AIM： To study the influence of high-frequency electric surgical knives on healing of abdominal incision. METHODS： Two hundred and forty white rats were divided into 10^0, 10^2, 10^5, and 10^8 groups and rat models o...AIM： To study the influence of high-frequency electric surgical knives on healing of abdominal incision. METHODS： Two hundred and forty white rats were divided into 10^0, 10^2, 10^5, and 10^8 groups and rat models of abdominal operation were induced by using electric surgical knives and common lancets respectively. Then they were respectively given hypodermic injections of normal saline and 0.2 mL quantitative mixture of Escherichia coil, Staphylococcus aureus and Pseudornonas aeruginosa at a concentration of 10^2, 10^5 and 10^8. On the basis of the animal experiment, 220 patients undergoing abdominal operations （above type Ⅱ） were randomly allocated into one of following three groups： electric knife （EK, 93 cases）, electro-coagulation （EC, 55 cases） and control （72 cases）. High-frequency electric surgical knives were used to dissect abdominal tissues and electro-coagulation for hemostasis in EK group. Common lancets and electro-coagulation were applied in EC group. Common lancets and tieing silk suture were used in the controls. RESULTS： In all the groups except group 10^0, infection rate of incisional wounds made by electric surgical knives were remarkably higher than that with common lancets. Furthermore, there were significant differences in groups 10^2, 10^5, and 10^8 （P 〈 0.05）, but not in group 10^0 （P 〉 0.05） between EK and EC groups. Clinical studies showed a delayed wound healing in 16 cases （17.20%） in EK, 11 cases （16.36%） in EC and 2 cases （2.86%）in the control groups. A significant difference between EK and the control groups （χ^2= 8.57, P 〈 0.01）, and between EC and the control groups （χ^2 = 5.66, P 〈 0.05） was observed, but not between EK and EC （χ^2= 0.017, P 〉 0.05）. CONCLUSION： High-frequency electric knives may remarkably delay abdominal incision healing. Its application should be minimized so as to reduce the possibility of postoperative complications.展开更多
The carbides and mechanical properties of as-cast high grade knives steel with and without cerium(Ce)addition were studied.The as-cast microstructure of the steel,the size of carbide precipitation,carbide morphology,a...The carbides and mechanical properties of as-cast high grade knives steel with and without cerium(Ce)addition were studied.The as-cast microstructure of the steel,the size of carbide precipitation,carbide morphology,and mechanical properties were systematically studied through optical microscopy,scanning electron microscopy,and X-ray diffraction.Besides,through the Equilib module of the FactSage thermodynamics software,the changes in the precipitation type of the inclusions with Ce during the solidification of the steel were calculated.The results indicate that the rare earth Ce is added into the steel to refine the as-cast microstructure of the steel.The types of inclusions in the steel are changed by the addition of Ce.The precipitated carbide morphology changes from a complex rod shape to a relatively single lamellar shape.The rare earth inclusions formed in steel by a moderate addition of Ce can be severed as the core of heterogeneous nucleation of carbides,which reduce the size of carbide precipitation,promote the uniform distribution of carbide in the as-cast steel,and improve the mechanical properties of the as-cast high grade knives steel.展开更多
文摘AIM： To study the influence of high-frequency electric surgical knives on healing of abdominal incision. METHODS： Two hundred and forty white rats were divided into 10^0, 10^2, 10^5, and 10^8 groups and rat models of abdominal operation were induced by using electric surgical knives and common lancets respectively. Then they were respectively given hypodermic injections of normal saline and 0.2 mL quantitative mixture of Escherichia coil, Staphylococcus aureus and Pseudornonas aeruginosa at a concentration of 10^2, 10^5 and 10^8. On the basis of the animal experiment, 220 patients undergoing abdominal operations （above type Ⅱ） were randomly allocated into one of following three groups： electric knife （EK, 93 cases）, electro-coagulation （EC, 55 cases） and control （72 cases）. High-frequency electric surgical knives were used to dissect abdominal tissues and electro-coagulation for hemostasis in EK group. Common lancets and electro-coagulation were applied in EC group. Common lancets and tieing silk suture were used in the controls. RESULTS： In all the groups except group 10^0, infection rate of incisional wounds made by electric surgical knives were remarkably higher than that with common lancets. Furthermore, there were significant differences in groups 10^2, 10^5, and 10^8 （P 〈 0.05）, but not in group 10^0 （P 〉 0.05） between EK and EC groups. Clinical studies showed a delayed wound healing in 16 cases （17.20%） in EK, 11 cases （16.36%） in EC and 2 cases （2.86%）in the control groups. A significant difference between EK and the control groups （χ^2= 8.57, P 〈 0.01）, and between EC and the control groups （χ^2 = 5.66, P 〈 0.05） was observed, but not between EK and EC （χ^2= 0.017, P 〉 0.05）. CONCLUSION： High-frequency electric knives may remarkably delay abdominal incision healing. Its application should be minimized so as to reduce the possibility of postoperative complications.
基金This work was financially supported by National Natural Science Foundation of China(51874171 and 51974154)supported by University of Science and Technology Liaoning talents program.
文摘The carbides and mechanical properties of as-cast high grade knives steel with and without cerium(Ce)addition were studied.The as-cast microstructure of the steel,the size of carbide precipitation,carbide morphology,and mechanical properties were systematically studied through optical microscopy,scanning electron microscopy,and X-ray diffraction.Besides,through the Equilib module of the FactSage thermodynamics software,the changes in the precipitation type of the inclusions with Ce during the solidification of the steel were calculated.The results indicate that the rare earth Ce is added into the steel to refine the as-cast microstructure of the steel.The types of inclusions in the steel are changed by the addition of Ce.The precipitated carbide morphology changes from a complex rod shape to a relatively single lamellar shape.The rare earth inclusions formed in steel by a moderate addition of Ce can be severed as the core of heterogeneous nucleation of carbides,which reduce the size of carbide precipitation,promote the uniform distribution of carbide in the as-cast steel,and improve the mechanical properties of the as-cast high grade knives steel.
