Effect of barbed wire in stump treatment during laparoscopic gangrenous appendectomy / 中国基层医药

Objective@#To observe the safety and efficacy of barbed wire in the treatment of root gangrene stump in laparoscopic appendectomy (LA).@*Methods@#From January 2016 to January 2018, 42 patients with gangrene in the root of the appendix treated in the First People's Hospital of Tongxiang were selected as study objects, and they were divided into observation group and control group according to the digital table.The observation group (22 cases) was treated with barbed suture, and 20 cases in the control group received body-absorbable suture.The time of suture, operation time, perioperative blood loss, postoperative hospital stay and the incidence of postoperative complications were observed.@*Results@#All patients successfully completed the operation without conversion to open surgery.No serious complications occurred during the perioperative period.The preoperative general data, intraoperative bleeding, postoperative hospital stay and postoperative complications between the two groups had no statistically significant differences (all P>0.05). But the suture time[(5.2±1.2) min vs.(7.2±2.6) min], the operation time[(40.1±6.8) min vs.(47.0±8.3 min)] in the observation group were significantly shorter than those in the control group, the differences were statistically significant(t=3.25, 2.99, all P<0.05). All 42 patients were followed up for 3-6 months, with an average follow-up time 4.6 months, without serious complications.@*Conclusion@#The barbed wire is safe and effective in the treatment of root gangrene stump in LA.It can shorten the suture time and operation time, lower the level of difficulty of laparoscopic surgery and shorten the learning curve, which is worthy of clinical application.

Effect of barbed wire in stump treatment during laparoscopic gangrenous appendectomy / 中国基层医药

Objective To observe the safety and efficacy of barbed wire in the treatment of root gangrene stump in laparoscopic appendectomy (LA).Methods From January 2016 to January 2018,42 patients with gangrene in the root of the appendix treated in the First People's Hospital of Tongxiang were selected as study objects ,and they were divided into observation group and control group according to the digital table .The observation group (22 cases) was treated with barbed suture ,and 20 cases in the control group received body-absorbable suture.The time of suture,operation time,perioperative blood loss ,postoperative hospital stay and the incidence of postoperative complica-tions were observed.Results All patients successfully completed the operation without conversion to open surgery .No serious complications occurred during the perioperative period.The preoperative general data ,intraoperative bleeding , postoperative hospital stay and postoperative complications between the two groups had no statistically significant differences (all P＞0.05 ).But the suture time [( 5.2 ±1.2) min vs.(7.2 ±2.6) min], the operation time [(40.1 ±6.8) min vs.(47.0 ±8.3 min)] in the observation group were significantly shorter than those in the control group,the differences were statistically significant (t＝3.25,2.99,all P＜0.05).All 42 patients were followed up for 3-6 months,with an average follow-up time 4.6 months,without serious complications.Conclusion The barbed wire is safe and effective in the treatment of root gangrene stump in LA.It can shorten the suture time and operation time,lower the level of difficulty of laparoscopic surgery and shorten the learning curve ,which is worthy of clinical application.

Accidental ingestion of a barbed wire broach and its endoscopic retrieval: Prevention better than cure.

Ingestion of instruments is a potential complication that can occur during dental procedures. We report a case of accidental ingestion of an endodontic barbed wire broach during root canal treatment and its subsequent retrieval by endoscopic methods. Although prevention is the best approach, proper management of such an event is also crucial. The objective of this report is to draw attention to the potentially serious complications that can occur if preventive techniques are not practised, and to discuss the accepted guidelines for management of such an event.

Influence of Power Quality on the Performance of Medical Equipment / 医疗卫生装备

Objective To improve hospital power quality and guarantee the stability of medical equipment. Methods Leg of circuit is taken for power supply. Refining plant is equipped for electric barbed wire. Conditions are improved for equipment access. Power quality monitoring is strengthened. Results Power quality is effectively improved while the failure rate decreases obviously. Conclusion It is essential to improve power quality for high medical equipment quality.