Effect of laparoscopic gastrointestinal repair combined with abdominal pressure on abdominal closed injury
WU Xiao-wei
CHEN Yu-fan
HE Shao-hua
ZHU Kang-yu
Abstract：Objective To investigate the effect of laparoscopic gastroenteroplasty combined with abdominal pressure in the treatment of closed abdominal injury and its effects on postoperative pain and gastrointestinal function.Methods A total of 120 patients with abdominal closed injury admitted from March 2019 to March 2021 were selected and randomly divided into group A(n=60)and group B(n=60).The patients in the group A were treated with laparoscopic gastroenteroplasty and natural drainage without negative pressure,and then covered with medical excipients at the incision.The group B received continuous negative pressure drainage after laparoscopic gastroenteroplasty,and covered with vacuum sealing drainage excipients at the incision.The time of hospital stay,postoperative drainage volume,postoperative exhaust time,postoperative defecation time,postoperative eating time,bowel sound recovery time,the levels of gastrointestinal hormones[motillin(MOT),vasoactive intestinal peptide(VIP),gastrin(GAS)]before and 7 days after the operation and the occurrence of adverse reactions were recorded and compared between the two groups.Visual analogue scale(VAS)was evaluated at the time of recovery and 2,12,24 and 48 hours after the surgery respectively,and the postoperative pain of the two groups was compared.Results The time of hospital stay of group B was shorter than that of group A,and the postoperative drainage volume was lower than that of group A,the differences were statistically significant(P<0.05).The VAS scores of group B were lower than those of group A at the time of recovery and 2,12,24 and 48 hours after the surgery,and the differences were statistically significant(P<0.05).Postoperative exhaust time,postoperative defecation time,postoperative eating time and intestinal sound recovery time in group B were shorter than those in group A,and the differences were statistically significant(P<0.05).Before the surgery,there was no significant difference in MOT,VIP and GAS between the two groups(P>0.05).Seven days after the surgery,MOT,VIP and GAS in the two groups were decreased,but MOT,VIP,GAS of group B were higher than those of group A,the differences were statistically significant(P<0.05).One patient in group A occurred incision infection,and the incidence of adverse reactions was 1.7%(1/60).Two patients in group B occurred incision infection and one patient in group B occurred intestinal adhesion,and the incidence of adverse reactions was 5.0%(3/60).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Laparoscopic gastrointestinal repair combined with external abdominal pressure in the treatment of closed abdominal injury has a good clinical effect.It can significantly reduce the pain of patients,improve gastrointestinal function,with high safety.
Keywords：Laparoscopic gastrointestinal repairAbdominal pressureAbdominal closed injuryPainGastrointestinal function
Publication Date：2023-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 352-355 )