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| DAMIS cooperation of minimally invasive total hip arthroplasty |
| HU Mei-Jiao LI Zhen▲ CHEN Min |
| Operating Room,the First Affiliated Hospital of Gannan Medical College,Ganzhou341000,China |
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Abstract Objective To discuss the nursing cooperation and experience in the DAMLS（direct anterior minimum invasive surgery）minimally invasive total hip replacement surgery.Methods Based on the regression analysis of the clinical data of 74 cases DAMIS routine total hip replacement surgeries from August 2013 to September 2015 in our hospital, the research summarizes the nursing cooperation and surgical care points.Through doing routine X-ray examination of patients′bilateral hip and pelvis to compare the preoperative and postoperative Harris hip scores to assess the efficacy of the surgeries,surgical nurses should prepare the required hip prosthesis,goods,equipment in advance,familiarize with the surgical procedures,in the surgery pay attention to aseptic surgery,and make careful inventory of equipment,needles, gauze and other small objects to prevent left over in the patients′body after the surgery.Nurses should monitor the patient′s temperature,protect the skin,do the postural care,give patient anesthesia,and observe the patient′s vital signs closely to offer active,quick and safe cooperation in the surgery.Results In the 76 cases of surgery,the average length of the incision was(9.5±1.5)cm,the operative time was(132.7±11.7)min,the blood loss was(219.4±104.6)ml,the number of days in hospital was(7.8±1.9)d,and none of the cases had following complications,lateral femoral cutaneous nerve injury symptoms,intraoperative fracture,deep infection,dislocation and so on.In the surgery,nursing was done safely and smoothly,and no care adverse events happened.Conclusion The DAMIS total hip replacement surgery protect the soft tissue well,and ensure less blood loss,which helps the patients recover the hip function rapidly,but the requirements of the surgical technique are relatively high,and the techniques need long-time learning.Adequate preparation before the surgery,skilled surgery cooperation and meticulous care before and after the surgery are key factors in ensuring the safety of the patients,the success of the surgery.
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