The incidence of Crohn’s disease(CD)has increased in recent years,with most patients requiring intestinal resection.Complications after intestinal resection for CD can lead to poor prognosis and recurrence,among whic...The incidence of Crohn’s disease(CD)has increased in recent years,with most patients requiring intestinal resection.Complications after intestinal resection for CD can lead to poor prognosis and recurrence,among which infectious complic-ations are the most common.This study aimed to investigate the common risk factors,including medications,preoperative nutritional status,surgery-related factors,microorganisms,lesion location and type,and so forth,causing infectious complications after intestinal resection for CD,and to propose corresponding preventive measures.The findings provided guidance for identifying suscept-ibility factors and the early intervention and prevention of infectious complic-ations after intestinal resection for CD in clinical practice.展开更多
All colorectal surgeons are faced from time to time with anastomotic leakage after colorectal surgery. This complication has been studied extensively without a significant reduction of incidence over the last 30 years...All colorectal surgeons are faced from time to time with anastomotic leakage after colorectal surgery. This complication has been studied extensively without a significant reduction of incidence over the last 30 years. New techniques of prevention, by innovative anastomotic techniques should improve results in the future, but standardization and "teachability" should be guaranteed. Risk scoring enables intra-operative decision-making whether to restore continuity or deviate. Early detection can lead to reduction in delay of diagnosis as long as a standard system is used. For treatment options, no firm evidence is available, but future studies could focus on repair and saving of the anastomosis on the one hand or anastomotical breakdown and definitive colostomy on the other hand.展开更多
Complications associated with prone surgical positioning during elective spine surgery have the potential to cause serious patient morbidity.Although many ofthese complications remain uncommon,the range of possible mo...Complications associated with prone surgical positioning during elective spine surgery have the potential to cause serious patient morbidity.Although many ofthese complications remain uncommon,the range of possible morbidities is wide and includes multiple organ systems.Perioperative visual loss(POVL)is a well described,but uncommon complication that may occur due to ischemia to the optic nerve,retina,or cerebral cortex.Closed-angle glaucoma and amaurosis have been reported as additional etiologies for vision loss following spinal surgery.Peripheral nerve injuries,such as those caused by prolonged traction to the brachial plexus,are more commonly encountered postoperative events.Myocutaneous complications including pressure ulcers and compartment syndrome may also occur after prone positioning,albeit rarely.Other uncommon positioning complications such as tongue swelling resulting in airway compromise,femoral artery ischemia,and avascular necrosis of the femoral head have also been reported.Many of these are well-understood and largely avoidable through thoughtful attention to detail.Other complications,such as POVL,remain incompletely understood and thus more difficult to predict or prevent.Here,the current literature on the complications of prone positioning for spine surgery is reviewed to increase awareness of the spectrum of potential complications and to inform spine surgeons of strategies to minimize the risk of prone patient morbidity.展开更多
目的探究纽曼护理模式联合预警性预防护理模式在乳腺旋切患者围术期中的应用。方法方便选取2020年10月—2022年10月在解放军第七十三集团军医院实施乳腺旋切手术治疗的患者89例作为本研究对象。以随机数表法将其分组,对照组(44例)接受...目的探究纽曼护理模式联合预警性预防护理模式在乳腺旋切患者围术期中的应用。方法方便选取2020年10月—2022年10月在解放军第七十三集团军医院实施乳腺旋切手术治疗的患者89例作为本研究对象。以随机数表法将其分组,对照组(44例)接受常规围术期护理;观察组(45例)在对照组的基础上接受纽曼护理模式联合预警性预防护理模式。比较两组护理前后心理状态评估量表(Mental Status Scale in Nonpsychiatric Settings,MSSNS)评分、纽卡斯尔护理满意度量表(Newcastle Nursing Satisfaction Scale,NSNS)及术后并发症发生率。结果两组护理前MSSNS中焦虑、抑郁、愤怒、孤独评分对比,差异无统计学意义(P>0.05);观察组护理后MSSNS中焦虑、抑郁、愤怒、孤独评分低于对照组,差异有统计学意义(P均<0.05)。观察组NSNS评分为(81.75±3.86)分,高于对照组的(78.89±4.13)分,差异有统计学意义(t=3.373,P<0.05)。观察组术后并发症发生率为2.22%,低于对照组的18.18%,差异有统计学意义(P<0.05)。结论对乳腺旋切患者围术期中实施纽曼护理模式联合预警性预防护理模式可以有效调节其心理状态,减少术后并发症,并提高患者满意程度。展开更多
基金Supported by Scientific Research Foundation of Shanghai Municipal Health Commission of Changning District,No.20234Y038.
文摘The incidence of Crohn’s disease(CD)has increased in recent years,with most patients requiring intestinal resection.Complications after intestinal resection for CD can lead to poor prognosis and recurrence,among which infectious complic-ations are the most common.This study aimed to investigate the common risk factors,including medications,preoperative nutritional status,surgery-related factors,microorganisms,lesion location and type,and so forth,causing infectious complications after intestinal resection for CD,and to propose corresponding preventive measures.The findings provided guidance for identifying suscept-ibility factors and the early intervention and prevention of infectious complic-ations after intestinal resection for CD in clinical practice.
文摘All colorectal surgeons are faced from time to time with anastomotic leakage after colorectal surgery. This complication has been studied extensively without a significant reduction of incidence over the last 30 years. New techniques of prevention, by innovative anastomotic techniques should improve results in the future, but standardization and "teachability" should be guaranteed. Risk scoring enables intra-operative decision-making whether to restore continuity or deviate. Early detection can lead to reduction in delay of diagnosis as long as a standard system is used. For treatment options, no firm evidence is available, but future studies could focus on repair and saving of the anastomosis on the one hand or anastomotical breakdown and definitive colostomy on the other hand.
文摘Complications associated with prone surgical positioning during elective spine surgery have the potential to cause serious patient morbidity.Although many ofthese complications remain uncommon,the range of possible morbidities is wide and includes multiple organ systems.Perioperative visual loss(POVL)is a well described,but uncommon complication that may occur due to ischemia to the optic nerve,retina,or cerebral cortex.Closed-angle glaucoma and amaurosis have been reported as additional etiologies for vision loss following spinal surgery.Peripheral nerve injuries,such as those caused by prolonged traction to the brachial plexus,are more commonly encountered postoperative events.Myocutaneous complications including pressure ulcers and compartment syndrome may also occur after prone positioning,albeit rarely.Other uncommon positioning complications such as tongue swelling resulting in airway compromise,femoral artery ischemia,and avascular necrosis of the femoral head have also been reported.Many of these are well-understood and largely avoidable through thoughtful attention to detail.Other complications,such as POVL,remain incompletely understood and thus more difficult to predict or prevent.Here,the current literature on the complications of prone positioning for spine surgery is reviewed to increase awareness of the spectrum of potential complications and to inform spine surgeons of strategies to minimize the risk of prone patient morbidity.
文摘目的探究纽曼护理模式联合预警性预防护理模式在乳腺旋切患者围术期中的应用。方法方便选取2020年10月—2022年10月在解放军第七十三集团军医院实施乳腺旋切手术治疗的患者89例作为本研究对象。以随机数表法将其分组,对照组(44例)接受常规围术期护理;观察组(45例)在对照组的基础上接受纽曼护理模式联合预警性预防护理模式。比较两组护理前后心理状态评估量表(Mental Status Scale in Nonpsychiatric Settings,MSSNS)评分、纽卡斯尔护理满意度量表(Newcastle Nursing Satisfaction Scale,NSNS)及术后并发症发生率。结果两组护理前MSSNS中焦虑、抑郁、愤怒、孤独评分对比,差异无统计学意义(P>0.05);观察组护理后MSSNS中焦虑、抑郁、愤怒、孤独评分低于对照组,差异有统计学意义(P均<0.05)。观察组NSNS评分为(81.75±3.86)分,高于对照组的(78.89±4.13)分,差异有统计学意义(t=3.373,P<0.05)。观察组术后并发症发生率为2.22%,低于对照组的18.18%,差异有统计学意义(P<0.05)。结论对乳腺旋切患者围术期中实施纽曼护理模式联合预警性预防护理模式可以有效调节其心理状态,减少术后并发症,并提高患者满意程度。
