RESUMO
Background: Appendicitis is a common acute abdominal disease. Traditional Chinese medicine believes that acute appendicitis is caused by the accumulation of heat and toxin, and the formation of carbuncle and pus in the colon due to stasis. Therefore, treatment should be carried out to clear heat and detoxify, clear the organs, and eliminate carbuncle. Dahuang Mudan Tang contains various traditional Chinese medicines for clearing heat and detoxifying, which can be used to treat appendicitis. This study observes the therapeutic effect of Dahuang Mudan Tang on patients undergoing laparoscopic surgery for acute appendicitis. Methods: Eight databases were searched by computer and inclusion criteria were pre determined before evaluation: (1) patients with appendicitis; (2) 18-70 years old; (3) Agree to this study and obtain randomized controlled trials at home and abroad on the combined treatment of appendicitis with caesarean section and rhubarb peony testing. Using RevMan 5.3 software, conduct a comprehensive evaluation of the cultivation quality and conduct data analysis. Results: The meta-analysis ultimately included 16 papers. They are all considered randomized controlled trials. The overall efficiency of the test unit and control unit was reported in 12 surveys. The total effective rate of the experimental group was significantly higher than that of the control group (Odds Ratio (OR): (1.16; 95% Cl: 1.11,1.20; P < .001), and the duration of bowel sounds was also significantly higher than that of the control group. Standardized mean deviation (SMD): (-7.39; 95% Cl: -8.48, -6.30; P < .01), defecation time SMD: (-1.60; 95% Cl: -2.07, -1.12; P < .01). Conclusion: Based on the total effective rate, defecation time, defecation time, CRP, IL-6, and adverse reactions of participants in this study, the combination of Dahuang Mudan Tang and laparoscopy in the treatment of appendicitis may be beneficial, which can improve clinical efficacy, inhibit inflammatory reactions, and promote postoperative recovery of patients. It is worth promoting and applying in clinical practice. However, these findings still require more high-quality research to confirm. Patients undergoing laparoscopic surgery for appendicitis were treated with Dahuang Mudan Tang combined with targeted intervention.
Assuntos
Apendicite , Carbúnculo , Gastroenteropatias , Laparoscopia , Gravidez , Humanos , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Apendicite/tratamento farmacológico , Apendicite/cirurgia , Carbúnculo/cirurgia , Cesárea , Ensaios Clínicos Controlados Aleatórios como AssuntoRESUMO
Carbuncles are debilitating skin infections commonly seen in diabetic patients. Excision of these infective lesions leads to large defects that require prolonged hospital stay and repeated dressings with ensuing pain and bleeding. This study is an attempt to cover the wounds resulting from excision of carbuncle with primary skin grafting so as to decrease the hospital stay and frequency of dressings.
Assuntos
Bandagens , Carbúnculo/cirurgia , Transplante de Pele/métodos , Cicatrização , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Viabilidade , Feminino , Seguimentos , Sobrevivência de Enxerto , Humanos , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
The retrospective study included analysis of 5764 hospital records in maxillo-facial surgery unit of Samara State Medical University Clinic to reveal facial furuncles and carbuncles incidence and morbidity. Patients attended in 2007-2010 were included in the study. Treatment options in 380 patients with facial furuncles and carbuncles were also analyzed. The authors recommend early treatment in the in-patient maxillofacial unit and adequate active surgical tactic.
Assuntos
Furunculose/epidemiologia , Furunculose/terapia , Adulto , Carbúnculo/epidemiologia , Carbúnculo/cirurgia , Carbúnculo/terapia , Terapia Combinada , Face , Feminino , Furunculose/cirurgia , Hospitalização , Humanos , Incidência , Masculino , Procedimentos Cirúrgicos Bucais , Estudos Retrospectivos , Adulto JovemRESUMO
The article presents the analyzes of medical histories of 16 patients, treated from suppurative diseases of burgeon (13 carbunculosis, 1 nephrepostasis, 2 abscesses of paranephric cellulose) from 1997 to 2009. Effectuated examinations and treatment of patients with suppurative diseases of burgeon speak to insufficient educating work of the medical service of a military unit in the sphere of prophylaxis if suppurative and catarrhal diseases, what leads to delayed call for medical aid. The second place by level of negative influence of appearance of supparative diseases of urinary organs is taken by conditions of service in northern climate and not full adaptation of service men to these conditions. Changing of food ration also leads to decreasing of immunity and organism general-defense status in conditions of extreme conditions of military service. The article presents indications to operative and conservative treatment of carbunculosis of burgeon.
Assuntos
Carbúnculo/cirurgia , Nefropatias/cirurgia , Militares , Antibacterianos/administração & dosagem , Antibacterianos/uso terapêutico , Carbúnculo/diagnóstico por imagem , Carbúnculo/tratamento farmacológico , Humanos , Nefropatias/diagnóstico por imagem , Nefropatias/tratamento farmacológico , Masculino , Radiografia , Resultado do Tratamento , Ultrassonografia , Adulto JovemRESUMO
A 24-year-old man presented with a carbuncle of the upper lip. Surgical drainage was installed and flucloxacillin was administered. Full recovery ensued. In culture Staphylococcus aureus was abundant.
Assuntos
Antibacterianos/uso terapêutico , Carbúnculo/diagnóstico , Floxacilina/uso terapêutico , Doenças Labiais/diagnóstico , Staphylococcus aureus/isolamento & purificação , Adulto , Carbúnculo/tratamento farmacológico , Carbúnculo/cirurgia , Drenagem , Humanos , Doenças Labiais/tratamento farmacológico , Doenças Labiais/microbiologia , Doenças Labiais/cirurgia , MasculinoRESUMO
The results of the treatment of 250 patients with a carbuncle of various location were analyzed retrospectively. A differential approach to choice of surgical method with consideration of the degree, phase and localization of inflammation is preferable. Early and radical surgery, antimicrobic drugs, infusion therapy make base of up-to-date and adequate treatment. In the phase of infiltration deep incision often stops the disease or promotes a decrease of the necrotic zone. In suppurations linear incisions were made only on the face for cosmetic reasons. In other areas a few large connected T-, [symbol: see text]-, [symbol: see text]- or cross-formed incisions were preferable. In 30 cases I-formed incision with two rectangular flaps was used.
Assuntos
Carbúnculo/cirurgia , Idoso , Carbúnculo/tratamento farmacológico , Humanos , Masculino , Pescoço , Resultado do TratamentoAssuntos
Apendicite/complicações , Carbúnculo/etiologia , Pielonefrite/etiologia , Adulto , Antibacterianos , Apendicectomia , Apendicite/patologia , Apendicite/cirurgia , Carbúnculo/tratamento farmacológico , Carbúnculo/cirurgia , Desbridamento , Quimioterapia Combinada/uso terapêutico , Gangrena/complicações , Gangrena/patologia , Gangrena/cirurgia , Humanos , Masculino , Pielonefrite/tratamento farmacológico , Pielonefrite/cirurgia , Ruptura Espontânea , Sucção , SupuraçãoRESUMO
Deformities of the periorbital soft tissue and socket after trauma or infection may involve the bony framework, orbital contents, and periorbital soft tissues, requiring careful evaluation. Soft-tissue reconstruction necessitates the appreciation of a three-dimensional defect. Structural reconstruction in conjunction with prosthetic replacement of the globe requires careful planning. Three cases illustrating problems and results after reconstructions are presented.
Assuntos
Órbita/lesões , Doenças Orbitárias/cirurgia , Lesões dos Tecidos Moles/cirurgia , Retalhos Cirúrgicos/métodos , Adulto , Traumatismos por Explosões/etiologia , Traumatismos por Explosões/cirurgia , Carbúnculo/cirurgia , Cicatriz/etiologia , Cicatriz/cirurgia , Enucleação Ocular , Olho Artificial , Pálpebras/cirurgia , Feminino , Humanos , Ceratite Herpética/cirurgia , Masculino , Órbita/cirurgia , Doenças Orbitárias/etiologia , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Reoperação , Lesões dos Tecidos Moles/etiologiaAssuntos
Abscesso/cirurgia , Bursite/cirurgia , Carbúnculo/cirurgia , Furunculose/cirurgia , Hospitais de Distrito , Hospitais Rurais , Terapia a Laser , Abscesso/epidemiologia , Bursite/epidemiologia , Carbúnculo/epidemiologia , Doença Crônica , Seguimentos , Furunculose/epidemiologia , Humanos , Terapia a Laser/instrumentação , Terapia a Laser/estatística & dados numéricos , Federação Russa/epidemiologia , Cicatrização/efeitos da radiaçãoAssuntos
Procedimentos Cirúrgicos Ambulatórios/história , Carbúnculo/história , Queilite/história , Dermatologia/história , Furunculose/história , Dermatoses do Couro Cabeludo/história , Adolescente , Adulto , Idoso , Carbúnculo/diagnóstico , Carbúnculo/cirurgia , Queilite/diagnóstico , Queilite/cirurgia , Feminino , Furunculose/diagnóstico , Furunculose/cirurgia , História do Século XX , Humanos , Masculino , Pessoa de Meia-Idade , Rússia (pré-1917) , Dermatoses do Couro Cabeludo/diagnóstico , Dermatoses do Couro Cabeludo/cirurgiaRESUMO
Soft-tissue expansion in the lower extremities is typically well tolerated. The more proximal one is--that is, the closer to the thigh and buttocks--the easier and less complication prone the expansion will be. It is another valuable technique for resurfacing the lower extremity and for reconstructing defects in contour and in skin character. There are limitations to this technique, which generally is most useful in late reconstructions. Intraoperative expansion has no place in lower extremity reconstruction. Soft-tissue expansion may be limited by an unsuitable geometry or the sheer size of defects. It should not be used next to open wounds. Soft-tissue expansion offers significant advantage in that the coverage of a defect will be replaced with tissue like that lost. Seldom does one see necrosis of advanced flaps, so that there is little risk of tissue loss in using this modality. There is an excellent vascularity to the flaps and an excellent character to the skin. In addition, in this cost-conscious era, soft-tissue expansion is quite cost effective, and in many cases the procedures can be conducted on an outpatient basis with a minimum of hospitalization, if any. With care to select patients properly, design carefully, and conduct expansion in a leisurely fashion, soft-tissue expansion offers a valuable means of reconstructing both large and small lower extremity defects.
Assuntos
Perna (Membro)/cirurgia , Expansão de Tecido/métodos , Adulto , Carbúnculo/cirurgia , Feminino , Humanos , Traumatismos da Perna/cirurgia , Osteíte/cirurgia , Tíbia , Expansão de Tecido/efeitos adversosAssuntos
Terapia a Laser , Infecção dos Ferimentos/cirurgia , Abscesso/cirurgia , Adolescente , Adulto , Carbúnculo/cirurgia , Celulite (Flegmão)/cirurgia , Terapia Combinada , Enzimas Imobilizadas/uso terapêutico , Estudos de Avaliação como Assunto , Humanos , Mastite/cirurgia , Peptídeo Hidrolases/uso terapêutico , SucçãoAssuntos
Edema/etiologia , Dermatopatias/etiologia , Adenocarcinoma/diagnóstico , Idoso , Carbúnculo/complicações , Carbúnculo/cirurgia , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade , Derrame Pleural/complicações , Derrame Pleural/diagnóstico , Neoplasias Gástricas/diagnóstico , Tromboflebite/complicações , Tromboflebite/diagnósticoAssuntos
Abscesso/cirurgia , Carbúnculo/cirurgia , Celulite (Flegmão)/cirurgia , Cicatrização , Abscesso/microbiologia , Abscesso/patologia , Doença Aguda , Carbúnculo/microbiologia , Carbúnculo/patologia , Celulite (Flegmão)/microbiologia , Celulite (Flegmão)/patologia , Humanos , Infecção da Ferida Cirúrgica/diagnóstico , Infecção da Ferida Cirúrgica/microbiologiaAssuntos
Terapia a Laser , Abscesso/cirurgia , Doença Aguda , Carbúnculo/cirurgia , Cóccix , Cistos/cirurgia , Feminino , Humanos , Masculino , Mastite/cirurgia , Proctite/cirurgia , Supuração , Ferimentos e Lesões/cirurgiaRESUMO
Report on a 9-year-old boy with right-sided renal carbuncle. The symptoms, diagnosis and treatment of the renal carbuncle are described. The possibility of maintaining the function and reconstructing the kidney through fibrin adhesive is discussed.