Fine nursing cooperation in endoscopic submucosal dissection
10.3760/cma.j.cn115682-20200219-00861
- VernacularTitle:内镜下行黏膜剥离术的精细护理配合
- Author:
Ailing YU
1
;
Ling REN
;
Jing YAN
;
Chenghao XU
;
Chunyan JI
Author Information
1. 江苏省连云港市第一人民医院消化内镜科 222000
- Keywords:
Nursing care;
Endoscopic submucosal dissection;
Nursing cooperation
- From:
Chinese Journal of Modern Nursing
2020;26(22):3089-3092
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the fine nursing cooperation in endoscopic submucosal dissection (ESD) in the treatment of digestive tract diseases.Methods:Totally 67 patients with digestive tract diseases who underwent ESD at the First People's Hospital of Lianyungang from November 2016 to April 2019 were selected by convenient sampling. The fine nursing cooperation in ESD for these patients were comprehensively summarized and analyzed.Results:The 67 patients had one-time resection of the lesion, including 1 case with perforation complicated with peritonitis and referred to the gastrointestinal department for surgery; 4 cases with suspected perforation were treated with harmonious clamps for hemostasis, clamping, and fixation, and gastrointestinal decompression was observed; 3 cases with postoperative bleeding received endoscopic hemostasis again; no major bleeding occurred, and all were cured and discharged after conservative treatment.Conclusions:ESD is a standard minimally invasive surgical method with little trauma and good efficacy, and it is also an economical, safe and reliable method for treating superficial lesions of the digestive tract. Fine nursing cooperation is reflected throughout the entire surgical procedure, which not only can improve the success rate of surgery, but more importantly, can enable nurses to cooperate with physicians to prevent the occurrence of surgical complications due to negligence of details.