Observation on perioperative indexes and postoperative serum stress indexes of modified Stoppa surgery in treatment of pelvic and acetabular fracture

CHEN Dong; ZHU Feng; GONG Jie; GENG Dechun; WANG Dechao

doi:10.7619/jcmp.20210383

Journal of Clinical Medicine in Practice > 2021 > 25(8): 92-95, 100. > DOI: 10.7619/jcmp.20210383

CHEN Dong, ZHU Feng, GONG Jie, GENG Dechun, WANG Dechao. Observation on perioperative indexes and postoperative serum stress indexes of modified Stoppa surgery in treatment of pelvic and acetabular fracture[J]. Journal of Clinical Medicine in Practice, 2021, 25(8): 92-95, 100. DOI: 10.7619/jcmp.20210383

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Observation on perioperative indexes and postoperative serum stress indexes of modified Stoppa surgery in treatment of pelvic and acetabular fracture

1.
Department of Orthopaedics, Suzhou City Xiangcheng People's Hospital, Suzhou, Jiangsu, 215000
2.
Department of Joint Trauma Surgery, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215000
3.
Department of Orthopedics, Second Affiliated Hospital of Luohe Medical College, Luohe, Henan, 462300

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Received Date: January 19, 2021
Available Online: April 29, 2021
Published Date: April 27, 2021

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Abstract

Abstract

Objective To observe perioperative indexes and postoperative serum stress indexes of modified Stoppa surgery in treatment of pelvic and acetabular fracture.
Methods A total of 70 patients with pelvic and acetabular fractures were selected and randomly divided into modified group and conventional group, with 35 cases in each group. The conventional group was operated through the conventional ilioinguinal approach, and the modified group was given modified Stoppa approach surgery. The operative time, intraoperative hemorrhage, incision length, hospital stay and postoperative Visual Analogue of Pain (VAS) were compared between the two groups. The levels of serum cortisol (Cor), norepinephrine (NE) and epinephrine (E) before and after operation were compared between the two groups. The Majeed function score and postoperative complications of the two groups were compared.
Results The operation time, incision length and hospital stay of the modified group were significantly shorter, and intraoperative blood loss was significantly less than those of the conventional group (P < 0.05). The NE, E and Cor levels after operation in the modified group were significantly higher than before operation, but were lower than those in the conventional group (P < 0.05). The scores of sexual function and gait in the modified group were significantly higher than those in the conventional group after operation (P < 0.05). The total incidence of postoperative complications in the modified group was 17.14%, which was significantly lower than 40.00% in the conventional group (P < 0.05).
Conclusion Modified Stoppa surgery can shorten operative time, reduce bleeding loss and postoperative complications, accelerate postoperative recovery, and relieve stress response.
- modified Stoppa surgery,
- ilioinguinal approach,
- pelvic acetabulum fracture,
- surgical stress reaction,
- bleeding volume,
- complication

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References

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Observation on perioperative indexes and postoperative serum stress indexes of modified Stoppa surgery in treatment of pelvic and acetabular fracture

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