foreskin. Methods: 110 patients with overly long foreskin or phimosis were divided into experimental group and control group by random number table method, with 55 cases in each group. The experimental group was treated with modified circumcision, and the control group was treated with traditional manual cutting and suture. Then the clinical effects of the two treatments were compared. Results: Two different surgical procedures were performed. During the operation, the blood loss of the experimental group was less than that of the control group; the operation time and wound healing time were shorter than those of the control group; after the operation, the incidence of related complications in the experimental group was 14.55%, which was significantly lower than For 25.45% of the control group, the clinical treatment effect was obvious, and the difference was statistically significant (P<0.05). Conclusion: The clinical effect of modified circumcision in the treatment of patients with phimosis and excessive foreskin is good. Compared with the traditional manual cutting and suture treatment, it not only has the advantages of simple operation and clinical application, but also benefits the rehabilitation of patients. Rehabilitation time reduces the incidence of postoperative complications. It is an ideal treatment plan for this type of disease in the current clinic, and it is worthy of popularization and application in general surgery and reproductive surgery.

Preventative Value of Predictive Health Interventions on PICC-Related Thrombosis in Patients with Severe Burns

2021 ◽  
Vol 7 (5) ◽  
pp. 1488-1494
Author(s):  
Baiyan He ◽  
Shuting He
Keyword(s):  
Adverse Events ◽  
Healing Time ◽  
Health Intervention ◽  
Health Interventions ◽  
Control Group ◽  
Observation Group ◽  
Burn Patients ◽  
Predictive Health ◽  
The Difference ◽  
Wound Healing Time

Background Burn mainly refers to the damage caused by high temperature to the skin and mucous membrane tissue. Seriously, it causes damage to the subcutaneous tissue or subcutaneous mucous membrane, which is easy to induce infection and poses a threat to the life safety of patients.For patients with deep burns, surgical removal of damaged skin and mucosal tissue, Postoperative,immediate coverage of surgical wounds,avoid infection due to body fluid and energy loss with related tissue necrosis.The clinical treatment period for critical burn patients is longer and high incidence of postoperative complications.The corresponding nursing intervention while undergoing treatment can help to eliminate the impact of the bad psychological state on the patients, improve the treatment compliance, and reduce the occurrence of complications. Objective Evaluation of the value of predictive health intervention in preventing thrombosis associated with Peripherally Inserted Central Catheter (PICC) via peripheral vein in critically ill burn patients Methods Select 90 patients with severe burn treated by PICC infusion from January 2019- February 2021, Group by reference to intervention methods, with 45 using conventional health intervention (control group) and another 45 using predictive health interventions (observation group). The incidence of pulmonary and wound infection, the incidence of adverse events associated with PICC catheterization and wound healing time were recorded in the two groups. The degree of pain was evaluated by visual simulation (VAS) score, and the differences of platelet, D- dimer (D-D) and hemodynamics were detected in the two groups Results The incidence of pulmonary infection, PICC associated thrombus and total adverse events in the observation group was lower, and higher rate of functional recovery,but less wound healing time with control group,which had statistical significance (P<0.05) .Incidence of wound infection, incidence of catheter blockage, incidence of unplanned extubation,the difference was not statistically significant (P>0.05) .Comparison before intervention/The pain score decreased at 7 ck 14d> 21d (P<0.05), and the observation group was lower than the control group (P<0.05) .Intervention of the 7d, 14d two sets all platelet elevation (P< 0.05) ,but D-D concentration decreases (P< 0.05) .Intervention of the 7d> 14d two sets was increased of the intrathoracic blood volume index (ITBVI) (P<0.05) , but extravascular lung water index (EVLWI) and mean arterial pressure (MAP) the difference was not statistically significant (P>0.05). Conclusions Predictive health intervention can reduce the pain degree of critically burned patients, reduce the incidence of adverse events such as infection and PICC-related thrombosis, and promote wound recovery.

scholarly journals Does tranexamic acid have role in controlling intraoperative blood loss in tonsillectomy?

2020 ◽  
Vol 6 (7) ◽  
pp. 1253
Author(s):  
Heempali Das Dutta ◽  
Pabina Rayamajhi ◽  
Nazeef Ibrahim
Keyword(s):  
Blood Loss ◽  
Tranexamic Acid ◽  
Postoperative Bleeding ◽  
University Teaching ◽  
Control Group ◽  
Study Group ◽  
Intraoperative Blood Loss ◽  
Intraoperative Bleeding ◽  
The Difference ◽  
And Control

<p class="abstract"><strong>Background:</strong> The study was done with the objective to assess the effect of tranexamic acid in controlling intraoperative bleeding in tonsillectomy.</p><p class="abstract"><strong>Methods:</strong> Retrospective study was conducted in the Department of ENT and HNS, Tribhuvan University Teaching Hospital, Kathmandu, Nepal from August 2016 to July 2017. Patients more than 15 years who underwent bilateral tonsillectomy were included in the study. Whereas patients who underwent unilateral tonsillectomy and patients who had hypersensitivity to tranexamic acid were excluded from the study. The patients who received tranexamic acid during surgery were taken as study group whereas the patients who didn’t receive tranexamic acid were taken as control. The amount of the intraoperative blood loss, i.e. mean and the frequency of early post-operative bleeding were evaluated.  </p><p class="abstract"><strong>Results:</strong> A total of 48 patients who fulfilled the inclusion criteria were evaluated. Among whom, 24 patients who received tranexamic acid during tonsillectomy were taken as study group and other 24 patients who did not received tranexamic acid were taken as control. The mean blood loss in study and control group were 92.85 ml and 91.40 ml respectively and the difference was statistically not significant (p=0.785). There were no cases of early postoperative bleeding recorded in either group within the first 24 hours of surgery.</p><p><strong>Conclusions:</strong> There is no significant role of tranexamic acid in controlling intraoperative bleeding in tonsillectomy. </p>

Ureteroscopic Image Analysis of Double J-Tube Placement for Ureteral Stones During Pregnancy

2021 ◽  
Vol 11 (7) ◽  
pp. 2011-2015
Author(s):  
Li-Yin Ye ◽  
Xiao-Yan Miao ◽  
Xiao-Nan Miao
Keyword(s):  
Treatment Plan ◽  
Test Group ◽  
Operation Time ◽  
Tube Placement ◽  
Ureteral Stones ◽  
Control Group ◽  
Observation Group ◽  
Widespread Application ◽  
Comparison Results ◽  
The Difference

Objective: To explore the effect of ureteroscopy with double J tube placement and drainage on ureteral stones during pregnancy, to compare the clinical effect of ureteroscope with double J tube placement on pregnancy complicated with ureteral stones, and using medical imaging to diagnose the patient’s condition and design a treatment plan. Methods: Eighty pregnant patients with ureteral calculi treated in our hospital were selected as the research object, and were divided into a test group and a control group according to the random number table method, 40 cases in each group. The test group underwent ureteroscope double J tube placement, and the control group underwent ureteroscope lithotripsy. Combined with the ultrasound scan results of the patients before and after the operation, the operation time, time to get out of bed and hospitalization time of the two groups of patients were compared. The operation success rate and the incidence of complications within 1 month after surgery were counted in the two groups of patients. Results: The total effective rate of the observation group was 100.0%, which is higher than that of the control group of 90.0%. The difference between the two groups was statistically significant (P < 0.05). The adverse reaction rate in the observation group was 5.0%, which was lower than 17.5% in the control group. The difference between the two groups was statistically significant (P < 0.05). The comparison results are then prepared. Conclusions: Double J tube placement under ureteroscopy has a significant effect on the treatment of ureteral stones during pregnancy, and it has good safety and is worthy of widespread application.

scholarly journals Comparison of the Effects of Minimally Invasive Percutaneous Nephrolithotomy and Open Surgery on Kidney Stones

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Shrestha Navin ◽  
Huanchun Hu
Keyword(s):  
Minimally Invasive ◽  
Percutaneous Nephrolithotomy ◽  
Kidney Stones ◽  
Open Surgery ◽  
Control Group ◽  
Observation Group ◽  
Intraoperative Blood Loss ◽  
Stone Clearance ◽  
Minimally Invasive Percutaneous Nephrolithotomy ◽  
The Difference

Objective: To compare the treatment effects of minimally invasive percutaneous nephrolithotomy and open surgery on kidney stones. Methods: From November 2018 to November 2019, 80 patients with kidney stones who were treated in our hospital were selected and divided into two groups according to the random number table method. Each group contained 40 patients. The patients in control group were treated with open surgery while the patients in observation group were treated with minimally invasive percutaneous nephrolithotomy. The surgical indicators, rate of stone removal, and adverse events were compared between the two groups. Results: There was no statistically significant difference in surgical time between the two groups (P>0.05). Compared with the control group, the observation group had less intraoperative blood loss and shorter hospital stay, and the differences were statistically significant (P<0.05). The stone clearance rate (95.00%) in the observation group was higher than that in the control group (77.50%), and the difference was statistically significant (P<0.05). Compared with the control group, the incidence of postoperative adverse effects was lower in the observation group, and the difference was statistically significant (P<0.05). Conclusion: Minimally invasive percutaneous nephrolithotomy for kidney stones is effective in reducing the intraoperative blood loss, shortening the length of hospital stay, improving the rate of stone clearance and reducing the occurrence of adverse effects. Therefore, this treatment method should be promoted for clinical use.

scholarly journals Preoperative planning by osteotomy master software helps to improve the accuracy of target limb alignment in high tibial osteotomy

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Axiang He ◽  
Yanjie Mao ◽  
Ying Zhou ◽  
Qin Kong ◽  
Hui zhang ◽  
...  
Keyword(s):  
Blood Loss ◽  
High Tibial Osteotomy ◽  
Preoperative Planning ◽  
Operation Time ◽  
Control Group ◽  
Tibial Osteotomy ◽  
Observation Group ◽  
Limb Alignment ◽  
Correction Angle ◽  
Significant Difference

Abstract Background The accuracy of targeted lower limb alignment correction following HTO is closely related to patients’ pain relief and knee joint survival time. How to accurately perform osteotomy and how to obtain the ideal target limb alignment to maximize the curative effect are the difficulty in HTO practice. The purpose of this study is to evaluate the predictive and application value of osteotomy master software (OsteoMaster) in coronal plane preoperative planning of high tibial osteotomy. Method Sixty-seven patients with medial compartment osteoarthritis and varus deformity treated by medial open-weight high tibial osteotomy were enrolled and divided into observation group (31 cases) and control group (36 cases). The observation group was planned by OsteoMaster, while the control group was planned by Miniaci. The preoperative predicted values of osteotomy depth, open height, correction angle, WBL ratio, and FTA of the observation group were compared with the actual intraoperative values to study their accuracy. The operative time, blood loss, number of fluoroscopy, and WBL ratio were compared between the observation group and the control group to study its application value. Result There was no significant difference between two groups in preoperative prediction and intraoperative reality of osteotomy depth, open height, correction angle, FTA, and WBL ratio (P > 0.05). The operation time and number of fluoroscopy in the observation group were significantly less than those in the control group (P < 0.05), while the difference in blood loss was not statistically significant (P > 0.05). The good rate of WBL ratio was 87.1% in the observation group and 75% in the control group. Conclusion OsteoMaster has predictive value in osteotomy depth, open height, correction angle, FTA, and WBL ratio of HTO, which is also helpful to reduce the number of fluoroscopy, shorten the operation time, and improve the accuracy of target limb alignment. The drawback of this approach is 2-dimensional approach in contrast to 3-dimensional preoperative planning that is including the more real study.

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