Zhonghua wai ke za zhi [Chinese journal of surgery]
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Zhonghua Wai Ke Za Zhi · Sep 2013
[A clinical study of preoperative prophylactic application of intra-aortic balloon pump in extreme high-risk patients undergoing coronary artery bypass grafting].
To compare the clinical outcome between the intra-aortic balloon pump (IABP) inserted in the preoperative prophylactic condition and in the emergent condition for the patients with extreme high risks undergoing coronary artery bypass grafting (CABG). ⋯ For extreme high risk CABG patients, comparing to passive insertion of the IABP, preoperative prophylactic application of IABP shows the advantages in reducing perioperative mortality, myocardial infarction rate, inotropic drug consumption quantity, renal dysfunction, ICU stay time, respiratory support time and IABP support time.
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Zhonghua Wai Ke Za Zhi · Sep 2013
[Airway management and use of miniature extracorporeal circulation in tracheal surgery: a single center experience].
To review the methods involved in airway management of tracheal surgery and to consider the role of extracorporeal circulation. ⋯ Various advanced anesthesia techniques can ensure a safe airway for most tracheal surgeries. However, extracorporeal circulation plays a major role in high risk cases. It is important to set up a miniature extracorporeal circulation circuit that is especially suitable for tracheal surgery.
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Zhonghua Wai Ke Za Zhi · Sep 2013
[Cannulation related complications and prevention for extracorporeal membrane oxygenation: clinical report and reviews of experience of 34 cases].
To review the cannulation strategies and associated vascular complications of extracorporeal membrane oxygenation (ECMO) and to investigate the etiology and preventive procedures for those complications. ⋯ The proper size of cannula, optimal approch and position adjustment, accurate cannula placement and carefully attendance are the key points to decrease the cannulation related complications.
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Zhonghua Wai Ke Za Zhi · Sep 2013
[The efficacy analysis of selective decompression of lumbar root canal of elderly lumbar spinal stenosis].
To evaluate the effect of the treatments of lumbar spinal stenosis by selective decompression of lumbar root canal and laminectomy. ⋯ Personalized treatment programs should be established for elderly lumbar spinal stenosis according to stenosis location. Laminectomy is carried out with the stenosis in the central spinal canal; selective decompression of lumbosacral root canal is accepted with the stenosis in the nerve root canal without central stenosis.
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Zhonghua Wai Ke Za Zhi · Sep 2013
[The surgical strategy for laparoscopic approach in recurrent inguinal hernia repair: 213 cases report].
To evaluate the surgical strategy for laparoscopic approach in recurrent inguinal hernia repair. ⋯ TAPP and TEP are both feasible and efficacious techniques to treat recurrent hernias after suture repair and Lichtenstein repair, while the choice depends on surgeons' experience. Most recurrent hernias after Patch and Plug repair could be treated successfully by TAPP but TEP technique is not encouraged. For recurrences after preperitoneal repair, the TAPP repair should be recommended as first choice, while IPOM is a good technique to cope with the cases which TAPP failed.