Title: The effect of high-frequency electrotome on the healing of perineal incision in patients undergoing Miles′ procedure for rectal carcinoma
Abstract: ObjectiveTo determine the effect of high-frequency electrotome on the healing of perineal surgical wound in patients undergoing Miles′ procedure and measures of prevention. MethodsA total of 195 rectal cancer patients undergoing Miles′ procedure were recruited into this study. Group A (55 cases) with scalpel in perineal area only, group BⅠ (55 cases) with high-frequency electrotome only, group BⅡ (30 cases) with greater omentum packing of the foresacral cavity after electrotome operation, and group BⅢ (55 cases) with perineal electromagnetic wave irradiation ( 60 minutes each time and once a day for ten days) after electrotome operation. The total amount of foresacral drainage, drainage time, the rates of foresacral cavity infection and perineal surgical wound dehiscence, and the period of postoperotive hospitalization were recorded.Results Group A was superior to group BⅠ in all parameters (P0.01, 0.01, 0.005, 0.005, 0.01, 0.01). Group BⅡ was much better than group BⅠ (P0.01, 0.005, 0.005, 0.01) except for the amount of foresacral drainage (P0.50). There were no significant differences between group BⅡ and group BⅢ (P0.50, 0.10, 0.50, 0.25, 0.05, 0.50).ConclusionsThe use of high-frequency electrotome significantly increases the postoperative perineal complications. The packing of greater omentum and perineal electromagnetic wave irradiation reduce the occurrence of the side effects.
Publication Year: 2002
Publication Date: 2002-01-01
Language: en
Type: article
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