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Perioperative management of postoperative sigmoid colon cancer complicated by a large abdominal wall defect:A case report

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World Journal of Clinical Oncology 2024年第10期15卷 1333-1341页

作者： Yan-Ling Zhu Rui Li Yuan-Guang Cheng Ya-Fei Wang Department of Nursing Anhui Medical CollegeHefei 230601Anhui ProvinceChina Department of Gastrointestinal Surgery Hefei First People’s HospitalHefei 230061Anhui ProvinceChina Department of Gastrointestinal Surgery Anhui Medical University(the Third Affiliated Hospital)Hefei 230061Anhui ProvinceChina

BACKGROUND Large abdominal wall defect(LAWD)measures>20 cm in *** can easily lead to intestinal necrosis,peritonitis,other complications,and even mul-tiple organ dysfunction *** intestinal fistulas are high-flow fis-tulas that can cause severe water–electrolyte imbalance and malnutrition,as well as inflammation,high metabolic status,and chronic intestinal failure caused by intestinal fluid corrosion in tissues around the orifice *** SUMMARY This article summarizes the nursing experience of a patient with sigmoid carci-noma who has LAWD with multiple intestinal fistula due to repeated operations for postoperative *** key points of care:Scientific assessment of nutritional status,dynamic adjustment of nutritional support programmes,com-prehensive adoption of enteral nutrition,parenteral nutrition and combined nut-rition of enteral and parenteral;taking good care of abdominal wall defects and intestinal fistulas;continuous flushing of the abdominal drainage tube and low negative pressure drainage;prevention of venous thrombosis;strengthening of physical exercise;implementation of positive psychological *** After more than 7 months of careful care,the patient's physical fitness has been well recovered,local inflammation is well controlled,which wins the opportunity for the operation,and the postoperative recovery is good.

关键词： Large abdominal wall defect Multiple intestinal fistula Perioperative period Nursing Tumor Case report

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