In this paper, we report an extremely rare case of an abscess that developed in the inguinal hernial sac after surgery for peritonitis. A 60-year-old man underwent laparoscopic low anterior resection for rectal cancer...In this paper, we report an extremely rare case of an abscess that developed in the inguinal hernial sac after surgery for peritonitis. A 60-year-old man underwent laparoscopic low anterior resection for rectal cancer. One day after this operation, peritoneal drainage and ileostomy were performed for rectal anastomotic leakage. Five days after the second operation, computed tomography revealed an abscess in the left inguinal hernial sac. Subsequently, hernioplasty and resection of the inflamed sac were performed.展开更多
目的探讨罗哌卡因局部封闭麻醉对小儿疝囊高位结扎术后康复的作用。方法采用随机、单盲、平行对照的方法,将行小儿疝囊高位结扎术患者分为试验组和对照组,对照组30人,常规静脉全身麻醉,手术结束后予0.9%生理盐水2~3 m L局部注射;试验组5...目的探讨罗哌卡因局部封闭麻醉对小儿疝囊高位结扎术后康复的作用。方法采用随机、单盲、平行对照的方法,将行小儿疝囊高位结扎术患者分为试验组和对照组,对照组30人,常规静脉全身麻醉,手术结束后予0.9%生理盐水2~3 m L局部注射;试验组50人,常规静脉全身麻醇,手术结束后予0.2%罗哌卡因2~3 m L局部封闭。记录并分析两组患者术后2 h、6 h、12 h的疼痛视觉模拟评分,术后复苏室的生命体征,术后使用对乙酰氨基酚栓剂剂量、下地活动时间、住院时间。结果试验组患者术后2 h、6 h、12 h的疼痛视觉模拟评分均低于对照组[(1.3±1.15)vs.(6.8±0.76),(1.46±1.09)vs.(7.1±0.84),(1.52±1.15)vs.(7.33±1.06),P<0.001],术后使用对乙酰氨基酚栓剂剂量少于对照组(c2=45.38,P<0.001),术后下地活动时间少于对照组[(9.84±1.39)h vs.(12.20±1.47)h,t=-7.19,P<0.001],住院时间少于对照组[(29.32±4.69)h vs.(38.93±4.29)h,t=-9.16,P<0.001]。结论罗哌卡因局部封闭麻醉对小儿疝囊高位结扎术后能有效镇痛,减少术后止痛药物的使用剂量,促使患儿更早下床活动,缩短住院时间,是一种值得推荐的临床方法。展开更多
文摘In this paper, we report an extremely rare case of an abscess that developed in the inguinal hernial sac after surgery for peritonitis. A 60-year-old man underwent laparoscopic low anterior resection for rectal cancer. One day after this operation, peritoneal drainage and ileostomy were performed for rectal anastomotic leakage. Five days after the second operation, computed tomography revealed an abscess in the left inguinal hernial sac. Subsequently, hernioplasty and resection of the inflamed sac were performed.
