The correct range of intramembranous or extramembranous physiology is suitable to achieve accuracy surgery. On the basis of the existing research results,this article described the application of membrane layer physiology in neuro-scientific hepatobiliary surgery,pancreatic surgery,and splenic surgery,with the purpose of blazed the road from modest beginnings.In purchase to help expand standardize the prevention and remedy for postoperative complications of pancreatic surgery, the editorial board of the Chinese Journal of Surgery organized relevant experts to formulate this guide under the promotion associated with Study set of Pancreatic operation in Asia Society of operation of Chinese Medical Association and Pancreatic Disease Committee of Asia analysis Hospital Association. Based on the grading of recommendations assessment, development, and assessment system, this guide talks about the hot dilemmas on postoperative complications such as pancreatic fistula, biliary fistula, chylous fistula, post-pancreatectomy hemorrhage, stomach disease, delayed gastric emptying, etc., quantitatively evaluates the level of evidence in medical scientific studies, and forms suggestions after over repeatedly consulting. It’s hoped tumour biomarkers to deliver guide for pancreatic surgeons in the Hip biomechanics avoidance and treatment of postoperative complications.Thirteen successive patients with entrapped temporal horn syndrome in the Department of Neurosurgery of Beijing Tiantan Hospital from February 2018 to September 2022 were retrospectively reviewed, and there have been 5 males and 8 females, with a mean chronilogical age of (43±21) many years. Increased intracranial pressure caused by hydrocephalus had been the primary medical symptom. Most of the patients underwent processed temporal-to-frontal horn shunt, and all signs and symptoms had been enhanced after surgery. Postoperative Karnofsky overall performance score (KPS) [90 (90, 100)] was higher than preoperative KPS [57 (40, 70)] (P=0.001). Nevertheless, postoperative entrapped temporal horn volume [13.85 (8.90, 15.25) cm3] decreased, in contrast to preoperative volume [66.52 (38.65, 88.65) cm3] (P=0.001). Similarly, postoperative midline change [0.77 (0, 1.50) mm] was longer than preoperative midline shift [6.69 (2.50, 10.00) mm] (P=0.002). No surgery-related problems were observed following the procedure. Therefore, the processed temporal-to-frontal horn shunt is safe and effective treatment plan for entrapped temporal horn problem, with positive outcomes.Records of secondary hydrocephalus patients undergoing shunt surgery when you look at the Department of Neurosurgery of Peking Union healthcare university Hospital from September 2012 to April 2022 and their clinical faculties and effects had been retrospectively evaluated and reviewed. Among 121 clients just who got first-time shunt placement, the most typical factors behind secondary hydrocephalus had been mind hemorrhage (55, 45.5%) and injury (35, 28.9%). Cognition drop (106, 87.6%), irregular gait (50, 41.3%) and incontinence (40, 33.1%) were the absolute most commonplace manifestations. Postoperative main nervous system infection (4, 3.3%), shunt obstruction (3, 2.5%) and subdural hematoma/effusion (4, 3.3%) were the absolute most frequent neurological complications. General incidence of postoperative complications was 9% (11 situations) in the current cohort. And 50.5% (54/107) of the patients this website obtaining shunting attained a Glasgow outcome scale (GOS) rating of at least 4. Shunt surgery is advised for secondary hydrocephalus, particularly for secondary typical stress hydrocephalus. Additionally, it is strongly recommended to accomplish cranioplasty in staged operation or one-stage procedure when it comes to customers with decompressive craniectomy.Objective To investigate the efficacy and safety of high-voltage pulse radiofrequency along with pregabalin on extreme thoracic postherpetic neuralgia (PHN). Techniques A total of 103 customers with PHN who have been admitted into the division of Pain drug of Henan Provincial men and women’s Hospital from May 2020 to May 2022 had been retrospectively chosen, including 50 men and 53 females, and aged 40 to 79 (65.4±9.2) years. The clients were divided in to two teams according to the treatment options they got the control group (n=51) while the study group (n=52). The customers in the control team were addressed with oral pregabalin, while the customers in the research group got pregabalin plus high-voltage pulse radiofrequency therapy. The pain sensation strength and effectiveness associated with the two teams had been examined before treatment and 4 weeks after treatment. The pain sensation strength, the rest high quality therefore the effectiveness of therapy ended up being examined by visual analogue scale (VAS) score, Pittsburgh Sleep Quality Index (PSQI) score and nimodipi (5.2±1.3) ng/L, respectively], with statistically considerable differences (all P less then 0.05). After treatment, 29 situations were treated, 16 situations were markedly efficient and 6 instances were effective into the research group, while 16 situations, 24 situations and 8 situations were treated, markedly efficient and effective within the control group. The entire efficacy of clients when you look at the research group was much better than that when you look at the control group (Z=-2.32, P=0.018). The occurrence of side effects within the research group and control team had been 11.5% (6/52) and 7.8% (4/51), respectively, with no statistically considerable huge difference (χ2=0.40, P=0.527). Conclusion High-voltage pulse radiofrequency along with pregabalin can dramatically enhance the discomfort and sleep quality of customers with serious thoracic PHN and lower the amount of discomfort factors, with a higher safety profile.Objective To investigate the clinical and neuroelectrophysiological traits of clients with primary peripheral neurological hyperexcitability problem (PNHS). Techniques The clinical information of 20 customers have been diagnosed with PNHS in Beijing Tiantan Hospital from April 2016 to January 2023 had been retrospectively collected.