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Coatings for Permanent Meshes Used to Enhance Healing in Abdominal Hernia Repair: A Scoping Review. 用于增强腹部疝气修复愈合的永久性网片涂层:范围审查。
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-27 DOI: 10.1177/15533506241255258
Jason Joe Baker, Jacob Rosenberg
{"title":"Coatings for Permanent Meshes Used to Enhance Healing in Abdominal Hernia Repair: A Scoping Review.","authors":"Jason Joe Baker, Jacob Rosenberg","doi":"10.1177/15533506241255258","DOIUrl":"10.1177/15533506241255258","url":null,"abstract":"<p><strong>Introduction: </strong>Hernia meshes are used to reduce recurrence and pain rates, but the rates are still high. This could be improved with coatings of the mesh. This scoping review aimed to provide an overview of mesh coatings used to promote healing in abdominal hernia repair and to report beneficial and unbeneficial effects.</p><p><strong>Methods: </strong>We included human and animal studies with abdominal hernias that were repaired with non-commercially coated meshes. We searched Pubmed, Embase, Cochrane Central, LILACS, and CNKI without language constraints.</p><p><strong>Results: </strong>Of 2933 identified studies, 58 were included: six studies had a total of 408 humans and 52 studies had 2679 animals. The median follow-up was 12 months (range 1-156), and 95% of the hernias were incisional. There were 44 different coatings which included platelet-rich plasma, mesenchymal stem cells, growth factors, vitamin E, collagen-derived products, various polysaccharides, silk proteins, chitosan, gentamycin, doxycycline, nitrofurantoin, titanium, and diamond-like carbon. Mesenchymal stem cells and platelet-rich plasma were the most researched. Mesenchymal stem cells notably reduced inflammation and foreign body reactions but did not impact other healing metrics. In contrast, platelet-rich plasma positively influenced tissue ingrowth, collagen deposition, and neovascularization and had varying effects on inflammation and foreign body reactions.</p><p><strong>Conclusion: </strong>We identified 44 different mesh coatings and they showed varying results. Mesenchymal stem cells and platelet-rich plasma were the most studied, with the latter showing considerable promise in improving biomechanical properties in hernia repair. Further investigations are needed to ascertain their definitive use in humans.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"424-434"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of the Quality of Patient-Oriented Internet Information on Fluorescence Imaging in Surgery. 以患者为导向的外科荧光成像互联网信息质量评估。
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-24 DOI: 10.1177/15533506241256827
Aizaz Khalid, Heena Anuff, Sophie Woodhead, Trevor M Yeung
{"title":"Assessment of the Quality of Patient-Oriented Internet Information on Fluorescence Imaging in Surgery.","authors":"Aizaz Khalid, Heena Anuff, Sophie Woodhead, Trevor M Yeung","doi":"10.1177/15533506241256827","DOIUrl":"10.1177/15533506241256827","url":null,"abstract":"<p><strong>Background: </strong>In the digital age, patients are increasingly turning to the Internet to seek medical information to aid in their decision-making process before undergoing medical treatments. Fluorescence imaging is an emerging technological tool that holds promise in enhancing intra-operative decision-making during surgical procedures. This study aims to evaluate the quality of patient information available online regarding fluorescence imaging in surgery and assesses whether it adequately supports informed decision-making.</p><p><strong>Method: </strong>The term \"patient information on fluorescence imaging in surgery\" was searched on Google. The websites that fulfilled the inclusion criteria were assessed using 2 scoring instruments. DISCERN was used to evaluate the reliability of consumer health information. QUEST was used to assess authorship, tone, conflict of interest and complementarity.</p><p><strong>Results: </strong>Out of the 50 websites identified from the initial search, 10 fulfilled the inclusion criteria. Only two of these websites were updated in the last two years. The definition of fluorescence imaging was stated in only 50% of the websites. Although all websites mentioned the benefits of fluorescence imaging, none mentioned potential risks. Assessment by DISCERN showed that 30% of the websites were rated low and 70% were rated moderate. With QUEST, the websites demonstrated an average score of 62.5%.</p><p><strong>Conclusion: </strong>This study highlights the importance of providing patients with accurate and balanced information about medical technologies and procedures they may undergo. Fluorescence imaging in surgery is a promising technology that can potentially improve surgical outcomes. However, patients need to be well-informed about its benefits and limitations in order to make informed decisions about their healthcare.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"394-399"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Variability of Guidelines and Disclosures for AI-Generated Content in Top Surgical Journals. 顶级外科期刊中人工智能生成内容的指南和披露的差异性。
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-06-11 DOI: 10.1177/15533506241259916
Sina J Torabi, Michael J Warn, Benjamin F Bitner, Yarah M Haidar, Tjoson Tjoa, Edward C Kuan
{"title":"Variability of Guidelines and Disclosures for AI-Generated Content in Top Surgical Journals.","authors":"Sina J Torabi, Michael J Warn, Benjamin F Bitner, Yarah M Haidar, Tjoson Tjoa, Edward C Kuan","doi":"10.1177/15533506241259916","DOIUrl":"10.1177/15533506241259916","url":null,"abstract":"<p><p><b>Background</b>: When properly utilized, artificial intelligence generated content (AIGC) may improve virtually every aspect of research, from data gathering to synthesis. Nevertheless, when used inappropriately, the use of AIGC may lead to the dissemination of inaccurate information and introduce potential ethical concerns.<b>Research Design</b>: Cross-sectional. Study Sample: 65 top surgical journals. Data Collection: Each journals submission guidelines and portal was queried for guidelines regarding AIGC use.<b>Results</b>: We found that, in July 2023, 60% of the top 65 surgical journals had introduced guidelines for use, with more surgical journals (68%) introducing guidelines than surgical subspecialty journals (52.5%), including otolaryngology (40%). Furthermore, of the 39 with guidelines, only 69.2% gave specific use guidelines. No included journal, at the time of analysis, explicitly disallowed AIGC use.<b>Conclusions</b>: Altogether, this data suggests that while many journals have quickly reacted to AIGC usage, the quality of such guidelines is still variable. This should be pre-emptively addressed within academia.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"389-391"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing Muscular Pain and Ergonomics Among Robotic Surgeons in China: A Validation. 中国机器人外科医生肌肉疼痛和人体工学评估:验证。
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-23 DOI: 10.1177/15533506241255766
Shady Saikali, Ela Patel, Anya Mascarenhas, Abdelrahman Jaber, Ahmad Gamal, Marcio Covas Moschovas, Liang Cui, Xuesong Li, Vipul Patel
{"title":"Assessing Muscular Pain and Ergonomics Among Robotic Surgeons in China: A Validation.","authors":"Shady Saikali, Ela Patel, Anya Mascarenhas, Abdelrahman Jaber, Ahmad Gamal, Marcio Covas Moschovas, Liang Cui, Xuesong Li, Vipul Patel","doi":"10.1177/15533506241255766","DOIUrl":"10.1177/15533506241255766","url":null,"abstract":"<p><strong>Introduction: </strong>Robotic surgery has transformed minimally invasive procedures, offering precision and efficiency. However, the ergonomic aspects of robotic consoles and their impact on surgeon health remain understudied. This review investigates the burden of ergonomics and muscle fatigue among robotic surgeons in China, comparing the findings to a multinational study.</p><p><strong>Methodology: </strong>A literature review identified themes related to physical discomfort in robotic surgery. A questionnaire was administered to Chinese robotic surgeons, yielding 40 responses. The study assessed demographic characteristics, surgeon experience, ergonomic practices, reported discomfort, and pain-relief mechanisms.</p><p><strong>Results: </strong>The study revealed that most surgeons experienced shoulder and neck pain, with mixed opinions on whether robotic surgery was the primary cause. Stretching exercises were commonly used for pain relief. Surgeons believed that case volume and surgery duration contributed to discomfort. Comparisons with a multinational study suggested potential demographic and experience-related differences.</p><p><strong>Conclusion: </strong>While the study has limitations, including a small sample size and potential translation issues, it underscores the importance of addressing ergonomic concerns and providing proper training to robotic surgeons to ensure their well-being and longevity in the field. Further research with larger cohorts and platform-specific analyses is warranted.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"435-442"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Insufflation-Free, Perianal Work Platform. 无充气、肛周工作平台。
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-20 DOI: 10.1177/15533506241255435
Henry Buchwald, Hector Menchaca, Van Michalek, Arthur Erdman
{"title":"Insufflation-Free, Perianal Work Platform.","authors":"Henry Buchwald, Hector Menchaca, Van Michalek, Arthur Erdman","doi":"10.1177/15533506241255435","DOIUrl":"10.1177/15533506241255435","url":null,"abstract":"<p><p>There is an ever increasing volume of colorectal surgery being performed endoscopically by anal access, as well as greater employment of robotics for these procedures. Intraluminal visualization for perianal operations is today dependent on insufflation of the bowel. When full-thickness resections above the peritoneal reflection become necessary, the peritoneal cavity becomes inflated, facilitating infection and necessitating general anesthesia and patient intubation. Our patented tool was originally envisioned to enable abdominal cavity access via a single 2cm port incision, suitable for insufflation-free laparoscopic surgery, under local anesthesia (e.g., cholecystectomy). On further consideration, this instrument was modified to be used for perianal colorectal surgery.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"392-393"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Novel Endoscopic Approach for Treating Breast Cancer: Haigui-1 Hole. 治疗乳腺癌的新型内窥镜方法:Haigui-1 孔。
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-06-13 DOI: 10.1177/15533506241262563
Pingming Fan, Pengfei Lyu, Fangfang Gao, Jingtai Li, Changyuan Wei, Guankui Du
{"title":"A Novel Endoscopic Approach for Treating Breast Cancer: Haigui-1 Hole.","authors":"Pingming Fan, Pengfei Lyu, Fangfang Gao, Jingtai Li, Changyuan Wei, Guankui Du","doi":"10.1177/15533506241262563","DOIUrl":"10.1177/15533506241262563","url":null,"abstract":"<p><strong>Objective: </strong>Endoscopic surgery is an effective technique for preserving the nipple and areola, as well as for sentinel lymph node biopsy and breast implant reconstruction. However, the technical challenges associated with endoscopic surgery have limited its widespread adoption.</p><p><strong>Methods: </strong>In the normal single-port endoscopic surgery, the ultrasonic knife was accessed through the retractor. In our modified procedure, a tiny 5 mm incision was made at the lateral margin underneath the breast, serving as the second entry port for the ultrasonic scalpel, which was referred to as the \"Haigui-1 hole\". Preoperative and postoperative indicators such as blood loss, operative time, and postoperative drainage volume were collected. Differences between parameters were compared using Student's <i>t</i> test.</p><p><strong>Results: </strong>Endoscopic surgery with the assistance of the \"Haigui-1 hole\" led to preserved breast aesthetics with minimal scarring. Moreover, \"Haigui-1 hole\" surgery significantly reduced the operation time, intraoperative bleeding, and postoperative drainage volume compared to normal single-port endoscopic surgery.</p><p><strong>Conclusion: </strong>The \"Haigui-1 hole\" procedure, which involves the addition of a second entrance to improve the maneuverability of the ultrasonic knife, is worthy of further promotion.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"349-354"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of Unilateral External Oblique Intercostal Fascial Plane Block Versus Subcostal TAP Block in Laparoscopic Cholecystectomy: Randomized, Prospective Study. 腹腔镜胆囊切除术中单侧外斜肋间筋膜平面阻滞与肋下 TAP 阻滞的疗效:随机前瞻性研究
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-23 DOI: 10.1177/15533506241256529
Çömez Mehmet Selim, Sağlambilen Halide, Çelik Erkan Cem, Koyuncu Onur, Hakimoğlu Sedat, Urfalı Senem
{"title":"Efficacy of Unilateral External Oblique Intercostal Fascial Plane Block Versus Subcostal TAP Block in Laparoscopic Cholecystectomy: Randomized, Prospective Study.","authors":"Çömez Mehmet Selim, Sağlambilen Halide, Çelik Erkan Cem, Koyuncu Onur, Hakimoğlu Sedat, Urfalı Senem","doi":"10.1177/15533506241256529","DOIUrl":"10.1177/15533506241256529","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effectiveness of unilateral external oblique intercostal nerve block (EOIB) in laparoscopic cholecystectomy surgery.</p><p><strong>Material and methods: </strong>After ethics committee approval, ASA I-II patients aged 18-70 who would undergo laparoscopic cholecystectomy surgery were included in the study. The patients were divided into two groups, external oblique intercostal nerve block (Group EOIB) and oblique subcostal transversus abdominis plane block (Group OSTAP). After surgery, EOIB or OSTAP block was administered with 20 mL of .25% bupivacaine then routine analgesia protocol was applied with iv paracetamol, and tramadol. Visual analog scale (VAS) scores and patient-controlled analgesia (PCA) consumption were monitored 24 hours after the operation. It was administered 25 mg pethidine as a rescue analgesic to patients with VAS ≥4.</p><p><strong>Results: </strong>Thirty six patients for Group EOIB and thirty four patients for Group OSTAP were included in the study. Lower VAS scores were observed in all groups. When PCA consumption, side effects, rescue analgesia consumption, and patient satisfaction were evaluated, there was no statistically significant difference between the groups (<i>P</i> > .05).</p><p><strong>Conclusion: </strong>It was observed that EOIB showed similar analgesic activity to the OSTAP block. EOIB may also be a part of postoperative multimodal analgesia by reducing postoperative opioid consumption in LC.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"381-388"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Findings Favor Haptics Feedback in Virtual Simulation Surgical Education: An Updated Systematic and Scoping Review. 研究结果有利于虚拟仿真手术教育中的触觉反馈:最新系统性和范围界定综述。
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-03-14 DOI: 10.1177/15533506241238263
Sayed Azher, Aralia Mills, Jinzhi He, Taliah Hyjazie, Junko Tokuno, Andrea Quaiattini, Jason M Harley
{"title":"Findings Favor Haptics Feedback in Virtual Simulation Surgical Education: An Updated Systematic and Scoping Review.","authors":"Sayed Azher, Aralia Mills, Jinzhi He, Taliah Hyjazie, Junko Tokuno, Andrea Quaiattini, Jason M Harley","doi":"10.1177/15533506241238263","DOIUrl":"10.1177/15533506241238263","url":null,"abstract":"<p><strong>Background: </strong>Virtual simulations (VSs) enhance clinical competencies and skills. However, a previous systematic review of 9 RCT studies highlighted a paucity of literature on the effects of haptic feedback in surgical VSs. An updated systematic and scoping review was conducted to encompass more studies and a broader range of study methodologies.</p><p><strong>Methods: </strong>A systematic literature search was conducted on July 31, 2023, in MEDLINE, Embase, and Cochrane. English language studies comparing haptic vs non-haptic conditions and using VSs were included. Studies were evaluated and reported using PRISMA-ScR guidelines.</p><p><strong>Results: </strong>Out of 2782 initial studies, 51 were included in the review. Most studies used RCT (21) or crossover (23) methodologies with medical residents, students, and attending physicians. Most used post-intervention metrics, while some used pre- and post-intervention metrics. Overall, 34 performance results from studies favored haptics, 3 favored non-haptics, and the rest showed mixed or equal results.</p><p><strong>Conclusion: </strong>This updated review highlights the diverse application of haptic technology in surgical VSs. Haptics generally enhances performance, complements traditional teaching methods, and offers personalized learning with adequate simulator validation. However, a sparsity of orienting to the simulator, pre-/post-study designs, and small sample sizes poses concerns with the validity of the results. We underscore the urgent need for standardized protocols, large-scale studies, and nuanced understanding of haptic feedback integration. We also accentuate the significance of simulator validation, personalized learning potential, and the need for researcher, educator, and manufacturer collaboration. This review is a guidepost for navigating the complexities and advancements in haptic-enhanced surgical VSs.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"331-341"},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11047018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Video-Assisted Telescope Operating Monitor 3D System in Microsurgical Varicocelectomy: A Preliminary Report. 显微外科精索静脉曲张切除术中的视频辅助望远镜操作显示器 3D 系统:初步报告。
IF 1.5 4区 医学
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-03-04 DOI: 10.1177/15533506241237555
Gede Wirya Kusuma Duarsa, Yudhistira Pradnyan Kloping, Gede Wirya Diptanala Duarsa, Besut Daryanto, Paksi Satyagraha
{"title":"Video-Assisted Telescope Operating Monitor 3D System in Microsurgical Varicocelectomy: A Preliminary Report.","authors":"Gede Wirya Kusuma Duarsa, Yudhistira Pradnyan Kloping, Gede Wirya Diptanala Duarsa, Besut Daryanto, Paksi Satyagraha","doi":"10.1177/15533506241237555","DOIUrl":"10.1177/15533506241237555","url":null,"abstract":"<p><strong>Introduction: </strong>Video-assisted telescope operating monitor (VITOM®) with 3D Visualization technology was developed and has been used with favorable results by several surgical specialties. Our study aims to be a preliminary report for initial experience using the VITOM® 3D system for microsurgical varicocelectomy on varicocele patients.</p><p><strong>Methods: </strong>We performed 35 microsurgical varicocelectomy procedures using the VITOM® 3D system on varying types and grades of varicoceles. The surgeon had the option of using either a 2.5 or 3.5 magnifying loupe in addition to the exoscope for each operation evaluated. The exoscope is a standalone camera head with an integrated 3D telescope and remote control with zoom and focus functions. It is connected to the 3D monitor via a mechanical holding arm. During the procedure, surgeons, assistants, and observers were able to view the 3D high-definition stream displayed on a 26-inch 3D monitor at a convenient viewing angle and distance. The varicocele ligation was performed using a Carl Zeiss Meditec AG microscope.</p><p><strong>Results: </strong>There were 35 patients with varicocele aged 31.51 years old on average, which were included in this report. Most patients had grade 3 bilateral varicocele (n = 13, 37.1%). All procedures were performed without any intraoperative complications. After the procedures, only a few patients suffered from postoperative complications. Three patients suffered scrotal edema (8.6%), while another had hydrocele (2.9%). The postoperative pain results were also very minimal from .89 1 day after the operation to .26 3 days after the operation.</p><p><strong>Conclusion: </strong>The VITOM® 3D system showed promise in microsurgical varicocelectomy.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"240-244"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application Value of High-Quality Nursing in Operating Room in Rectal Cancer Operation and its Influence on Postoperative Rehabilitation. 手术室优质护理在直肠癌手术中的应用价值及其对术后康复的影响
IF 1.5 4区 医学
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-03-11 DOI: 10.1177/15533506231221895
Juan Liu, Feng Tan, Yihui Zhang, Ping Zhou, Qian Qian, Qiaofang He, Jingpin Xu
{"title":"Application Value of High-Quality Nursing in Operating Room in Rectal Cancer Operation and its Influence on Postoperative Rehabilitation.","authors":"Juan Liu, Feng Tan, Yihui Zhang, Ping Zhou, Qian Qian, Qiaofang He, Jingpin Xu","doi":"10.1177/15533506231221895","DOIUrl":"10.1177/15533506231221895","url":null,"abstract":"<p><strong>Objective: </strong>To study the value of high-quality care in operating room during operation of patients with rectal cancer and the effect of this nursing model on postoperative rehabilitation.</p><p><strong>Methods: </strong>This study recruited 72 patients with rectal cancer, including 36 in the control group and 36 in the observation group. Patients in the control group received routine care, and those in the observation group received high-quality care in operating room.</p><p><strong>Results: </strong>The anxiety score (5.50 ± .77 vs 10. 08 ± 1.13), stress score (6.97 ± .60 vs 8.61 ± .99), and depression score (4.02 ± .65 vs 5.50 ± .91) in the observation group were less than the control group after treatment (<i>P</i> < .05). The measured values of diastolic blood pressure (73.19 ± 1.96 vs 86.13 ± 2.0), systolic blood pressure (121.08 ± 1.62 vs 130.63 ± 2.84), heart rate (73.05 ± 1.63 vs 87.11 ± 2.91) and adrenaline E(E) (58.40 ± 3.02 vs 61.42 ± 3.86) in the observation group were less than the control group after treatment (<i>P</i> < .05). The cooperation degree (94.44 vs 75.00) in the observation group was greater than the control group, but the operation time (308.47 ± 9.92 vs 339.47 ± 12.70), postoperative intestinal function recovery time (16.30 ± 1.14 vs 30.94 ± 2.10) and length of stay (10.47 ± 1.85 vs 13.33 ± 1.95) were all shorter than the control group (<i>P</i> < .05). The nasopharyngeal temperature in the observation group was greater than the control group at 30 minutes during operation (36.16 ± .50 vs 35.19 ± .40) and after operation, and fear score (2.22 ± .42 vs 3.63 ± .72) was less than the control group (<i>P</i> < .05).</p><p><strong>Conclusion: </strong>The application of high-quality care in the operating room during rectal cancer surgery has a significantly good clinical outcome.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"274-285"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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