Trauma repair and reconstruction surgery mediated by near-infrared-Ⅱ imaging: application of enhanced recovery after surgery principles
10.3760/cma.j.cn115530-20240719-00306
- VernacularTitle:加速康复外科理念下近红外二区成像介导创伤修复重建手术的效果分析
- Author:
Fan YANG
1
;
Yifan WU
;
Yifeng YU
;
Zheng WANG
;
Jing HU
;
Manjuan XU
;
Chao JIAN
;
Baiwen QI
;
Aixi YU
;
Dong ZHANG
Author Information
1. 武汉大学中南医院创伤与显微骨科，武汉 430071
- Keywords:
Wounds and injuries;
Reconstructive surgical procedures;
Spectroscopy, near-infrared;
Rehabilitation
- From:
Chinese Journal of Orthopaedic Trauma
2024;26(11):1002-1007
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate trauma repair and reconstruction surgery mediated by near-infrared-Ⅱ (NIR-Ⅱ) imaging in practice of enhanced recovery after surgery (ERAS) principles.Methods:A retrospective study was conducted to analyze the data of 38 patients who had undergone trauma repair and reconstruction surgery mediated by near-infrared-Ⅱ (NIR-Ⅱ) imaging in practice of ERAS principles at Department of Orthopedic Trauma and Microsurgery, Zhongnan Hospital from May 2021 to December 2021. There were 22 males and 16 females with an age of (50.3±2.7) years. To implement ERAS, NIR-Ⅱ imaging was used for patency evaluation after vascular anastomosis in 14 cases, for skin flap harvesting and perfusion monitoring in 13 cases, and for evaluation of arterial/venous blood supply after finger replantation in 11 cases. Visual analogue scale (VAS) pain scores at 2, 7 and 14 days after surgery, length of hospital stay, patient satisfaction [by Chinese Hospital Patient Experience and Satisfaction Monitor (CHPESM)], limb function recovery (by Likert scale) and postoperative complications were recorded.Results:All patients were followed up for more than 14 days. All surgeries succeeded. The reconstructed limbs or flaps survived to recover basically normal shape and function. The VAS scores for all patients were (2.1±0.6) points, (1.6±0.6) points and (0.8±0.4) points on postoperative 2, 7 and 14 days, respectively. The length of hospital stay was (9.8±3.4) days, and the patient satisfaction was >95% at discharge. As for the recovery of limb function at the last follow-up evaluated by the Likert 5-point scale, 12 cases experienced no stiffness, 8 ones mild stiffness, 11 ones slightly severe stiffness, 3 ones moderate to severe stiffness, 2 ones severe stiffness, and 2 ones complete stiffness. Complications related to the surgery occurred in none of the patients.Conclusion:In practice of ERAS principles, application of NIR-Ⅱ imaging in trauma repair and reconstruction surgery can effectively alleviate pain, improve satisfaction, reduce hospital stay, and accelerate functional recovery for the patients.
