Incision Healing Time Research Articles

Clinical analysis of Pilon fractures treated through a single lateral approach for 28 patients

To explore clinical effect of open reduction and internal fixation through a single lateral approach for Pilon fractures. From January 2016 to May 2017, 28 patients with Pilon fractures were treated with open reduction and internal fixation through a single lateral approach. Among them, including 17 males and 11 females, aged from 25 to 59 years old with an average of (39.2±12.2) years old; 13 patients on the left side and 15 patients on the right side; according to Rüedi-Allgöwer classificaton, 7 patients were typeⅠ, 11 patients were typeⅡ, 10 patients were type Ⅲ. All patients were performed external fixation or calcaneal traction within 24 h of emergency, and open reduction and internal fixation was performed after swelling of soft tissue. Healing of incision and fracture, postoperative complications were observed, and AOFAS score at 1 year after operation was used to evaluate ankle joint function. Twenty-eight patients were followed up from 12 to 25 months with an average of (16.4±7.2) months. Two patients occurred superficial wound infection caused delayed wound healing, 1 patient occurred partial skin necrosis and healed after wound dressing change. The healing time of incision ranged from 11 to 25 days with an average of (15.2±8.4) days. All patients got bone union and the time ranged from 12 to 18 weeks with an average of (15.2±3.4) weeks. Two patients suffered from ankle pain after walking postoperatively and X-ray showed traumatic arthritis, the pain got better with the treatment of non steroidal anti inflammatory drugs. No cases of deep infection, nonunion, delayed union, malunion, loosening of internal fixation occurred after operation. AOFAS score at 1 year after operation was 89.6±5.7, 14 patients got excellent results, 12 good, and 2 fair. The single lateral approach for surgical treatment of Pilon fractures could provide sufficient exposure, reduction and fixation with less soft tissue application and the clinical curative effect is satisfied. However, for Pilon fracture with varus deformity or comminuted fracture on the medial side of tibial, it is difficult to place the main plate on the medial side of tibial. Instead, anteromedial incision or extensive anterior incision is more suitable.

Application Value of Minimally Invasive Percutaneous Dilational Tracheostomy for ICU Critical Patients.

Objective:To find out the application value of minimally invasive percutaneous dilational tracheostomy in critically ill patients in intensive care unit (ICU).Methods:One hundred and forty critically ill patients who underwent tracheostomy in ICU of our hospital were included in the study from August 2016 to December 2017. They were divided into an observation group and a control group by random number table method, 70 in each group. The control group received conventional tracheotomy, while the observation group received percutaneous dilational tracheostomy. The operation time, incision length, amount of intraoperative bleeding and healing time of incision were compared between the two groups, and the changes of vital signs and complications after operation were recorded. The family members of the patients signed the informed consent.Results:The operation time, healing time and incision length of the observation group were (9.92±4.13) min, (1.31±0.21) cm and (6.91±0.72) d respectively, shorter than (24.09±6.82) min, (3.40±0.65) cm and (67.48±0.61) d in the control group, and the differences were statistically significant (P<0.05). The amount of intraoperative bleeding of the observation group was (7.81±1.83) mL, less than (16.34±2.83) mL in the control group; the difference was statistically significant (P<0.05). The heart rate and oxygen saturation of the observation group before and during the operation were not significantly different (P>0.05). The heart rate of the control group during the operation was significantly higher than that before the operation (P<0.05); the oxygen saturation of the control group before and during the operation had no significant difference (P>0.05). The incidence of complications in the observation group was 24.3%, which was significantly lower than that in the control group (55.7%, X2=8.279, P=0.014).Conclusion:Minimally invasive percutaneous dilational tracheostomy has advantages of small trauma, less infection and beautiful incision, and it will not increase postoperative complications. It is of great value in the treatment of ICU critical patients.

Application of Perioperative Transfusion Trigger Score in Patients Undergoing Surgical Treatment of Malignant Tumor.

The present study aimed to investigate the clinical effects of the brand new perioperative transfusion trigger score (POTTS) system in patients undergoing malignant tumor surgeries. 442 cases of patients diagnosed with malignant tumor were randomly selected (from January 2012 to December 2016) from Zunyi Medical University and were divided into 3 experimental groups. Patients in the POTTS group were transfused by the POTTS guideline perioperatively, while patients in the 7-10g group were treated by the traditional transfusion guidelines existed (restrictive transfusion strategy), patients in the 10g group should be transfused to keep the Hb level no less than 10g/dL (liberal transfusion strategy). Baseline information, operation time, bleeding volume, transfusion amount, incision healing time, postoperative complications, metastasis and recurrence were observed and recorded. Postoperative short-term mortality was comparable of the 3 groups, 3 cases of death all occurred in 10g group, there was no significant difference in the incidence of postoperative complications, including infectious complications and coagulation related complications. Follow-up to date, there were 25 cases, 29 cases and 29 cases of tumor recurrence and metastasis in the three groups, but no statistical difference observed. The present findings show that the POTTS transfusion system is more advantageous with regard to save blood and relieve economic burdens of patients, and does not affect the long-term recurrence and metastasis rate of malignant tumor.

A retrospective study of factors influencing incision healing time in postoperative patients with spinal canal tumors

Objective: To explore the factors influencing incision healing time in postoperative patients with spinal canal tumors. Methods: The clinical data of 116 patients with spinal canal tumors (60 males and 56 females, with an average age of 44±16 years) in neurosurgery department of Henan People's Hospital from December 2017 to February 2019 were retrospectively analyzed. The influencing factors of incision healing time were analyzed by Logistic regression. Results: Univariate analysis showed that limb muscle strength (P=0.011), the location of tumors (P=0.031), indwelling catheters (P=0.029), spinal neural function (P=0.000), Types of spinal canal tumors (P=0.006) , Diabetes (P=0.043) ,BMI (P=0.001) , Length of surgical incision (P=0.006) ,Cerebrospinal fluid leakage (P=0.001) , the operation duration (P=0.002) presented statistical significance; Logistic regression analysis showed that there were significant differences in Types of spinal canal tumors (P=0.038) , Length of surgical incision (P=0.000) , Cerebrospinal fluid leakage (P=0.004) , spinal neural function (P=0.002) and the operation duration (P=0.046). Conclusions: Extremity muscle strength, the location of tumors, indwelling catheters, the operation duration, spinal neural function, Types of spinal canal tumors, Diabetes, BMI, Length of surgical incision, Cerebrospinal fluid leakage were influencing factors of incision healing time in postoperative patients with spinal canal tumors; Among which Types of spinal canal tumors, Length of surgical incision, Cerebrospinal fluid leakage, Spinal neural function and The operation duration were independent influencing factors.

Application of New Dressing to Post-operation Skin Flap Necrosis in Breast Cancer Patients Damlms Scot and Vibas Cross

Purpose: to discuss the application and effects of new dressing to post-operation skin flap necrosis in breast cancer patients. Method: 20 breast cancer patients with post-operation skin flap necrosis were selected and assigned to the test group and controlled group. Silver ion dressing and moist healing theory were applied in the test group, while a traditional dressing change method was applied to the controlled group. Two groups were compared to each other in terms of incision healing time, number of dressing changes and treatment expense. Results: the test group is better than the controlled group in terms of incision healing time, number of dressing changes and treatment expense. Conclusions: compared to traditional dressing change methods, good effects can be achieved by treating the post-operation skin flap necrosis in breast cancer patients with silver ion dressing and moist healing theory. Skin flap necrosis causes the healing of the incision to be delayed. Necrotic tissues are plenty, number of dressing changes and duration are increased, repeated removal of gauze causes the wound to bleed and relatively large scars remaining after the healing of the wound surface are sometimes accompanied with dysfunction and this causes extremely physical and psychological pains and great economic burden to patients.

Application of Alginate Oligosaccharides and Sodium Alginate in Breast Abscess Incision and Drainage

Objective: To evaluate the efficacy of alginate oligosaccharides and sodium alginate (seaweed biological glue) after incision drainage for breast abscess. Methods: randomly selected 80 patients with breast abscess, observation group and control group 40 cases, observation group using alginate oligosaccharides, sodium alginate (seaweed biological glue) for postoperative patients with breast abscess incision drainage treatment disposal, the control group with saline treatment disposal, using t test to compare two groups of patients with postoperative incision healing time, switching frequency, the satisfaction degree of the patients of postoperative scar, using chi-square test to compare the postoperative recurrence rate. Results: the incisions of the two groups were completely healed, and the observation group had shorter healing time, fewer drug changes, lower recurrence rate and higher satisfaction to postoperative scars than the control group. Conclusion: the treatment of patients with breast abscess after open and drainage with algal oligosaccharide and sodium alginate (alginate biogel) after operation can significantly shorten the wound healing time of patients, reduce The Times of dressing changes, and improve patients’ satisfaction with scars and reduce recurrence.

Clinical curative effect analysis of disposable circumcision suture device Versus Shang Ring circumcision and Traditional circumcision

Objective To compare the efficacy and safety of disposable circumcision suture device (DCSD), ShangRing circumcision and traditional circumcision in the treatment of patients with redundant prepuce or phimosis. Methods All the 620 patients with redundant prepuce or phimosis were randomly divided into three groups: the DCSD group(n=280) and the ShangRing group(n=210) and the traditional circumcision group(n=130). Factors concerning efficacy and safety were compared. Results DCSD showed obvious advantages of the ShangRing and the traditional circumcision in operating time(6.1±0.8), (8.5±1.7), (30.1±0.5)min, intraoperatve blood soss (1.0±0.0), (1.0±0.0), (5.0±1.0)mL, wound healing time (14.5±1.5), (18.5±2.0), (13.5±1.5)d, postoperative pain score (1.94±1.08), (3.89±0.98), (4.20±0.58). The incidence of postoperative hematoma was 2.29%, 2.25%, 1.52%, and post operation edema rate was 8.04%, 25.89%, 30.89%.There was significant difference in above results (P<0.05). Conclusions DCSD has advantages of shorter operation and incision healing time, reduced postoperative pain score, and high appearance satisfaction.It should be widely used in clinical practice. Key words: Foreskin; Phimosis; Circumcision, Male

Long-Term Outcomes of Ligation of the Inter-Sphincteric Fistula Tract Plus Bioprosthetic Anal Fistula Plug (LIFT-Plug) in the Treatment of Trans-Sphincteric Perianal Fistula.

BackgroundThe ligation of the inter-sphincteric fistula tract plus bioprosthetic anal fistula plug (LIFT-plug) is a new procedure in the treatment of trans-sphincteric perianal fistulas. The aim of this study was to evaluate its long-term outcomes.Material/MethodsClinical data of 78 patients with trans-sphincteric perianal fistula who were managed by the LIFT-plug technique between March 2014 to October 2016 were analyzed retrospectively. The operation time, healing rate, postoperative complications, recurrences, and length of stay were reviewed.ResultsNo serious complications occurred during the operation in all patients. The median follow-up was 30 months (16 to 47 months), clinical healing of the anal fistula occurred in 75 patients (96.2%). The median operative time was 25 minutes (18 to 45 minutes). The mean complete healing time was 16 days (9 to 46 days). The median healing time for the external anal fistula opening was 2 weeks (range, 2 to 3 weeks), and the inter-sphincteric groove incision healing time was 4 weeks (range, 3 to 7 weeks). The median hospital stay after operation was 5 days. Fistula recurred in 2 patients because of spontaneous expulsion of the plug at 7 days post-surgery; perianal abscess occurred in 1 patient. The anal function was evaluated in 70 patients of the 78 patients. Perfect control of continence was recorded for 97.1% of the patients (68 out of 70 patients). Two patients were identified to a rare complication of gas incontinence (Wexner score 1).ConclusionsLIFT-plug procedure for the treatment of trans-sphincteric fistulas is a simple procedure with a high healing rate, minimal invasiveness, quick healing, and without disturbance to anal function. LIFT-plug is an ideal procedure for trans-sphincteric fistula.

Clinical value of ultrasound guided percutaneous dilatation tracheotomy in critical ill patients

Objective To explore the effect of ultrasound guided percutaneous dilatation tracheotomy in critical ill patients. Methods From January 2016 to January 2018, 95 critical ill patients who were treated in the People's Hospital of Quzhou were selected.According to the random number table method, they were divided into control group (n=47) and observation group (n=48). The patients in the control group were treated with traditional tracheotomy, and the patients in the observation group were treated with percutaneous dilatation tracheotomy under ultrasonic guidance.The operation condition of the two groups was observed, including operative bleeding volume, operative time, incision length, extubation time, incision healing time, hospitalization time and so on.The postoperative complications and mortality were recorded in the two groups. Results The operative bleeding volume, operative time, incision length and incision healing time in the observation group were (12.91±1.36)mL, (10.05±1.14)min, (1.46±0.32)cm, (5.48±0.39)d, respectively, which were lower than those in the control group[(38.54±3.47)mL, (27.43±2.29)min, (3.25±0.68)cm, (7.64±0.72)d], there were statistically significant differences between the two groups(t=40.098, 39.616, 13.888, 15.381, P=0.000, 0.000, 0.000, 0.000). The extubation time, hospitalization time in the observation group were (14.19±1.14)d, (20.17±1.85)d, respectively, which in the control group were (14.23±1.17)d, (20.26±1.89)d, respectively, there were no statistically significant differences between the two groups (t=0.142, 0.198, P=0.886, 0.843). The incidence rate of postoperative complications in the observation group was 6.25%, which was lower than 21.28% in the control group, there was statistically significant difference between the two groups (χ2=9.515, P=0.002). The ICU mortality and hospitalization mortality in the observation group were 2.08% and 4.17%, respectively, which in the control group were 10.64% and 12.77%, respectively, there were no statistically significant differences between the two groups (χ2=2.937, 2.277, P=0.087, 0.131). Conclusion Ultrasound guided percutaneous dilatation tracheostomy can improve operation condition, reduce hospitalization time, and has less complications, low mortality, which has good clinical value in critical ill care. Key words: Critical ill; Ultrasound; Percutaneous dilatation tracheotomy; Traditional tracheotomy; Hospitalization time; Operation condition; Mortality; Complication

Application effect of three-point small incision in double blepharoplasty

Objective To explore the application effect of three-point small incision in double eyelid plasty. Methods From October 2013 to October 2016, 160 patients with double blepharoplasty in the Central Hospital of Linfen were selected and randomly divided into traditional group(treated with traditional surgery) and small incision group(treated with three-point small incision in double eyelid plasty) according to the digital table, with 80 cases in each group.All patients were followed up for half a year.The pain score at postoperative 24h, wound healing time, swelling regression time, satisfaction score and the incidence of complications were compared between the two groups. Results The pain score at postoperative 24h of the small incision group was (2.75±0.32)points, which was significantly lower than (4.15±0.41)points of the traditional group, and the swelling subsided time, postoperative incision healing time of the small incision group were (4.24±0.41)d, (5.27±0.32)d, respectively, which were significantly shorter than those of the traditional group[(6.12±0.32)d, (8.17±0.45)d], the differences were statistically significant(t=24.076, 32.331, 46.974, all P<0.05). After follow-up for half a year, the satisfaction score of patients in the small incision group was (89.75±4.32)points, which was significantly higher than (82.15±4.10)points of the traditional group, the difference was statistically significant(t=11.413, P<0.05). The incidence rate of complications in the small incision group was 0.00%, which was significantly lower than 7.50% in the traditional group(χ2=6.233, P<0.05). Conclusion The effect of three-point small incision intervention on double eyelid plasty patients is significant, and the satisfaction rate of the patients is higher. Key words: Blepharoplasty; Ophthalmologic surgical procedures; Postoperative complications; Wound healing; Patient satisfaction; Pain; Treatment outcome

Comparison of the effects of percutaneous tracheostomy and conventional tracheostomy for patients with severe acute respiratory syndrome

Objective To compare the application effects of percutaneous tracheotomy and the traditional tracheotomy for patients in ICU. Methods From February 2015 to June 2016, 56 patients in ICU of the First Hospital of Ninghai County were selected in the research and randomly divided into two groups according to the digital table, with 28 cases in each group.The traditional group received traditional tracheotomy.The percutaneous group received the percutaneous tracheotomy.The surgical blood loss, operative time, incision length, scar area, incision healing time, mechanical ventilation time, survival rate and incision infection, subcutaneous emphysema, trachea collapse and other complications were compared between the two groups. Results The operative blood loss, operative time, incision length, scar area, incision healing time, mechanical ventilation time in percutaneous group were (3.14±0.15)mL, (10.02±3.53)min, (1.52±1.52)cm, (1.18±0.12)cm2, (3.53±0.44)d, (5.73±1.13)d, respectively, which in the control group were (7.24±1.91)mL, (30.98±11.72)min, (5.26±5.26)cm, (5.72±1.95)cm2, (7.46±1.25)d, (5.67±1.82)d, respectively, the blood loss, operative time, incision length, operation scar area, incision healing time between the two groups had statistically significant differences (t=8.635, 8.052, 8.155, 8.742, 9.251, all P<0.05). The survival rate of the two groups was 100.0%.The incidence rate of incision infection, subcutaneous emphysema, trachea collapse in the percutaneous group was 17.86%, which was significantly lower than 64.29% in the traditional group, the difference was statistically significant(χ2=15.014, P<0.05). Conclusion Percutaneous tracheotomy and the traditional tracheotomy have certain effect for patients in ICU, compared with traditional tracheotomy, percutaneous tracheotomy has less blood loss, less operation time, can reduce the complications, and can replace traditional tracheotomy for rescue and treatment for ICU patients. Key words: Tracheotomy; Respiration, artificial; Intensive care units; Infection; Subcutaneous emphysema; Controlled clinical trial

Study on the Application of Undecylenamide Propyl Betaine and Polyhexamidine in the Incision of Breast Abscess

Objective: To evaluate the curative effect of incision and drainage of breast abscess and postoperative application of undecylen amidopropyl betaine and polyhexamidine (Prandtl liquid dressing and wound gel). Methods: 100 cases of breast abscess, 50 cases of observation group and control group were randomly selected. The observation group was treated with undecyl amido propyl betaine and polyhexamethylene biguanide (Prandtl liquid dressing and wound gel) Drainage patients were dressing change, the control group with saline for dressing, t test was used to compare the incision healing time, the number of dressing, using the χ2 test to compare the recurrence rate. Results: The incision healed completely in both groups. Compared with the control group, the wound healing time in the observation group was shorter, the dressing frequency was lower and the recurrence rate was lower (all P <0.05). Conclusion: After incision and drainage of patients with breast abscess, dressing with undecylenamide propyl betaine and polyhexamidine (prontosan wound irrigation solution and wound gel) can shorten the wound size after incision and drainage of breast abscess Healing time, reduce the frequency of dressing, while reducing the recurrence rate.

Clinical research on self-made negative pressure drainage with Nano-Silver dressing in surgical incision infection

Objective To explore the clinical effects of the combination of the self-made negative pressure drainage and Nano-Silver dressings on postoperative infection of incision. Methods A total of 84 patients with post-operative incision infection in the First People's Hospital of Xiangtan City from January 2013 to December 2015 were selected and divided into the observation group and the control group with 42 cases in each by random number table method. The observation group was treated with self-made negative pressure device combined with Nano-Silver dressing at the early stage, while the control group was treated with iodoform gauze dressing. When the wound bed granulation grew well, the two groups were treated with calcium alginate dressing or two stage suture until healed. The inflammatory index, incision growth and therapeutic effect of the two groups were compared. Results A week after treatment, the white blood cell, C reactive protein, incisional pain score and the change cost of the observation group were (7.62±2.15) ×109/L, (19.33±23.46) mg/L, (2.83±0.82) and (570.13±33.88) Yuan, which were all lower than those of the control group, and the differences were statistically significant (t=2.592, 2.695, 7.497, 7.752; P<0.05) . 100% coverage time of the incisional granulation tissue in the observation group was (3.86±1.37) d, and the healing time of the whole incision was (12.02±2.80) d in the observation group, which were both lower than those in the control group, with statistical significance (t=12.669, 6.954; P<0.01) . Conclusions The self-made negative pressure device combined with Nano-Silver dressing is ideal for the treatment of postoperative incision infection, while improving the therapeutic effect of the patients, and reducing the healing time of the incision and the cost of changing the medicine. Key words: Surgical wound; Infection; Vacuum sealing drainage technique; Nano-Silver dressing

Efficacy and safety analysis of circumcision with circumcision of circumcision

Objective To study the curative effect and safety of circumcision with circumcision. Methods From January 2015 to January 2017, 88 patients with phimosis and prepuce were randomly divided into two groups (n = 44). The control group was treated with circumcision with circumcision. The observation group was treated with circumcision with circumcision. The operative time, intraoperative blood loss, postoperative pain, incision healing time, postoperative complication rate, degree of foreskin edema and appearance satisfaction were analyzed. Results The operation time, intraoperative blood loss and incision healing time were lower in the observation group than in the control group (P 0.05). The difference was statistically significant (P<0.05). The appearance satisfaction of the observation group was better than that of the control group at 1 month after operation (P<0.05). Conclusions The use of a one-time circumcision in the circumcision is effective, can reduce the degree of pain and foreskin edema, and less postoperative complications, promote incision healing, improve the appearance of satisfaction. Key words: Circumcision, Male; Surgical Staplers

Arthroscopically-assisted reduction and percutaneous screws fixation of Sanders type Ⅱ of calcaneal fractures

Category: Trauma Introduction/Purpose: Compared the clinical effect of arthroscopy assisted reduction and application of sinus tarsal approach reduction when treating Sanders Ⅱ calcaneal fractures. Methods: It was a retrospective comparative study since August 2014 to February 2017.There are 68 cases with Sanders type Ⅱ displaced calcaneal fractures which was divided into two groups. Group 1 with 31 cases was treated with arthroscopy assisted reduction and percutaneous headless screws fixation. Group 2 with 37 cases was treated with reduction and internal fixation. Results: No statistically significant difference was found between the two groups compared with the time of fracture healing, the Maryland foot score and AOFAS, and the differences was not statistically significant(P&gt;0.05). Compared with the open reduction group, arthroscopy group had lower VAS, the healing time of incision was significantly less, intraoperative and postoperative blood loss was less, and it had higher SF-36 score, the difference had statistical significance(P&lt;0.001). Conclusion: Two different kinds of surgical treatment of Sanders type Ⅱ calcaneal fractures had good clinical outcomes, but the treatment of arthroscopy group had less injury, less pain after surgery, less complications of incision, and it was more helpful to improve patients quality of life.

Effect of clinical nursing pathway in peri-operation period for patients with common bile duct stones undergoing endoscopic retrograde cholangio-pancreatography

Objective To investigate the effect of clinical nursing pathway in peri-operation nursing for patients with common bile duct stones undergoing endoscopic retrograde cholangio-pancreatography (ERCP) . Methods A total of 80 patients with common bile duct stones admitted from April 2016 to April 2017 were randomly divided into control group (n=40) and observation group (n=40) in Endoscopy Center of Neijiang First People's Hospital. Patients in the control group were given routine nursing while patients in the observation group were treated with clinical nursing pathway care during peri-operation period. Clinical indexes, medical expense, clinical events, psychological emotion, pain, comfort, postoperative complications and nursing satisfaction of two groups were compared. Results For the observation group, incision healing time was (6.31±0.86) d; initial off bed time was (2.09±0.67) d; hospital stays was (7.91±0.90) d; and medical expense was (3 526.15±875.26) yuan which were shorter and lower than those of the control group (t=8.280, 9.307, 7.334, 6.963; P<0.01) . Incidence rate of complication of the observation after operation was lower than that of the control group (12.5% vs. 40.0%, χ2=7.813, P<0.01) . There were more people who were satisfied with nursing of observation group than that of control group (17 vs. 8, Z=-2.889, P<0.01) . Conclusions The clinical nursing pathway has significant clinical effect in treatment of patients with common bile duct stones undergoing ERCP, which can improve the recovery efficiency, patients' comfort, reduce complication incidence rate, and enhance the nursing satisfaction as well. Key words: Perioperative nursing; Clinical nursing pathways; Endoscopic retrograde cholangio-pancreatography; Common bile duct stones

Minimally invasive treatment of Dupuytren's contracture by Pi needle percutaneous multi-segmental fasciotomy

To investigate the clinical efficacy of Pi needle percutaneous multi-segmental fasciotomy as a minimally invasive treatment for Dupuytren's contracture. Sixteen patients(25 fingers: 4 middle fingers, 12 ring fingers, 9 little fingers) were involved in the study, including 11 males and 5 females. There were 2 cases on both hands and 14 cases of single hand disease, including 8 cases of left hand and 6 cases of right hand. The age ranged from 48 to 79 years old, with a mean age of 58.5 years old. The duration of the disease ranged from 1 to 15 years, with a mean time of 5.5 years. There were 12 cases of physical labor, 4 cases of non physical labor, with no family history of palmar fascial contracture. There were 9 cases of tobacco and alcohol addicts, 6 cases with hypertension history, and 3 cases of diabetes mellitus. According to Meyerding classification, 1 case was stage 0, 1 case was stage I, 10 cases were stage II, 4 cases were stage III and 0 case was stage IV. The postoperative function of Dupuytren's contracture patients was evaluated according to Adam efficacy evaluation criteria. The time of incision healing time ranged from 7 to 14 days, 10 days on average. The 3 fingers incision skin cracked 3 to 4 mm during the loosening process, and 14 days after dressing changed, no skin necrosis and wound infection complication occurred. After treatment, fascia contracture of 24 fingers completely or almost disappeared. Limited extension of metacarpophalangeal joint and interphalangeal joint ranged from 0 to 10 degrees, 22 fingers showed normal function of finger extension, 2 fingers had more than 75% elongation function, and 1 finger recurred. According to the evaluation of Adam evaluable standard of curative effect on the postoperative function of Dupuytrens's contracture: 22 fingers got an excellent result, 2 fingers good and 1 finger recurred. The patients were satisfied with the results of the treatment. Pi needle percutaneous multi-segmental fasciotomy for the treatment of Dupuytren's contracture is a simple, minimally invasive and effective method.

Improvement of Erection Related Incision Pain in Circumcision Patients using Interrupted Rapid Eye Movement Sleep: A Randomized Controlled Study.

Postoperative pain from male circumcision (MC) is common especially in the sleep-related erection period. This study aims to explore the effect of interrupted rapid eye movement (IREM) sleep on relieving SRE-related incision pain and the improvement of other clinical outcomes. This simple randomized controlled study was conducted between May and November 2016. Approval was obtained from the local ethical committee on 5 May 2016. Ninety participants who underwent male circumcision were divided into the interrupted rapid eye movement sleep group and the control group. The times and the cumulative time of erection-related moderate and severe pain in minutes at night for 3 days after the operation were observed and compared. We also compared the condition of the incision swelling and healing.Sleep time at night was used to evaluate the safety of interrupted rapid eye movement sleep. For the first 3 days after the operation, the times of sleep-related erection pain were significantly decreased in the IREM sleep group (P = .010). Five patients reported that there was no pain during night. The cumulative time of erection-related moderate and severe pain was statistically decreased in the interrupted rapid eye movement sleep group (P = .034). After 3 days, there was no moderate and severe pain related to sleep-related erection in the 2 groups. There were no significant differences in incision swelling (P = .768), healing (P = .626), and sleep time (P = .231). Interrupted rapid eye movement sleep is an effective, simple, and free treatment to relieve incision pain of sleep-related erections.

Meta-analysis of clinical application of rapid rehabilitation surgery in caesarean section

Objective To systematically assess the safety and efficacy of using fast track surgery (FTS) technique in the setting of caesarean section. Methods The following electronic databases as PubMed, EMBASE, the Cochrane Library, CBM and CNKI were retrieved on computer from their establishment to April 2016 to search for randomized controlled trials (RCT) about FTS in the setting of caesarean section, and screen the document literature brought into the article.The methodological quality of the included RCT was assessed by two reviewers independently.After studying the quality according to the scale of criteria for methodological quality Cochrane Reviewer Handbook 5.0.2, the meta-analysis was conducted. Results A total of 13 RCT involving 3 002 patients were included, and all of them quality were medium.The meta-analysis showed that FTS group compared with the traditional group, the time to first postoperative flatus and off-bed activity, as well as the initial lactation time were significant shorter.The quantity of 72 hours lactation increased.The bottom of the uterus after postpartum highly reduced.The healing time of incision shortened.The hospitalization time and cost were significant reduced.The postoperative morbidity were decreased(P<0.05). Conclusions Use of FTS in the setting of caesarean section is safe and effective, and it can also reduce the length of hospital stay and incidence of postoperative complications, and thereby accelerate postoperative recovery of the patients. Key words: Fast Track Surgery; Caesarean section; Meta-analysis

Evaluation of clinical curative effects of disposable stitching instrument in redundant prepuce patients.

The present study aimed to investigate the clinical curative effect of disposable stitching instrument operation in patients with redundant prepuce or phimosis. A total of 102 cases of patients with circumcision were randomly selected (from June 2013 to December 2014) from the department of plastic and aesthetic surgery of our hospital and were randomly divided into control and observation groups (n=51). Patients in the control group were treated by traditional circumcision operation, while patients in the observation group were treated by novel disposable circumcision stitching instrument. Operation time, bleeding volume, incision healing time, postoperative complications and incision aesthetic satisfaction in the groups were observed. As a result, intraoperative bleeding volume of patients in the observation group was significantly less in comparison to the control group. Operation time and incision healing time of patients in the observation group was shorter than that of the control group. Additionally, the incidence of postoperative complications of patients in the observation group was noted to be lower than that of the control group. On the other hand, the incision aesthetic satisfaction of patients in the observation group was higher than that of the control group. Blood vessel counting and nerve fiber counting of tissue specimen in the observation group were more than those of the control group. Postoperative VAS scores of patients in the observation group were significantly lower than that of the control group. Each rating scale scores of EPQ of patients in the observation group improved significantly compared with that of the control group. In conclusion, the present findings show that disposable circumcision stitching instrument operation is more advantageous in comparison to the traditional procedure along with minimal compilations and better post surgery health condition of patients.