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目的探讨肥胖患者下腹部手术采用Joel—Cohen切口对预防非感染性切口裂开的临床效果。方法选择切口部位皮下脂肪层厚达4—5cm的妇产科手术患者90例,随机分为观察组44例,采用Joel—Cohen切口;对照组46例,采用下腹正中直切口。观察切口愈合和脂肪液化情况。结果观察组切口甲级愈合率显著高于对照组(P〈0.01);脂肪液化切口裂开率显著低于对照组(P〈0.05)。结论脂肪组织厚达4—5cm以上下腹部手术切口,采用Joel—Cohen切口可以减少脂肪液化,切口愈合显著优于下腹直切口,值得临床推广应用。 相似文献
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Minimum incision endoscopic nephrectomy for giant hydronephrosis 总被引:1,自引:0,他引:1
Fumitaka Koga Kazunori Kihara Hitoshi Masuda Yukio Kageyama Satoru Kawakami Tsuyoshi Kobayashi 《International journal of urology》2007,14(8):774-776
Five consecutive patients with symptomatic giant hydronephrosis underwent minimum incision endoscopic nephrectomy. The originally huge renal specimen was retroperitoneally mobilized using both of endoscopy and direct vision, without the use of trocar ports or gas insufflation, via a single minimum incision that narrowly permitted extraction of the specimen. The specimen was successfully extracted from the incision in all patients. Technically, proper deflation of the hydronephrotic sac facilitates mobilization and enables extraction of the specimen. Median (range) size of incision, operative time, and estimated blood loss were 4 cm (3-5), 205 min (156-222), and 210 mL (110-350), respectively. No patient required blood transfusion or encountered operative complications. Postoperative convalescence was short and uneventful; all patients resumed oral intake and ambulance on the day following surgery, and were physically dischargeable from hospital after 2-3 postoperative days. Thus, this technique is a feasible, minimally invasive and safe procedure for symptomatic giant hydronephrosis. 相似文献
5.
Mizuaki Sakura Satoru Kawakami Hitoshi Masuda Tsuyoshi Kobayashi Yukio Kageyama Kazunori Kihara 《International journal of urology》2007,14(12):1109-1112
Since 1998, we have performed minimum incision endoscopic surgery (MIES) for renal cell carcinoma (RCC). For seven dialysis patients with bilateral RCC, we have performed sequential bilateral MIES radical nephrectomy. It was carried out by retroperitoneal approach through a single minimum incision that narrowly permitted extraction of the specimen using endoscopy and direct stereovision, without trocar ports, without gas insufflation and without the insertion of the hands of operators into the operative field. Although six of the seven patients had multiple complications in addition to chronic renal failure (CRF), bilateral kidneys were successfully removed by sequential MIES radical nephrectomy without major operative complication. Postoperative recovery was prompt with all patients resuming oral feeding and walking by the second postoperative day. Sequential bilateral MIES radical nephrectomy, leaving the peritoneal cavity intact and without imposing circulatory stress caused by gas insufflation, is a feasible treatment for bilateral RCCs in dialysis patients. 相似文献
6.
小横切口手术治疗小儿腹股斜疝 总被引:1,自引:1,他引:0
目的:探讨小儿腹股沟斜疝手术方法。方法:经外环小横切口行疝囊高位结扎加修补术。结果:全组126例,平均手术时间12min,无一例出现并发症。结论:此方法有切口小、时间短、创伤轻、恢复快、费用低、疤痕不明显等优点,值得推广。 相似文献
7.
Yizhi Liu Shaozhen LiZhongshan Ophthalmic Center Sun Yat-sen University of Medical Sciences Guangzhou China 《眼科学报》1995,(3)
To investigate a simple method during extracapsular cataract extraction with posterior chamber intraocular lens implantation in order to reduce surgically induced corneal astigmatism.Methods: A modified scleral flap incision was used in the extracapsular cataract extraction with intraocular lens implantation and the postoperative changes in conreal astigmatism was observed.Results: The peak value of postoperative corneal astigmatism was 3. 60 D, and the corneal astigmatism regression was 2. 11 D, surgically induced astigmatism was less significant in modified scleral flap incision group than that in conventional limbal incison group (P<0. 05).Conclusions: The modified scleral flap incision is an ideal incision for cataract extraction with intraocular lens implantation when phacoemulsifier is not available. Eye Science 1995; 11-. 136-139. 相似文献
8.
微小切口胆囊切除术2260例效果观察 总被引:1,自引:0,他引:1
目的 总结微小切口胆囊切除术治疗胆道系统疾病的经验。方法 对2002-2004年连续收治的2260例胆囊、胆道系统疾病实施微小切口手术的临床观察资料进行回顾性分析。结果 本组2260例微小切口胆囊切除术的患者无一例因手术原因死亡;术后无残留小胆囊;无胆汁漏及腹腔脓肿,亦无伤口全层裂开及切口疝形成。结论 该术式损伤小、局部显露清楚、不易发生副损伤,可同时行胆总管探查术,特殊情况下可随时改变手术方式。 相似文献
9.
小切口胆囊切除术108例临床观察 总被引:1,自引:0,他引:1
本文报告腹部切口5-8cm的小切口胆囊切除术108例,与同期大切口胆囊切除术相比,具有创伤较小、恢复较快、并发症少、切口疤痕小的优点,虽不如腹腔镜胆囊切除术(LC)的疼痛轻、恢复快,但并症比LC少,只要适应症选择得当,在术者的经验和技术较成熟的情况下,不昔为一种可供选择的方法。 相似文献
10.
The reverse U incision method has been employed for the correction of the unilateral cleft lip nose deformity for more than twenty years with satisfactory results. It has some columella lengthening effect and thus has proved to be useful for the correction of nasal deformities of bilateral cleft lip. To augment its columella lengthening effect a columella relaxation incision is added to the bilateral reverse U incision for the correction of the bilateral cleft lip nose deformity. This results in a reconstructed columella of satisfactory length and width. 相似文献