Analysis of the causes and nursing countermeasures of complications after the laparoscopy-assisted surgery for congenital hypertrophic pyloric stenosis

VernacularTitle:腹腔镜治疗先天性肥厚性幽门狭窄手术并发症的原因分析及护理对策
Author: Bidong XIAO ; Qiong FANG ; Fang WANG
Publication Type:Journal Article
Keywords: Laparoscopic; Congenital hypertrophic pyloric stenosis; Complications; Nursing
From: Chinese Journal of Practical Nursing 2014;30(3):43-45
CountryChina
Language:Chinese
Abstract: Objective To summarize the related factors and nursing countermeasures of complications after the laparoscopy-assisted surgery for congenital hypertrophic pyloric stenosis.Methods Clinical data about the occurrence of complications and nursing points were retrospectively analyzed in 106 cases of neonates and infants.Results Surgical complications occurred in 16 cases,including mucosal perforation in 2 cases,abdominal cavity hemorrhage in 1 case,puncture hole infection in 1 case,repeated postoperative vomiting caused by incomplete pyloric separation in 1 case,postoperative hypercapnia in 2 cases,subcutaneous emphysema in 1 case,8 cases of postoperative hypothermia.No operative deaths.No poking holes hernia and abdominal organ injury.By careful observation and nursing,all cases got rid of postoperative complucations.Within postoperative 3～7 days,they were recovered and discharged,no nursing complications occurred.Conclusions Early discovery of complications and timely nursing intervention are important guarantee for patients to pass through laparoscopic surgery smoothly and obtain swift recovery.