Volume 19 Issue 4
Apr.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(4): 689-692
LIU Xiao-tian, WANG Yu, PAN Shou-dong, WU Xin-yan, HAN Ding, DIAO Mei, LI Qi, ZHANG Zhen, WANG Nan, LI Long. Nursing cooperation of endoscopic and laparoscopic treatment of middle and high congenital anal atresia[J]. Chinese Journal of General Practice, 2021, 19(4): 689-692. doi: 10.16766/j.cnki.issn.1674-4152.001894
Citation: LIU Xiao-tian, WANG Yu, PAN Shou-dong, WU Xin-yan, HAN Ding, DIAO Mei, LI Qi, ZHANG Zhen, WANG Nan, LI Long. Nursing cooperation of endoscopic and laparoscopic treatment of middle and high congenital anal atresia[J]. Chinese Journal of General Practice, 2021, 19(4): 689-692. doi: 10.16766/j.cnki.issn.1674-4152.001894
shu

Nursing cooperation of endoscopic and laparoscopic treatment of middle and high congenital anal atresia

doi: 10.16766/j.cnki.issn.1674-4152.001894
  • 1.

    Department of Anesthesiology, the Children's Hospital affiliated to Capital Institute of Pediatrics, Beijing 100020, China

Funds:

 81700451

 PX2020054

  • Received Date: 2020-07-28
    Available Online: 2022-02-16
    Abstract
  •   Objective  This study aimed to summarise the nursing cooperation methods of endoscopic and laparoscopic anorectoplasty in the treatment of high anorectal malformation (ARM) and to provide a standardised operation of nursing cooperation.  Methods  A retrospective analysis was performed in 16 cases of high ARM who underwent endoscopic and laparoscopic anorectoplasty in Capital Institute of Pediatrics from November 2019 to June 2020. All patients had rectal urethral fistula; rectum mucosa around fistula was dissected by endoscopy, and the rectum was mobilised by laparoscopy. The operation cooperation process and nursing key points were summarised.  Results  The procedure was successfully performed in all patients. The median endoscopic time was 45.0(29.5, 60.0) min. The median total operative time was 188.5(167.5, 211.3) min, and the intraoperative blood loss was approximately 5-10 mL. Postoperative recovery was uneventful; the median postoperative hospitalisation time was 5.5 days, and postoperative re-examination of VCU showed no occurrence of complications such as urethral diverticulum, urethral leakage and urethral stricture.  Conclusion  Endoscopic and laparoscopic anorectoplasty is safe and feasible in the treatment of middle and high ARM, which has the advantages of less trauma, accurate positioning and few complications. Regular training of surgical nurses' professional skills, full preparation before operation, thermal retardation during operation, monitoring of vital signs, strict aseptic operation, effective management of instruments and equipment, standardised placement of surgical positions, skilled coordination techniques and adequate doctor-patient communication are the key to the success of surgery.

     

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