NOSES refers to the natural origin specific extraction surgery, which refers to the use of laparoscopic instruments or soft endoscopes to perform intra-abdominal surgery. The abdominal wall of the specimen taken out through the natural cavity (rectum or vagina) does not have an auxiliary incision, and there are only a few punctured scars on the abdominal wall after the surgery.
Compared with traditional laparoscopic surgery, the advantage of NOSES surgery is that it avoids auxiliary specimen taking incisions, preserves the function of the abdominal wall to the greatest extent, significantly reduces postoperative pain, significantly reduces the use of analgesic drugs, accelerates postoperative recovery of patients, and has better cosmetic effects, which can reduce negative psychological implications caused by incisions.
According to the symptoms of constipation, it can be divided into slow transit constipation (STC), outlet obstruction constipation (OOC), and mixed type constipation. Among them, OOC is the most common, and the coexistence of STC and OOC is called mixed type.
Severe constipation patients: Constipation symptoms persist, the patient experiences abnormal pain, seriously affects daily life, cannot stop medication or treatment is ineffective, and surgical treatment is required.
It is understood that minimally invasive surgery is the trend of modern surgical development, and NOSES is a minimally invasive surgery that can be carried out: laparoscopic total colectomy and ileorectal anastomosis, laparoscopic subtotal colectomy, transanal stapler rectal resection, stapler hemorrhoid mucosal ring cutting and nailing, laparoscopic rectal suspension fixation surgery, etc., while ensuring treatment effectiveness, to minimize patient trauma and pain, Accelerate postoperative recovery of patients.
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