A comparison of air-cell and gel surgical table pads and an evaluation of the influence of pressure distribution and other factors on pressure injury prevention

Guidelines for pressure injury prevention consider the use of pressure-redistributing pads to prevent tissue deformation. However, limited research exists to assess the pressure distribution provided by the operating tables and the effectiveness of pressure-redistributing pads in preventing pressure injuries. In this study, we compared the pressure distribution properties of two surgical table pads and identified parameters influencing pressure injury outcomes after a lengthy surgical procedure. Twenty-seven patients undergoing left ventricular assist device implantation surgery participated in the study. Participants were randomly assigned to use either an air cell-based pad or a gel pad. Interface pressure was recorded during the surgery. We analyzed the effect of surgical table pad type, interface pressure distribution and pressure injury outcomes and analyzed what characteristics of the patients and the interface pressure are most influential for the development of pressure injuries. Comparing the interface pressure parameters between the air-cell group and the gel group, only the peak pressure index x time was significantly different (p < 0.05). We used univariate logistic regression analysis to identify significant predictors for the pressure injury outcome. The support surface was not significant. And, among patient characteristics, only age and BMI were significant (p ≤ 0.05). Among the interface pressure parameters, pressure density maxima, peak pressure index x time, and coefficient of variation were significant for pressure injury outcome (p ≤ 0.05). Peak pressure index, average pressure, and the surgery length were not statistically significant for pressure injury outcomes.     

快速切除法和连续褥式外翻缝合法在包皮环切术中的应用

目的探讨新的包皮环切术操作方法。方法对106例包皮过长患者施行包皮环切术,采用快速切除法和连续褥式外翻缝合法。观察手术时间、手术失血、术后疼痛、术后出血、水肿、感染等并发症和术后包皮形状、切口愈合情况。结果采用新的操作方法包皮切除范围标准,手术时间短、手术失血少、术后疼痛轻微、术后出血、水肿、感染等并发症少,术后包皮外形美观、对称,切口愈合佳、光滑。结论采用快速切除法和连续褥式外翻缝合法安全、效果佳、值得推荐。     

婴幼儿包茎及包皮过长治疗进展

包茎和包皮过长是男科的常见病和多发病,可见于大多数男性婴幼儿。在婴幼儿期治疗包茎和包皮过长具有花费少、效益高、安全性高的特点,特别在预防婴幼儿尿路感染,成年后减少浸润性阴茎癌和性传播疾病,提高男性生殖健康等方面都有很大益处。一些国家普遍对新生儿实行包皮环切术,而我国目前新生儿和幼儿包皮环切率很低。本文综述了治疗婴幼儿包茎和包皮过长的手术和非手术方法以及婴幼儿包皮环切对生殖健康的益处,呼吁国人重视婴幼儿包茎和包皮过长的治疗。     

包茎和包皮过长合并症的整形外科治疗

目的：探索包茎和包皮过长合并症的分类及其治疗方法。方法：对包茎和包皮过长合并症按照感染、发育不良、损伤、肿瘤等进行分类,根据分类不同,采用整形外科相关的方法予以治疗,并观察其疗效。结果：357例包茎和包皮过长合并症患者,分别利用手术、CO2激光、高频电刀等方法治疗,合并症临床治愈率达98%。结论：包茎和包皮过长合并症患者使用整形外科手术等相关治疗,效果良好。     

“两针法”一次性包皮吻合器在包皮整形修复中的临床效果

目的 分析“两针法”一次性包皮吻合器治疗包茎及包皮过长的整形修复效果。方法 选取2021年 1月-2023年1月我院收治的24例包皮过长及包茎手术患者作为研究对象。随机分为对照组及研究组，各 12例。对照组采用传统包皮环切术；研究组采用“两针法”一次性包皮吻合器手术，比较两组手术相关指 标、并发症发生率及满意度。结果 研究组手术时间、手术出血量及切口愈合时间低于对照组（P＜0.05）； 研究组术后并发症发生率均低于对照组（P＜0.05）；研究组手术满意度、恢复满意度及外观满意度均高于 对照组（P＜0.05）。结论 应用“两针法”一次性包皮吻合器治疗包茎及包皮过长的临床效果确切，伤口美 观，且术后并发症发生率更低，手术安全性和可靠性较高，值得临床应用。