ray ban occhiali Prevention of suction drainage af -

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Prevention of suction drainage lymphocele after pelvic lymph node dissection

rsionfromlaparoscopicsurgerytoopenapproach. Theevaluationisveryimportantinlaparoscopicsurgery. ConversiontoopenapproachimmediatelycaindecreasethecomplicationiflapaproscopicsurgeryWaft, evaluateddif-fie, It. 【 Keywords 】 Laparoscopicsurgery; Openapproach; Conversionfactor With the improvement of laparoscopic technique in gynecological surgery more widely , laparoscopic uterine surgery to complete the attachment and increasing year by year the proportion of surgical indications and constantly adjust Modify, their safety and effectiveness need further research . In this paper, 5 years in our hospital for 26 laparoscopic converted to open cases were retrospectively analyzed the clinical factors . Materials and Methods 1.11998 l in January to 2OO2 in December , general gynecology wards in our hospital underwent laparoscopic surgery for a total of 4568 cases ,[link widoczny dla zalogowanych], of which 624 cases in 1998 , 1999, 775 cases , 2OOO years,[link widoczny dla zalogowanych], 994 cases in 2001, 1012 Cases , 2OO2 in 1163 cases . Laparoscopic converted to open surgery each year the situation in Table 1. 1.25 years for various reasons, there were 26 cases in the switch to open surgery , 26 patients aged 2,4 to 63 years , an average of 39 years; pregnancies 1 ~ 5 ; parity 0 to 2 times. Body mass index > 25, 6 patients , accounting for 23%. Conversion to open surgery in 26 cases, 22 cases of benign disease ,[link widoczny dla zalogowanych], accounting for 84.6% ; 4 cases of malignant disease , accounting for 15.4%. Project results show that the average daily drainage suction drainage was 148.4ml,[link widoczny dla zalogowanych], the traditional method of the average daily drainage drainage only 112.5ml (P <0.O1), which may also lower the incidence of lymphocele as a cause. The project results also showed that abdominal vacuum assisted drainage than the traditional method of draining time reduced by nearly half , the average time of two ways drainage 2.24 days 2.73 days , respectively (P <0.O1). Not only can shorten the drainage time to reduce the suffering of patients , but also help in reducing the drainage caused by complications such as postoperative infection, sinus formation , but because of small sample size , the subject does not observe these two indicators , After further research needs to be .
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