Objective:To investigate the feasibility and safety of Needle Ports laparoscopic transabdominal preperitoneal (NP-TAPP) repair in treatment of the inguinal hernia.Methods:The clinical data of 85 patients with inguinal hernia undergoing surgical treatment from January 2019 to December 2019 were retrospectively collected. Of the patients, 53 cases received laparoscopic TAPP repair (TAPP group) and 32 cases underwent Needle Ports laparoscopic TAPP repair (NP-TAPP group). The operating time, surgical bleeding amount, postoperative hospital stay time, pain score, abdominal wall scar satisfaction and surgical complications were observed, recorded and analyzed by comparison.Results:All of the 85 patients underwent the NP-TAPP and TAPP procedures. There was no significant difference in operative time, intraoperative blood loss, or postoperative hospitalization days between the TAPP and NP-TAPP groups. The postoperative pain scores and scar satisfaction scores of the NP-TAPP group were significantly better than those in the TAPP group (P<0.05). No statistical difference was noted in the incidence of postoperative complications and recurrence rate between the two groups (all P>0.05).Conclusion:Needle Ports laparoscopic transabdominal preperitoneal (NP-TAPP) repair is safe and effective in the treatment of inguinal hernia. This new technique has been performed stably with decreased postoperative pain and improved cosmetic results.

目前,腹腔镜胆囊切除术( laparoscopic cholecystectomy, LC)是治疗良性胆囊疾病的"金标准".具有创伤小、对内环境影响小、术后疼痛轻、康复快、切口小等优点.随着腹腔技术的发展及患者对美容效果日益增长的需求, LC由四孔法发展至三孔法、两孔法甚至经脐单孔法,但后两种术式操作难度大,不利于在基层医院广泛开展.我们改进三孔法腹腔镜技术,利用自主设计的1.5 mm双动型腹壁穿刺微抓钳(图1) ,开展免Trocar微孔辅助LC,临床疗效满意.现将体会报道如下.

目的 对老年结肠癌并发肠梗阻患者围手术期护理效果进行讨论与研究.方法 选取2018年1月～2018年12月在本院进行治疗的60例老年结肠癌并发肠梗阻患者,采取随机分配方式将60例患者分为两组,对照组和实验组,每组患者30例.对照组患者采用常规的护理方法,实验组患者采用专门的围手术期护理方法.结果 相比于对照组,实验患者术后粘连性肠梗阻、下肢静脉血栓、切口感染、实验组肺部感染等症状的发生率较低,护理有效率较高,满意度明显要高些(P＜0.05).结论 老年结肠癌并发肠梗阻患者围手术期护理能够有效降低不良症状发生率,提高患者的护理有效性和满意度,在临床上值得大力推广和应用.

目的 在老年慢性疾病治疗过程中,实施优质护理对治疗认知度及疾病控制的影响.方法 选取2018年3月～2019年3月在本院进行治疗的88例老年慢性疾病患者,采用随机数表将患者分为对照组和研究组,每组44例.对照组实施常规方式进行护理干预,研究组实施优质护理方式,观察两组治疗认知度、疾病控制以及满意度.结果 干预后,研究组治疗认知良好率、总有效率、满意度均高于对照组,差异均有统计学意义(P＜0.05).结论 给予老年慢性疾病患者优质护理干预,可以有效提高患者治疗认知度,改善患者疾病控制情况,提高满意度,利于患者预后,适用于临床推广.

目的:探讨捆绑式胰肠吻合术应用于胰十二指肠切除的临床护理方法。方法:32例胰十二指肠切除患者采用捆绑式胰肠吻合术。结果:无1例胰漏发生,无手术死亡病例,术后发生胆漏2例,经腹腔引流治愈。结论:做好术前准备,术后注重患者心理护理,减轻患者负担,加强术后观察和护理,预防并治疗胰瘘和胆瘘等并发症是保证手术成功和早日康复的关键。