Efficacy comparison of laparoscopic versus open tension-free hernia repair using biologic mesh for inguinal strangulated hernia / 中华胃肠外科杂志

<p><b>OBJECTIVE</b>To compare the efficacy of laparoscopic versus open tension-free mesh repair using biologic mesh for inguinal strangulated hernia.</p><p><b>METHODS</b>Clinical data of 27 patients with inguinal strangulated hernia in the Shanxi Provincial People's Hospital between January 2012 and April 2014 were analyzed retrospectively. All the patients underwent one-stage tension-free repair using biological mesh, including laparoscopic(n=13) and open procedures(n=14).</p><p><b>RESULTS</b>As compared with the open group, the laparoscopic group had shorter operative time [(90.8±11.6) min vs. (130.8±32.5) min, P<0.01], lower rates of hematoma/seroma and wound infection[(7.7% vs. 42.9%) and (0 vs. 28.6%) respectively, both P<0.05], faster recovery of bowel function [(2.5±0.3) d vs. (3.8±1.4) d, P<0.01], and shorter hospital stay [(6.3±1.8) d vs. (9.8±3.2) d, P<0.01]. The mean follow-up was 5.7 months (ranged from 2 to 12 months), and no recurrence or serious complications occurred.</p><p><b>CONCLUSION</b>Laparoscopic tension-free hernia repair using biological mesh for inguinal strangulated hernia has significant advantage versus open operation.</p>

Open surgery endovascular repair and for abdominal aortic aneurysm / 重庆医科大学学报

Objective:To compare the early result of endovascular repair and conventional openrepair for abdominal aortic aneurysm.Methods:We analyzed the clinical data of 37 patients withinfrarenal AAA.Among them,14 patients were treated with endovascular repair(EVR group),23 with conventional open repair(COR group).Pre-operative status,intra-operative variables,complication?mortality rate?hospital expenditure?post-operative outcomes and laboratory findings of the two groups were compared.Results:Blood loss and blood transfusion in EVR group were signific'antly less than COR group(P

Clinical study of enteral versus parenteral nutrition support in severe acute pancreatitis / 解放军医学杂志

Objective To compare enteral nutrition (EN) and parenteral nutrition (PN) in the treatment of severe acute pancreatitis (SAP), in order to elucidate the feasibility and advantage of EN. Method 65 patients were randomly divided into PN and EN groups. The nutritional status and the immunologic index were determined on the 1st, 7th and 14th day after giving the nutritional support, and the incidence of the complications, infection rate, mortality rate, hospital stay days and hospital expenditure were compared. Results After giving the nutritional support, the serum contents of albumin and transferrin were increased obviously, and blood glucose and blood diastase were lowered significantly in both PN and EN groups (P