ABSTRACT
Objective:To discuss the feasibility and value of open treatment for small and middle abdominal incision hernia repair.Methods:Retrospective analysis of 110 patients with abdominal wall incision hernia repair in our hospital from January 2016 to January 2018. They were divided into two groups according to the different operation, including open treatment group ( n=57)and laparoscopic treatment group ( n=53), the VAS efficacy scores, anal exhaust time, defecating time, removal of gastric tube time, removal of drainage tube time, first feed time, postoperative hospital stay time, hospitalization expenses were observed and analyzed respectively, measurement date with normal distribution were expressed as ( Mean± SD), comparisons between groups were analyzed using t test. Comparisons of count date between groups were analyzed using chi-square test. Results:All the patients were discharged, the VAS efficacy scores in open treatment about one day or three day and five day were (4.02±0.19), (2.21±0.26), (1.39±0.98) scores, the VAS efficacy scores in laparoscopic treatment were (4.68±0.62), (2.76±1.18), (1.84±0.62) scores, there were differences in complications between the two groups( P<0.05). The anal exhaust time, defecating time, removal of gastric tube time, removal of drainage tube time, first feed time of open treatment group were (50.73±14.69) h, (87.21±13.75) h, (9.64±3.92) h, (3.42±1.22) d, (37.11±9.76) h, and the laparoscopic treatment group were (65.14±9.54) h, (89.73±11.56) h, (11.43±5.61) h, (2.81±1.39) d, (38.92±7.59) h, there were differences complications between the two groups( P<0.05). The postoperative hospital stay time of open treatment group were (9.14±0.03) d, the postoperative hospital stay time of laparoscopic treatment group were (9.74±0.49) d, there were not differences in complications between the two groups( P<0.05). The hospitalization expenses in open treatment group were (1.51±0.36) ten thousand yuan, the hospitalization expenses in laparoscopic treatment group were(2.13±1.06) ten thousand yuan, there were differencesin complications between the two groups( P<0.05). Conclusion:Application of open treatment is feasible and effeetive for small and middle abdominal wall incision hernia.
ABSTRACT
Objective To compare the effect of artianterior sacralia foramina block and sacral block on induced abortion.Mathods 263 women for induced abortion were randomly devided into three groups:the group for anteriora sacralia foramina block (n=95),the group for sacral block (n=90),the control group (n=78).Parameters before and after abortion measured include anesthesia area,skin of both legs and anus tempreture,blood pressure,pulse rate,resperatory rate,heart rate,clinical effect and VAS score.Results At 15 minutes after the anteriora sacralia foramina blocking,the anesthesia area involved distribution of medii clunium nerve,glacens nerve,puden-dus nerve,posterior femoris cutaneus nerve,ischiadicus nerve.The skin temperatures of both legs increased significantly (P＜0.01).Blood pressure,pulse rate,resperatory rate,and heart rate didn't vary markedly.The analgisia effect of anteriora sacralia foramina block was superior to sacral block.Conclusion The anteriora sacralia foramina block is simple,safe,effective,practical and can become a new approach for analgisia in induced abortion.