BMC Surgery最新文献

{"title":"Long-term outcomes of ventriculoperitoneal shunt therapy in idiopathic normal pressure hydrocephalus.","authors":"Jingyu Chen, Jishu Xian, Feilong Wang, Chenghai Zuo, Li We, Zhi Chen, Rong Hu, Hua Feng","doi":"10.1186/s12893-025-02895-9","DOIUrl":"https://doi.org/10.1186/s12893-025-02895-9","url":null,"abstract":"<p><strong>Background: </strong>Limited data are available regarding the long-term functional outcomes and associated factors in patients with idiopathic normal pressure hydrocephalus (iNPH) undergoing ventriculoperitoneal shunt (VPS) placement. This study aimed to retrospectively evaluate the long-term outcomes of iNPH patients treated with VPS.</p><p><strong>Methods: </strong>Functional outcomes were assessed preoperatively and at 1-year, 2-year, and 3-year intervals postoperatively using the modified Rankin Scale (mRS), the iNPH grading scale (iNPHGS), and the Mini-Mental State Examination (MMSE).</p><p><strong>Results: </strong>Significant improvements were observed in mRS and iNPHGS scores at 1, 2, and 3 years post-surgery compared to the baseline level. MMSE scores showed significant improvement at 1-year and 3-year follow-ups. Multivariate regression analysis identified key factors influencing changes in mRS scores: postoperative complications and education level at 1 year, postoperative complications at 2 years, and sex, education level, postoperative complications, and smoking at 3 years. For iNPHGS scores, significant factors included sex, age at surgery, and smoking at 1 and 2 years. Changes in MMSE scores were associated with sex and the duration of preoperative symptoms at 1 year, and postoperative complications, education level, and smoking at 3 years.</p><p><strong>Conclusion: </strong>This study affirmed the efficacy and safety of VPS in managing iNPH. Factors influencing postoperative outcomes predominantly included education level, smoking, duration of preoperative symptoms, and postoperative complications. However, further research is required to validate these findings.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"157"},"PeriodicalIF":1.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic primary suture of the common bile duct in patients with common bile duct stones: a comparative analysis of two suturing methods in terms of safety, efficacy, and convenience with 16-month follow-up.","authors":"Yizhou Sun, Shengyi Zhou, Shan Tang, Zuoan Li, Andong Xu","doi":"10.1186/s12893-025-02904-x","DOIUrl":"https://doi.org/10.1186/s12893-025-02904-x","url":null,"abstract":"<p><strong>Background: </strong>Primary suturing of the common bile duct (CBD) is increasingly used in laparoscopic common bile duct exploration (LCBDE) for selected patients, though the optimal suturing method remains unclear. This study compares the efficacy of continuous versus interrupted sutures for primary CBD closure in patients with CBD stones.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 120 patients with CBD stones who underwent primary CBD closure at Yancheng First People's Hospital from October 2022 to December 2023. Data included demographics, hospital stay, complications, and follow-up outcomes. Of these, 69 received continuous sutures, and 51 received interrupted sutures.</p><p><strong>Results: </strong>No significant differences were found in age, gender, body mass index (BMI), CBD diameter, preoperative bilirubin levels, or stone residuals between groups. The incidence of postoperative fever, bile leakage, electrolyte disturbances, bleeding, wound infection, and CBD stricture was similar. Continuous suturing required less operative time than interrupted suturing (p < 0.01).</p><p><strong>Conclusion: </strong>Both continuous and interrupted suturing techniques are safe and effective for CBD closure in selected patients, though continuous suturing is more time-efficient.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"155"},"PeriodicalIF":1.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The difficult laparoscopic cholecystectomy: a narrative review.","authors":"Hamdy S Abdallah, Mohamad H Sedky, Zyad H Sedky","doi":"10.1186/s12893-025-02847-3","DOIUrl":"https://doi.org/10.1186/s12893-025-02847-3","url":null,"abstract":"<p><strong>Background/purpose: </strong>Laparoscopic cholecystectomy is one of the most commonly performed general surgical procedures. Difficult laparoscopic cholecystectomy is associated with increased operative time, hospital stay, complication rates, open conversion, treatment costs, and mortality. This study aimed to provide a comprehensive literature review on difficult laparoscopic cholecystectomy.</p><p><strong>Methods: </strong>A literature search was conducted for articles published in English up to June 2024 using common databases including PubMed/MIDLINE, Web of Science, Google Scholar, and ScienceDirect. Keywords included \"safe laparoscopic cholecystectomy\", \"difficult laparoscopic cholecystectomy\", \"acute cholecystitis\", \"prevention of bile duct injuries\", \"intraoperative cholangiography,\" \"bailout procedure,\" and \"subtotal cholecystectomy\". Only clinical trials, systematic reviews/meta-analyses, and review articles were included. Studies involving children, robotic cholecystectomy, single incision laparoscopic cholecystectomy, open cholecystectomy, and cholecystectomy for indications other than gallstone disease were excluded.</p><p><strong>Results/discussion: </strong>Emergency laparoscopic cholecystectomy for acute cholecystitis is ideally performed within 72 h of symptom onset, with a maximum window of 7-10 days. Intraoperative cholangiography can help clarify unclear biliary anatomy and detect bile duct injuries. In the \"impossible gallbladder\", laparoscopic cholecystostomy or gallbladder aspiration may be considered. When dissection of Calot's triangle is deemed hazardous or impossible, the fundus-first approach allows for completion of the procedure with either total cholecystectomy or subtotal cholecystectomy. Subtotal cholecystectomy is effective in preventing bile duct injuries, can be performed laparoscopically, and is currently the best available bailout approach for difficult laparoscopic cholecystectomy.</p><p><strong>Conclusion: </strong>Difficult laparoscopic cholecystectomy is a common clinical scenario that requires a judicious approach by experienced surgeons in appropriate settings. When difficult laparoscopic cholecystectomy is encountered, various bailout strategies are available. Currently, subtotal cholecystectomy is likely the most effective bailout approach.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"156"},"PeriodicalIF":1.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of epothilone B on the expression of neuroproteins after anastomosis of the sciatic nerve transection in the rat.","authors":"Wei Zhao, Kun-Xiu Song, Bing-Dong Ma, Yong-Tao Liu, Guang-Chao Sun, Yong Chai","doi":"10.1186/s12893-025-02869-x","DOIUrl":"https://doi.org/10.1186/s12893-025-02869-x","url":null,"abstract":"<p><p>Peripheral nerve injury (PNI) is a common condition that leads to the partial loss of function in the sensory, motor, and autonomic nervous systems. The peripheral nervous system has an inherent capacity to regenerate after injury and re-innervate its target organs, but full functional recovery is rare. In recent years, there has been growing interest in identifying drugs that can promote axonal regeneration and outgrowth following PNI. Epothilone B (EpoB) is an FDA-approved antineoplastic agent that promotes tubulin polymerization and enhances the stability of microtubules. Recently, the regenerative effects of EpoB in the central nervous system have garnered attention, but its potential therapeutic effects on peripheral nerve regeneration remain underexplored. This study utilized a sciatic nerve transection and anastomosis model in rats to evaluate the effects of EpoB on neuroprotein expression following nerve injury. Behavioral analysis, Masson's trichrome staining, and immunofluorescence staining were conducted to assess the impact of EpoB on sciatic nerve regeneration. Over time, motor recovery and muscle reinnervation were observed, with Sciatic Functional Index (SFI) scores higher in the EpoB-treated group compared to the vehicle group. The expression of fibronectin (FN) was significantly lower in the EpoB group, while the expression of Tau, neurofilament-M (NF-M), and growth-associated protein-43 (GAP-43) was significantly higher. In conclusion, EpoB treatment significantly increases the expression of Tau, NF-M, and GAP-43, suggesting a positive effect on axonal regeneration and repair.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"152"},"PeriodicalIF":1.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coagulation and thyroiditis are factors associated with adverse pathological features in differentiated thyroid cancer: a retrospective cohort study.","authors":"Xiao Chen, Han-Yu Wang, Lu Yu, Jia-Qi Liu, Hui Sun","doi":"10.1186/s12893-025-02898-6","DOIUrl":"https://doi.org/10.1186/s12893-025-02898-6","url":null,"abstract":"<p><strong>Objective: </strong>Lymph node metastasis (LNM) and thyroid capsular invasion (CI) are the main pathological features leading to poor prognosis of differentiated thyroid cancer (DTC), and there is a lack of effective diagnostic methods before surgery. Therefore, this study was designed to analyze a large number of preoperative clinical features of DTC and identify factors closely related to those two pathological features.</p><p><strong>Methods: </strong>4557 patients with DTC, postoperative pathological results showed LNM in 2146 cases and CI in 2783 cases were retrospectively included. The preoperative blood, urine, serum laboratory test and ultrasound of thyroid were performed for data collection. A total of 74 clinical features were analyzed by the methods of principal component analysis (PCA), and key principal components were extracted for regression analysis of LNM and CI as well as subgroup analysis.</p><p><strong>Results: </strong>11 key clinical features were used for principal component analysis, and 6 principal components PC0-PC5 were finally obtained. PC0 is mainly composed of prothrombin time and international normalized ratio, and the score represents better coagulation function and has a protective effect on LNM. PC1 is mainly composed of thyroid peroxidase antibody and thyroid texture, and the score represents the severity of thyroiditis and has a protective effect on LNM and CI.</p><p><strong>Conclusion: </strong>Thyroiditis and coagulation function were identified by principal component analysis as protective and risk factors for adverse pathology of DTC, meaning they were closely related to tumor metastasis and invasion.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"150"},"PeriodicalIF":1.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is it safe not to fix the mesh in an open incisional hernia repair? Literature review.","authors":"Gintaras Varanauskas, Gintautas Brimas","doi":"10.1186/s12893-025-02894-w","DOIUrl":"https://doi.org/10.1186/s12893-025-02894-w","url":null,"abstract":"<p><strong>Introduction: </strong>Review the articles with incisional hernia repair without mesh fixation in open hernia repair.</p><p><strong>Methods: </strong>A systematic search of the literature published from 01/01/2008 to 31/12/2023 was performed using Medline PubMed, Cochrane Library, and Google Scholar databases. The search used the keywords: incisional hernia, open mesh repair, and without mesh fixation.</p><p><strong>Results: </strong>Nine publications were identified for the present analysis. The quality of each study was assessed. Information about operative methods, main results, conclusions, and recommendations was collected.</p><p><strong>Conclusions: </strong>According to the results and findings of reviewed articles, postoperative abdominal wall hernia repair without mesh suturing is safe and can improve postoperative results. Still, there is insufficient evidence to determine whether it is associated with better outcomes than hernia repair with mesh fixation. Further clinical studies are needed to clarify whether this method is clinically essential.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"151"},"PeriodicalIF":1.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative laparoscopic 'Tunnel' approach in managing hiatal hernia with gastroesophageal reflux disease: a retrospective study.","authors":"Zhewen Feng, Zhiping Zhang, Zhilong Yan, Feng Gao, Qingfeng Chen","doi":"10.1186/s12893-025-02900-1","DOIUrl":"https://doi.org/10.1186/s12893-025-02900-1","url":null,"abstract":"<p><strong>Background: </strong>Hiatal hernia (HH) is a major cause of gastroesophageal reflux disease (GERD), and laparoscopic repair combined with anti-reflux surgery is a common treatment. However, postoperative complications such as vagus nerve injury remain a concern. This study introduces a novel Laparoscopic \"Tunnel\" Approach aiming to minimize damage to the vagus nerve and preserve perigastric vessels.</p><p><strong>Methods: </strong>Clinical data were consecutively collected from patients who underwent laparoscopic \"tunnel\" approach for the treatment of hiatal hernia combined with gastroesophageal reflux disease at the First Affiliated Hospital of Ningbo University between June 2023 and June 2024. Data collected included age, gender, BMI, DeMeester score, surgical time, and postoperative symptoms. Follow-ups were conducted at 1, 3, and 6 months postoperatively.</p><p><strong>Results: </strong>The average age was 54 ± 9 years, BMI was 25.56 ± 4.32 kg/m², DeMeester score was 118.05 ± 17.71, and GERD-Q score was 13 ± 2. The average surgical time was 115 ± 15 min. Postoperatively, symptoms significantly improved, with an average GERD-Q score of 5 ± 1 at 6 months. At 1 month, dysphagia was observed in 14 patients, belching in 19, abdominal distension in 5, nausea in 16, and diarrhea in 8. By 6 months, only 2 patients exhibited belching, with no other symptoms persisting. No cases of vomiting or gallstones were reported.</p><p><strong>Conclusions: </strong>The Laparoscopic \"Tunnel\" Approach may effectively minimizes vagus nerve injury and preserves perigastric vessels, resulting in improved postoperative outcomes and quality of life. This method shows potential for wider application in treating HH and GERD. However, since this study was retrospective and lacked a control group, further studies are needed to verify our conclusions.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"154"},"PeriodicalIF":1.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An investigation of the effectiveness of two different methods in teaching surgical aseptic skills: a quasi-experimental study.","authors":"Esma Ozsaker, Burcak Sahin Koze, Yelda Candan Donmez, Eda Dolgun, Turkan Ozbayir, Meryem Yavuz Van Giersbergen, Fatma Demir Korkmaz","doi":"10.1186/s12893-025-02870-4","DOIUrl":"https://doi.org/10.1186/s12893-025-02870-4","url":null,"abstract":"<p><strong>Background: </strong>It is of the utmost importance in the prevention of infections in surgery that nursing students should learn surgical aseptic skills fully and in the correct order. There is a need for innovative teaching strategies to ensure that the contents of students' skills education are the same and that instruction is similar. Therefore, this study was conducted to investigate the effectiveness of two different methods in teaching surgical aseptic skills.</p><p><strong>Methods: </strong>A quasi-experimental research design was used. A total of 67 students were included in the study, 35 in an intervention group (video-assisted teaching), and 32 in a control group (skill demonstration) were recruited in the nursing faculty of a university in Türkiye. In both groups, the level of aseptic skill knowledge, the level of psychomotor skill, and the satisfaction score were assessed.</p><p><strong>Results: </strong>Although the students' surgical aseptic technique pre-test knowledge scores were higher in the control group, the post-test knowledge scores of both groups were high, and no significant difference was found between the groups. It was found that the gown and glove-wearing post-test scores of the students in the intervention group were higher than those of the control group. The students' sterile technique and surgical hand-washing skill levels were higher in the intervention group, and satisfaction with the teaching method was higher in the control group.</p><p><strong>Conclusions: </strong>The conclusions of this study show that the results of interactive video teaching in teaching nursing skills are as good as the traditional face to face demonstration method. This is a positive indicator, suggesting that interactive videos can suitably be integrated into basic nursing skills training.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"153"},"PeriodicalIF":1.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The clinical and radiological outcomes of a transfacet pedicle-sparing approach for directly addressing the compression of unstable thoracolumbar burst fractures with retropulsion.","authors":"Ehsan Alimohammadi, Mohammad Nikjou, Mohammadali Ataee, Seyed Reza Bagheri","doi":"10.1186/s12893-025-02883-z","DOIUrl":"https://doi.org/10.1186/s12893-025-02883-z","url":null,"abstract":"<p><strong>Background: </strong>The management of thoracolumbar burst fractures with retropulsion has been a matter of debate, the present study aimed to investigate the clinical and radiological outcomes of a transfacet pedicle-sparing approach for directly addressing the compression of unstable thoracolumbar burst fractures with retropulsion.</p><p><strong>Methods: </strong>We examined a cohort of 163 consecutive patients diagnosed with unstable thoracolumbar burst fractures that exhibited significant canal compromise. These patients underwent a transfacet pedicle-sparing procedure aimed at directly alleviating the compression caused by the retropulsed bone segment at our institution. Clinical outcomes were assessed using the Frankel scale and the Oswestry Disability Index (ODI), while radiological outcomes were evaluated based on the Cobb angle, percentage of anterior height compression (PAHC), vertebral body compression rate (VBCR), and canal compromise.</p><p><strong>Results: </strong>Among the 163 patients, 98 (59.8%) were male and 66 (40.2%) were female. The mean age of the participants was 45.42 ± 8.71 years, with an average follow-up period of 21.19 ± 4.42 months. Postoperative assessments revealed a significant reduction in canal compromise, decreasing to 9.72 ± 1.73 from a preoperative value of 61.21 ± 5.33 (p < 0.001). The Cobb angle also demonstrated a significant postoperative reduction (p = 0.011). Both VBCR and PAHC showed significant decreases postoperatively when compared to preoperative measurements (p < 0.05). Neurological outcomes improved significantly postoperatively, as indicated by the Frankel grade (p < 0.05). Furthermore, the ODI at the last follow-up was significantly lower than the preoperative ODI (p < 0.001), reflecting a marked enhancement in patient functionality.</p><p><strong>Conclusions: </strong>Our research has shown that the transfacet pedicle-sparing approach is an effective technique for directly managing the compression of unstable thoracolumbar burst fractures with retropulsion, resulting in favorable clinical and radiological outcomes.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"149"},"PeriodicalIF":1.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic benefits of acupoint massage at Yuji (LU10) and Zhaohai (KI6) for postoperative hoarseness in thyroid surgery patients.","authors":"Mingzhu Lu, Yizhuo Lu, Jing Li, Yunzhang Li, Qinggui Chen","doi":"10.1186/s12893-025-02889-7","DOIUrl":"https://doi.org/10.1186/s12893-025-02889-7","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the therapeutic efficacy of acupoint massage at Yuji (LU10) and Zhaohai (KI6) in alleviating hoarseness following thyroid surgery.</p><p><strong>Methods: </strong>A total of 106 patients who underwent thyroid surgery at our hospital between March 2023 and June 2023 were enrolled in this study. Patients diagnosed with postoperative hoarseness were randomly allocated into either the control group or the observation group using a computer-generated randomization table, with 53 patients in each group. The control group received standard postoperative treatment with neurotrophic drugs, while the observation group received additional acupoint massage therapy targeting Yuji and Zhaohai points. Subjective and objective voice parameters, cure rates of accompanying symptoms, and patient satisfaction were compared between the two groups.</p><p><strong>Results: </strong>After treatment, both subjective and objective voice indicators improved significantly in the observation group compared to the control group (P < 0.01). The Voice Handicap Index (VHI) scores were lower in the observation group, with mean differences of Total score: 13.48 (95% CI: [10.89, 16.07], Cohen's d = 2.01); Function: 4.06 (95% CI: [2.39, 5.73], Cohen's d = 0.94); Physiology: 4.07 (95% CI: [2.56, 5.58], d = 1.04); Emotion: 3.48 (95% CI: [1.88, 5.08], Cohen's d = 0.84). Objective voice indicators also showed significant differences, with the observation group having lower Jitter (0.17, 95% CI: [0.13, 0.21], Cohen's d = 1.48) and Shimmer (1.05, 95% CI: [0.86, 1.24], Cohen's d = 2.13), and higher MPT (-5.21, 95% CI: [-7.26, -3.16], Cohen's d = -0.98). Additionally, the observation group had a significantly higher cure rate (96.2% vs. 16.98%), with RR = 5.67 (95% CI: [3.12, 10.30]), and higher satisfaction rate (98.1% vs. 84.9%), with RR = 1.16 (95% CI: [1.03, 1.30]).</p><p><strong>Conclusion: </strong>Early postoperative acupoint massage stimulation of thenar and Zhaohai points is conducive to the recovery of patients with hoarseness after thyroid surgery, improve the quality of patients' voice, and effectively promote the rehabilitation of voice.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"148"},"PeriodicalIF":1.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}