Objective To summarize the effectiveness of Bentall procedure through the right anterior mini-incision. MethodsThe clinical data of patients who underwent Bentall via right anterior mini-incision from September 2020 to September 2021 in the First Affiliated Hospital of Xi'an Jiaotong University were retrospectively analyzed. ResultsA total of 14 males with an average age of 55.1±9.3 years and body mass index of 24.7±2.8 kg/m2 were enrolled. The cardiopulmonary bypass (CPB) time was 185.6±32.9 min, the aortic cross-clamping (ACC) time was 144.8±30.3 min, the ventilation time was 18.1±13.5 h, the time in the intensive care unit was 3.7±1.8 d, and the hospital stay time was 13.4±1.6 d. Postoperative complications occurred in 5 patients: 3 patients of pleural effusion, 1 patient of pericardial effusion and 1 patient of postoperative bleeding with secondary thoracotomy hemostasis. The median follow-up time was 4 (2, 6) months. There was no mortality in the hospital or during the follow-up. As for the learning curve, the ACC time, CPB time and operation time were significantly shortened after four cases (P<0.05). ConclusionThe right anterior mini-incision for Bentall operation is safe and effective, and has clinical value.
Infectious cystitis is an inflammatory disease of the bladder wall caused by pathogenic microorganisms invading the urinary tract and is one of the most common types of urinary tract infections in clinical practice. At present, China lacks evidence-based clinical practice guidelines for the integrated diagnosis and treatment of infectious cystitis with Chinese and Western medicine. Consequently, significant variations exist in diagnostic and therapeutic strategies across medical institutions, and the recurrence rate remains relatively high. To further standardize clinical decision-making for patients with infectious cystitis and to promote the translation of the latest clinical research evidence into practice, the working group has initiated the development of the Guidelines on Integrated Chinese and Western Medicine in the Diagnosis and Treatment of Infectious Cystitis. The guideline development will be conducted in accordance with the World Health Organization (WHO) handbook for guideline development, following the standards and requirements of the GRADE system and the Reporting Items for Practice Guidelines in Healthcare (RIGHT). It will also incorporate national health policies, classical medical texts, existing guidelines or consensuses, and the distinctive characteristics of traditional Chinese medicine (TCM) diagnosis and treatment. This proposal systematically outlines the background and significance of the guideline, the composition of the working group, the construction of clinical questions and the identification of outcome indicators, the methodology of evidence collection and systematic evaluation, the formation of recommendations and the consensus process, etc., to provide a methodological basis and technical guidance for the scientific development and standardized release of subsequent guidelines.