Efficacy and Adverse Reactions of Dahuang Mudan decoction Combined with Laparoscopy in the Treatment of Appendicitis: A Meta-Analysis.

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.

Abscesos pulmonares múltiples por Staphylococcus aureus / Multiple Lung Abscesses Caused by Staphylococcusaureus

Los abscesos pulmonares múltiples se definen como procesos circunscritos, supurativos, bilaterales y menores de dos centímetros de diámetros en el parénquima pulmonar causados por microorganismos piógenos; de los que resultan varias cavidades necróticas. Se presentó un paciente en el cual este proceso se mostró de forma inhabitual. De 48 años de edad, procedencia urbana y ocupación policía con antecedente de diabetes mellitus tipo dos, ingresó por un ántrax en región glútea, que fue tratado quirúrgicamente y con antimicrobianos de amplio espectro que luego de 17 días comenzó con fiebre, tos seca y dolor torácico. Se realizó diagnóstico clínico, imagenológico y microbiológico de abscesos pulmonares múltiples por Staphylococcus aureus(AU)

Multiple lung abscesses are defined as a circumscribed, suppurative, bilateral process. They are smaller than ,2cm, of diameter in the lung parenchyma caused by purulent microorganism; several necrotic cavities were observed. The objective of this work was to report a case where the process was exposed in an atypical presentation. The evolution of a ,48, year- old patient, of urban origin with diabetes mellitus history who was admitted due to anthrax in the gluteus region was presented. Surgical treatment and antimicrobial of wide spectrum were given. After seventeen days of treatment, he started presenting some symptoms such as: fever, cough and thoracic pain. A clinical, radiological and microbiological diagnosis of multiple lung abscesses caused by Staphylococcus aurous was made(AU)

Excision of carbuncle with primary split-thickness skin grafting as a new treatment modality.

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.

[Facial furuncles and carbuncles incidence and morbidity].

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.

[Treatment of multiple carbuncles of the kidneys in military servicemen].

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.

[Diagnostic image (185). A man with a pimple on the upper lip. Carbuncle of the upper lip]. / Diagnose in beeld (185). Een man met een puistje op de bovenlip. Karbonkel van de bovenlip.

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.

[Surgical treatment of a carbuncle]. / Khirurgicheskoe lechenie karbunkula.

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.

Periorbital soft-tissue and socket reconstruction.

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.

Soft-tissue expansion in lower extremity reconstruction.

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.