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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2023, Vol. 17 ›› Issue (04): 477-480. doi: 10.3877/cma.j.issn.1674-392X.2023.04.024

• Article • Previous Articles     Next Articles

Application effect of risk factor nursing intervention on perioperative period of Lichtenstein operation in patients with inguinal hernia complicated with decompensated cirrhosis

Fang Li, Haiyun Sun()   

  1. Second Ward, Department of General Surgery, Linquan County People's Hospital, Fuyang 236400, Anhui, China
    Department of Nursing, Fuyang Second People's Hospital, Fuyang 236015, Anhui, China
  • Received:2023-02-20 Online:2023-08-18 Published:2023-09-01
  • Contact: Haiyun Sun

Abstract:

Objective

To explore the clinical effect of nursing interventions on risk factors in patients with cirrhotic decompensated livers undergoing Lichtenstein surgery during the perioperative period.

Methods

The clinical data of 68 patients with decompensated liver cirrhosis who underwent Lichtenstein operation from March 2015 to March 2019 were analyzed retrospectively. The length of stay, postoperative pain and postoperative complications were recorded and analyzed.

Results

All 68 patients completed the surgery successfully. The duration of hospitalization ranged from 4~14 d, with a mean length of stay of (5.82±2.19) days. There were no complications such as ascites leakage, incisional infection, mesh infection, repair failure, or liver failure. One case of incisional steatorrhea was discharged with proper drainage and more frequent dressing changes. Three cases of subcutaneous hemorrhagic petechiae in the groin area and lumbar back and one case of incisional hemorrhage were treated with a compression bandage, bed rest and hemostasis and healed successfully. 67 cases were followed up for 18 months after surgery, and no recurrence was seen, while one patient died of upper gastrointestinal bleeding 13 months after surgery and the follow-up was terminated. Two cases of chronic pain were treated with oral analgesic drugs, and the pain gradually decreased without special treatment.

Conclusion

Risk factor intervention nursing can reduce postoperative recurrence, perioperative incision infection, and bleeding during the perioperative and postoperative periods of Lichtenstein surgery in cirrhotic decompensation as an effective nursing intervention strategy, which can promote the early recovery of patients and reduce the occurrence of complications.

Key words: Hernia, inguinal, Decompensatory cirrhosis, Herniorrhaphy, Perioperative period, Risk factor, Nursing interventions

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