Background:Surgical site infection(SSI)is the most common complication after stoma closure and is particularly common in obese patients.To reduce the incidence of SSI,various skin closure techniques have been proposed...Background:Surgical site infection(SSI)is the most common complication after stoma closure and is particularly common in obese patients.To reduce the incidence of SSI,various skin closure techniques have been proposed;however,the best technique is still under debate.The purpose of this study was to explore the effectiveness of subcutaneous vacuum drains(SVDs)after two surgical suture techniques following stoma reversal in obese patients. Methods:Data from 190 obese patients with rectal cancer who underwent stoma reversal for enterostomy between February 2012 and April 2023 at Jinxiang Hospital Affiliated to Jining Medical University were retrospectively analyzed.These patients were divided into two groups:gunsight suture(GS)with SVD and primary linear suture(PLS)with SVD.The GS group and PLS group included 90 and 100 patients,respectively.The clinical characteristics and short-term outcomes were compared between the two groups.Postoperative pain scores were analyzed using a generalized estimation equation. Results:Surgery was successfully performed in both groups.The rate of SSI in the GS group was significantly lower than that in the PLS group(2.2%vs 9.0%,P=0.046).Patients in the GS group had a significantly shorter wound healing time than did patients in the PLS group,as well as a significantly shorter postoperative fasting time(P<0.05).No significant differences were found between the groups in terms of the postoperative hospital stay,operative time,and estimated blood loss(P>0.05).The results of the generalized estimation equation analysis showed that the GS group had significantly lower pain scores at 12,24,48,and 72 h after surgery than the PLS group(P<0.05).Moreover,the GS group showed significantly better alleviation of wound pain between 12 and 72 h after surgery(P<0.05). Conclusions:The GS technique with SVD may be recommended for wound closure of a nonfunctioning stoma in obese patients.展开更多
This paper presents model tests(macro aspect)and microstructure tests(micro aspect)for investigating the consolidation behavior of Tianjin dredged clay using the prefabricated vertical drain air-booster vacuum preload...This paper presents model tests(macro aspect)and microstructure tests(micro aspect)for investigating the consolidation behavior of Tianjin dredged clay using the prefabricated vertical drain air-booster vacuum preloading(PAVP)and tube air-booster vacuum preloading(TAVP)methods.The mechanism of air-booster vacuum preloading(AVP)using a spring-like system is explained.The main difference between these two methods is the air-boosting equipment.A new anticlogging air-booster prefabricated vertical drain(PVD)is used in the PAVP technique and a self-designed air-booster tube is used in the TAVP technique.In the model tests,a comparison of the variables that are monitored during reinforcement(vacuum pressure,surface settlement,water discharge,and pore-water pressure)and after reinforcement(water content,dry density,and vane shear strength)is conducted.The results indicate that the consolidation behavior of Tianjin dredged clay using the PAVP method is better than that using the TAVP method.PAVP more efficiently mitigates the issue of water-draining PVD clogging and significantly accelerates drainage consolidation.In addition,in the microstructure tests,a comparison of the variables that are monitored after reinforcement(via scanning electron microscopy(SEM)and mercury intrusion porosimetry(MIP))is conducted,and the results further explain the model test results.展开更多
基金supported by the New Technology and New Project of Jinxiang Hospital Affiliated to Jining Medical University(No.JY2021022).
文摘Background:Surgical site infection(SSI)is the most common complication after stoma closure and is particularly common in obese patients.To reduce the incidence of SSI,various skin closure techniques have been proposed;however,the best technique is still under debate.The purpose of this study was to explore the effectiveness of subcutaneous vacuum drains(SVDs)after two surgical suture techniques following stoma reversal in obese patients. Methods:Data from 190 obese patients with rectal cancer who underwent stoma reversal for enterostomy between February 2012 and April 2023 at Jinxiang Hospital Affiliated to Jining Medical University were retrospectively analyzed.These patients were divided into two groups:gunsight suture(GS)with SVD and primary linear suture(PLS)with SVD.The GS group and PLS group included 90 and 100 patients,respectively.The clinical characteristics and short-term outcomes were compared between the two groups.Postoperative pain scores were analyzed using a generalized estimation equation. Results:Surgery was successfully performed in both groups.The rate of SSI in the GS group was significantly lower than that in the PLS group(2.2%vs 9.0%,P=0.046).Patients in the GS group had a significantly shorter wound healing time than did patients in the PLS group,as well as a significantly shorter postoperative fasting time(P<0.05).No significant differences were found between the groups in terms of the postoperative hospital stay,operative time,and estimated blood loss(P>0.05).The results of the generalized estimation equation analysis showed that the GS group had significantly lower pain scores at 12,24,48,and 72 h after surgery than the PLS group(P<0.05).Moreover,the GS group showed significantly better alleviation of wound pain between 12 and 72 h after surgery(P<0.05). Conclusions:The GS technique with SVD may be recommended for wound closure of a nonfunctioning stoma in obese patients.
基金Project supported by the National Key Research and Development Program of China(No.2017YFC0805402)the Open Project of the State Key Laboratory of Disaster Reduction in Civil Engineering(No.SLDRCE17-01),Chinathe National Natural Science Foundation of China(No.51908406)。
文摘This paper presents model tests(macro aspect)and microstructure tests(micro aspect)for investigating the consolidation behavior of Tianjin dredged clay using the prefabricated vertical drain air-booster vacuum preloading(PAVP)and tube air-booster vacuum preloading(TAVP)methods.The mechanism of air-booster vacuum preloading(AVP)using a spring-like system is explained.The main difference between these two methods is the air-boosting equipment.A new anticlogging air-booster prefabricated vertical drain(PVD)is used in the PAVP technique and a self-designed air-booster tube is used in the TAVP technique.In the model tests,a comparison of the variables that are monitored during reinforcement(vacuum pressure,surface settlement,water discharge,and pore-water pressure)and after reinforcement(water content,dry density,and vane shear strength)is conducted.The results indicate that the consolidation behavior of Tianjin dredged clay using the PAVP method is better than that using the TAVP method.PAVP more efficiently mitigates the issue of water-draining PVD clogging and significantly accelerates drainage consolidation.In addition,in the microstructure tests,a comparison of the variables that are monitored after reinforcement(via scanning electron microscopy(SEM)and mercury intrusion porosimetry(MIP))is conducted,and the results further explain the model test results.
