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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (02): 162-165. doi: 10.3877/cma.j.issn.1674-392X.2019.02.016

Special Issue:

• Original Article • Previous Articles     Next Articles

Application of herniorrhaphy and open decompression in the treatment of ACS with abdominal infection

Naijin Wang1, Bo Yan2,,(), Haojie Ying1, Jin Shi1, Junwei Ma1, Ke Su1   

  1. 1. Department of General Surgery, Zibo Hospital District, 960 Hospital of PLA, Shandong Zibo 255300, China
    2. Department of Critical Care Medicine, Zibo Hospital District, 960 Hospital of PLA, Shandong Zibo 255300, China
  • Received:2018-12-29 Online:2019-04-18 Published:2019-04-18
  • Contact: Bo Yan
  • About author:
    Corresponding author: Yan Bo, Email:

Abstract:

Objective

To explore the clinical efficacy of herniorrhaphy and open decompression in the treatment of (ACS) with abdominal infection in patients with celiac compartment syndrome, and to analyze its application value.

Methods

From April 2011 to April 2018, 44 cases of ACS with abdominal infection were analyzed retrospectively. Among them, 18 cases were treated with herniorrhaphy and 24 cases were treated with open decompression. The clinical data of patients before and after treatment were collected, the therapeutic effects of patients after treatment were compared, the APACHEⅡ scores of patients before and after treatment were compared, and the changes of serum inflammatory factors CRP, IL-6 and TNF-α before and after treatment were compared.

Results

The two groups of patients improved their treatment and had certain curative effect. The total effective rate of the experimental group (83.33%) was higher than that of the control group (79.17%), but there was no significant difference (P=0.773). The APACHEⅡ scores of the two groups were decreased after treatment. The degree of decline was greater than that of the control group (P<0.01). After treatment, the inflammatory response was significantly relieved, and the inflammatory markers CRP, IL-6, and TNF-α were decreased. There were statistical differences before and after treatment, and the degree of inflammation was significantly reduced in the experimental group. Greater than the control group (P<0.01).

Conclusion

Herniorrhaphy for clinical treatment of ACS with abdominal infection can effectively improve serum inflammatory factor levels, alleviate clinical symptoms, improve patient health, reduce intra-abdominal pressure, and provide new options for clinical treatment.

Key words: Herniorrhaphy, Celiac compartment syndrome, Open decompression, Severe abdominal infection, Inflammatory factor

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