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Diagnosis and treatment of abdominal compartment syndrome aftergiantabdominal incisional her-nia surgery

Journal of Clinical Surgery.2015;(6):470-471. doi:10.3969/j.issn.1005-6483.2015.06.027

Objective To investigate the diagnosis and treatment of abdominal compartment syn-drome (ACS)aftergiantabdominal incisional hernia surgery.Methods The diagnosis and treatment of eight cases of ACS after giantabdominal incisional hernia surgery in our hospital from June 201 0 to June 201 4 were retrospectively analyzed.Results Seven cases of ACS were cured,with a cure rate of 87.5%. One case with chronic pulmonary heart diseasedied ofsevere lung infection caused by ARDS,with a mor-tality of 1 2.5%.The cured patients discharged and werefollowedup for threeto six months,without any signs of recurrence and organ dysfunction.Conclusion Abdominal compartment syndrome is a serious complication aftergiantabdominal incisional hernia surgery,with treatment difficult and high mortality.The keysinreducingmortalityare early diagnosis and comprehensive treatment.

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Research on the effects of piperine on proliferation and invasion of human bladder cancer T24 ;Cells

Junjie ZHOU

Journal of Clinical Surgery.2015;(6):467-469. doi:10.3969/j.issn.1005-6483.2015.06.026

Objective To investigate the effects of differentpiperine concentrationson the prolif-eration and invasion of bladder cancer T24 cells.Methods Bladder cancer T24 cells were treated with different concentrations of piperine(5,1 0,20,40,80,and 1 60μmol/L).Then MTT assay,Transwell exper-iments,and western blot were used to detect the expression of bax and bcl-2,and the proliferation and ap-optosis of T24 cells.Results After a 24-hour treatment of piperine,IC50 value was 38.73μmol/L.With the increaseof piperine concentrations,the activity of T24 cell was significantly inhibited in a dose-depend-ent manner.Westernblot showed that the expression of anti-apoptotic protein bcl-2 reduced,and the pro-apoptotic protein bax increased.Conclusion Piperine could inhibit the proliferation of bladder cancer T24 cells and promote the apoptosis of T24 cells.

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Pleomorphic carcinoma of the lung:a clinicopathological study of 23 cases

Chuxiao DUAN ; Shengling FU ; Xiangning FU

Journal of Clinical Surgery.2015;(6):451-453. doi:10.3969/j.issn.1005-6483.2015.06.020

Objective To investigate the clinical characteristics,surgical strategy,pathological features and prognosis of pulmonary pleomorphic carcinoma.Methods The clinicopathological data of 23 patients with pulmonary pleomorphic carcinoma who underwent surgical resection from January 201 0 to March 201 4 in Tongji Hospital were collected.Results There were 1 6 male patients and 7 female pa-tients,with the male /female ratio of 2.3∶1 .The mean age of was 54(35 ~75)years old.A total of 1 7 pa-tients were heavy smokers and the mean smoking index was 688(400 -1 200).The initial main symptoms were cough,blood in phlegm and hemoptysis.It was difficult for fiberoptic bronchoscopy to confirm the di-agnosis.All patients underwent surgical resection,including 22 cases of radical resection and one case of biopsy.Microscopically,neoplastic epithelial cells and pleomorphic components were found in pulmonary pleomorphic carcinoma in 1 9 cases,and pleomorphic components only in the other 4 cases.Positive CK ex-pression in pleomorphic components was observed.The longest survival time was 1 8 months and the pa-tient was still alive.The median survival time was 1 2 months.Conclusion Pulmonary pleomorphic carci-noma usually occurs in middle-aged and elderly male smokers.Immunohistochemistry staining contribute to the diagnosis.The main treatment is surgery and the prognosis is poor.

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A randomized controlled trail about whether to use antibiotics in tension-free inguinal hernia re-pair

Yanzhuo SU ; Bin SONG ; Jianpeng XING

Journal of Clinical Surgery.2015;(6):449-450. doi:10.3969/j.issn.1005-6483.2015.06.019

Objective To explore whether antibiotic prophylaxis is beneficial in tension-free in-guinal hernia repair Method A perspectiverandomized controlled study was conducted which included 1 28 patients who underwent tension-free inguinal hernia repair from July 201 1 to August 201 3.In the anti-biotic prophylaxis group,antibiotic was intravenously administrated within 30 minutes before surgery.In the control group,no preoperative antibiotic wasadministrated.The incidence of incision infection was com-pared between groups.Result Incision infectiondeveloped in onepatient of the antibiotic prophylaxis group and two patientsin the placebo group,indicating no significant difference between the groups(P >0.05).Conclusion Before tension-free repair,there is no real need to apply prophylactic antibiotics reg-ularlyfor inguinal hernia without high risk factors.

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Research on the clinical efficacy of standard large trauma craniotomy for intracranial hematoma ;caused by severe traumatic brain injury

Hongquan WANG ; Shulan HUANG

Journal of Clinical Surgery.2015;(6):420-422. doi:10.3969/j.issn.1005-6483.2015.06.007

Objective To investigate the effects of standard large trauma craniotomy on neuron-specific enolase(NSE)inflammatory factors in patients withintracranial hematoma caused by severe trau-matic brain injury(sTBI).Methods A total of 64 cases of sTBI patients were randomly divided into con-ventional surgery group (conventional group)and standard large trauma craniotomy group (standard group),with 32 cases in each group.The postoperative Glasgow Outcome Scale(GOS)score,preoperative and postoperativeserum inflammatory factors(IL-8,IL-6,TNF-α,ICAM-1 ,and IL-1 0),NSE levels,and postoperative complications were compared.Results The GOS score of the standard group was signifi-cantly superior tothe conventional group(P <0.05);postoperativeIL-6,TNF-α,ICAM-1 ,and NSE levels in the conventional group were significantly reduced(P <0.05);postoperativeIL-8,IL-6,TNF-α,ICAM-1 ,and NSE levels were significantly reduced and IL-1 0 levelswassignificantly improvedin the standard group(P <0.05);there were3 cases of postoperative cerebrospinal fluid leakage and four cases of inci-sional hernia in the conventional group,and two cases of postoperative cerebrospinal fluid leakage and three cases of incisional hernia in the standard group;there were no significant differencesin the incidence of postoperative complications in both groups(P >0.05 ).Conclusion Inflammatory factors and NSE both playimportant roles in sTBI.Standard large trauma craniotomycan control these indicators effectively and reduce the severity of the patient's illness.

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Treatment progress of nosocomial bacterial meningitis in neurosurgery

Ke WANG ; Liang GAO

Journal of Clinical Surgery.2015;(6):476-479. doi:10.3969/j.issn.1005-6483.2015.06.030

With high morbidity and mortality,nosocomial bacterial meningitis(NBM)is a kind of serious nosocomial infection.Post-neurosurgical patients are at a high risk of this infection andNBM in-creases hospital stay and medical expense obviously.In this article,we reviewed recent studiesonpathogen-esis,treatment,and research progress of NBM in neurosurgical patients,and presented unresolved ques-tions and research direction in the future.

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The surgical repair of rectourethral fistula:island skin tubes from perineum and scrotum were adopted

Jiangqiao ZHOU ; Linglong WANG ; Xiaobing ZHANG

Journal of Clinical Surgery.1999;0(05):-.

Objective To study a new procedure of surgical repairment of rectourethral fistula.Method By the perineum approach one stage urethroplasty using island skin tubes from perineum and scrotum has been adopted after the resection of fistular urethra and repairment of the defect of the anterior wall of rectum to substitute the defect of urethra in 9 cases during 1992-1998.Result The 9 cases were all cured and have been followed-up for 2 6 years without recurrence of rectourethral fistula.Conclusion This procedure was regarded as an ideal technique for the closure of rectourethral fistula especially for those complicated with urethra stricture.

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A research on PGI_2 and TXA_2 for lung cancer patients and ones with lung cancer metastasis

Yiliu LIAO ; Chifu CHEN

Journal of Clinical Surgery.1999;0(05):-.

Objective To explore the PGI 2 and TXA 2 for lung cancer patients and ones with lung cancer metastasis,in onder to provide nomal index for diagnosis and differential diagnosis in lung cancer metastasis.Methods To test plasma PGI 2 and TXA 2 by means of RIA in all cases.One group of patients who received non operative treatment:Six cases of patients with distant metastasis;Eight cases with hilus of long metastasis;Seven cases without metastasis.The other group of patients who received radical operation;Six cases of patients with distant metastasis;Seven cases with hilus of lung metastasis;Six cases without metastasis.Result The PGI 2/TXA 2 ratio of the patient whether distant metastasis or hilus of lung metastasis was obviously lower than that of the patients without metastasis( P

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Esophagogastrostomy encircled by seromuscular gastric wall flap

Chaoyang HAN ; Feilong LIU ; Yuanhong SU

Journal of Clinical Surgery.1999;0(05):-.

Objective To evaluate the effects of esophagogastroplasty of esophagogastrostomy in preventing anastomotic leakage,stricture and reflux esophagitis after resection of lower esophageal or cardiac carcinoma.Methods 273 cases of lower esophageal cardiac carcinoma were randomly divided into 2 groups:The treatment group(145 cases) was treated by esophagogastrostomy encircled by sero muscular gastric wall flap while the control group(128 cases) was performed with esophagogastrostomy only.Results No anastomotic leakage or stricture was observed in treatment group,with 10 cases of reflux esophgitis only.In control group,anastomotic leakage,stricture and reflux esophagitis were 9(7 0%),5(3 9%),and 21(17 1%) respectively.Conclusions The esophagogastroplasty of esophagogastrostomy can completely avoid anastomotic leakage,stricture and significantly reduce reflux esophagitis after resection of lower esophageal or cardiac carcinoma.

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Diagnosis and treatment on laparoscope of abdominal trauma in 20 cases.

Qiang HUANG ; Shan LIANG ; Cheng WANG

Journal of Clinical Surgery.1999;0(05):-.

Objective To study the function of the laparoscope in abdominal trauma diagnosis and treatment.Method To use laparoscope in diagnosis and treatment for 20 cases abdominal trauma.Result 11 cases avoided the operation of the open abdomin,7 cases got treatment under the laparoscope;5 cases avoided the negative exploration.Conclusion Laparoscope can be used to clear the diagnosis.avoid negative exploration,treat the injury and help operator to choose incision and type of operation.

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