Abdominal ventral rectopexy with colectomy for obstructed defecation syndrome:An alternative option for selected patients

BACKGROUND Abdominal ventral rectopexy(AVR)with colectomy is controversial in the treatment of obstructed defecation syndrome(ODS).Literature data on this technique for ODS are very limited.AIM To evaluate the safety and efficacy of AVR with colectomy for selected patients with ODS.METHODS Consecutive patients who underwent AVR with colectomy for ODS were identified prospectively from 2016 to 2017 in our department.Patient demographics,perioperative surgical results,and postoperative follow-up outcomes were collected and analyzed.Long-term follow-up was evaluated with standardized questionnaires.The severity of symptoms was assessed by the objective Wexner Constipation Score(WCS)and ODS Score.The quality of life was assessed by the Patients Assessment of Constipation Quality of Life score.Functional outcome was compared pre-and post-operatively for each patient.The primary outcomes were determined by the improvement in symptoms and quality of life.Secondary outcome measures were operating time,postoperative length of stay,morbidity and mortality,improvement of pelvic floor structure,and patient satisfaction.RESULTS Four patients underwent robotic-assisted surgery,and two patients underwent a laparoscopic-assisted procedure.The mean operating time for the robotic approach was 243 min(range 160–300 min),and the mean operating time for the laparoscopic approach was 230 min(range 220-240 min).The mean postoperative length of stay was 8.2 d(range 6-12 d).There was no conversion to open procedure and no postoperative mortality.No urinary retention,wound infection,prolonged ileus,pelvic infection and anastomosis leakage occurred.Six patients were followed up for 36 mo.The WCS,ODS,and Patients Assessment of Constipation Quality of Life score improved significantly postoperatively(P<0.05).The WCS and ODS scores showed the best remission and stabilization at 6 to 12 mo after surgery.There was no recurrence or novel constipation after surgery.None of the patients used laxative medication.CONCLUSION Robotic and laparoscopic-assisted ventral rectopexy with colectomy is a safe and effective procedure for selected patients with ODS.However,comprehensive preoperative evaluation and careful patient selection are essential.

Molecular Clouds Associated with HⅡRegions and Candidates within l=106°.65 to 109°.50 and b=-1°.85 to 0°.95

We present a large-scale simultaneous survey of the CO isotopologues(^(12)CO,^(13)CO,and C^(18)O)J=1-0 line emission toward the Galactic plane region of l=106°.65 to 109°.50 and b=-1°.85 to 0°.95 using the Purple Mountain Observatory 13.7 m millimeter-wavelength telescope.Except for the molecular gas in the solar neighborhood,the emission from the molecular gas in this region is concentrated in the velocity range of[-60,-35]km s^(-1).The gas in the region can be divided into four clouds,with mass in the range of~10^(3)-10^(4)M☉.We have identified 25 filaments based on the^(13)CO data.The median excitation temperature,length,line mass,line width,and virial parameter of the filaments are 10.89 K,8.49 pc,146.11 M☉pc^(-1),1.01 km s^(-1),and 3.14,respectively.Among these filaments,eight have virial parameters of less than 2,suggesting that they are gravitationally bound and can lead to star formation.Nineteen HⅡregions or candidates have previously been found in the region and we investigate the relationships between these HⅡregions/candidates and surrounding molecular clouds in detail.Using morphology similarity and radial velocity consistency between HⅡregions/candidates and molecular clouds as evidence for association,and raised temperature and velocity broadening as signatures of interaction,we propose that 12 HⅡregions/candidates are associated with their surrounding molecular clouds.In the case of the HⅡregion of S142,the energy of the HⅡregion is sufficient to maintain the turbulence in the surrounding molecular gas.

Anti-senescence effect and molecular mechanism of the major royal jelly proteins on human embryonic lung fibroblast(HFL-I) cell line

Royal jelly (R J)from honeybee has been widely used as a health promotion supplement.The major royal jelly proteins (MRJPs)have been identified as the functional component of RJ.However,the question of whether MRJPs have anti-senescence activity for human cells remains.Human embryonic lung fibroblast (HFL-I)cells were cultured in media containing no MRJPs (A),MRJPs at 0.1mg/ml (B),0.2mg/ml (C),or 0.3mg/ml (D),or bovine serum albumin (BSA)at 0.2mg/ml (E).The mean population doubling levels of cells in media B,C,D,and E were increased by 12.4%,31.2%,24.0%,and 10.4%,respectively,compared with that in medium A.The cells in medium C also exhibited the highest relative proliferation activity,the lowest senescence,and the longest telomeres.Moreover, MRJPs up-regulated the expression of superoxide dismutase-1(SOD1)and down-regulated the expression of mammalian target of rapamycin (MTOR),catenin beta like-1(CTNNB1),and tumor protein p53(TP53).Raman spectra analysis showed that there were two unique bands related to DNA synthesis materials,amide carbonyl group vibrations and aromatic hydrogens.These results suggest that MRJPs possess anti-senescence activity for the HFL-I cell line,and provide new knowledge illustrating the molecular mechanism of MRJPs as anti-senescence factors.

New observations on the effect of camellia oil on fatty liver disease in rats

Camellia oil has become an important plant oil in China in recent years,but its effects on non-alcoholic fatty liver disease(NAFLD)have not been documented.In this study,the effects of camellia oil,soybean oil,and olive oil on NAFLD were evaluated by analyzing the fatty acid profiles of the plant oils,the serum lipids and lipoproteins of rats fed different oils,and by cytological and ultrastructural observation of the rats’hepatocytes.Analysis of fatty acid profiles showed that the polyunsaturated fatty acid(PUFA)n-6/n-3 ratio was 33.33 in camellia oil,12.50 in olive oil,and 7.69 in soybean oil.Analyses of serum lipids and lipoproteins of rats showed that the levels of total cholesterol and low-density lipoprotein cholesterol in a camellia oil-fed group(COFG)were lower than those in an olive oil-fed group(OOFG)and higher than those in a soybean oil-fed group(SOFG).However,only the difference in total cholesterol between the COFG and SOFG was statistically significant.Cytological observation showed that the degree of lipid droplet(LD)accumulation in the hepatocytes in the COFG was lower than that in the OOFG,but higher than that in the SOFG.Ultrastructural analysis revealed that the size and number of the LDs in the hepatocytes of rats fed each of the three types of oil were related to the degree of damage to organelles,including the positions of nuclei and the integrity of mitochondria and endoplasmic reticulum.The results revealed that the effect of camellia oil on NAFLD in rats was greater than that of soybean oil,but less than that of olive oil.Although the overall trend was that among the three oil diets,those with a lower n-6/n-3 ratio were associated with a lower risk of NAFLD,and the effect of camellia oil on NAFLD was not entirely related to the n-6/n-3 ratio and may have involved other factors.This provides new insights into the effect of oil diets on NAFLD.