Safety and feasibility of gluteal muscle contracture in day surgery mode_West China Medical Journal

Authors：

FANG Lu ¹ , LIU Yang ¹ , LEI Tiantian ¹ , MA Jun ² , MA Hongsheng ¹ ,  LIANG Peng ¹

1. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIANG Peng, Email: liangpeng@wchscu.cn

Keywords：

Day surgery; gluteal muscle contracture; security; feasibility

DOI：

10.7507/1002-0179.202210076

Video：

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Objective To explore the safety and feasibility of day surgery program of surgical treatment of mild to moderate gluteal muscle contracture. Methods We retrospectively analyzed the clinical data of the patients who received invasive surgery to release gluteal muscle contracture in West China Hospital of Sichuan University between July 2021 and July 2022. Postoperative telephone follow-up was conducted on the 2nd, 3rd, and 30th day after surgery. The basic conditions, surgery duration, intraoperative blood loss, anesthesia duration, pain score 6 h after surgery, hospitalization expenses, postoperative complications and patient satisfaction were observed. Results A total of 44 patients, 17 males and 27 females, aged 18-51 years with a median age of 30.5 years, diagnosed as bilateral mild to moderate gluteal muscle contracture, were included in this study. All patients except one with unilateral surgery were successfully finished the bilateral surgeries and discharged as planned. The mean surgery duration was (71±13) min, intraoperative blood loss was (20±17) mL, anesthesia duration was (118±21) min. All patients complained mild pain or no pain (Numerical Rating Scale score≤3) except one patient received pain rescue (Numerical Rating Scale score=5) 6 h after surgery. The average hospitalization expenses was (10021.55±1142.10) yuan. Three patients complained the poor wound healing. All patients replied a normal life and work with a good satisfaction and without any severe complications by telephone follow up on the 30th day postoperatively. Conclusion Surgical treatment of mild to moderate gluteal muscle contracture is safe, effective and feasible in the day surgery mode.

Citation： FANG Lu, LIU Yang, LEI Tiantian, MA Jun, MA Hongsheng, LIANG Peng. Safety and feasibility of gluteal muscle contracture in day surgery mode. West China Medical Journal, 2023, 38(12): 1863-1867. doi: 10.7507/1002-0179.202210076 Copy

1.	Al Bayati MA, Kraidy BK. Gluteal muscle fibrosis with abduction contracture of the hip. Int Orthop, 2016, 40(3): 447-451.
2.	Huang JB, Ge H, Zhang YL, et al. The role of arthroscopic release of gluteal muscle contracture in improving patellofemoral instability. J Orthop Surg Res, 2019, 14(1): 159.
3.	Zhang X, Jiang X, He F, et al. Arthroscopic revision release of gluteal muscle contracture after failed primary open surgery. Int Orthop, 2017, 41(8): 1521-1526.
4.	Zhao CG, He XJ, Lu B, et al. Classification of gluteal muscle contracture in children and outcome of different treatments. BMC Musculoskelet Disord, 2009, 10: 34.
5.	Rai S, Meng C, Wang X, et al. Gluteal muscle contracture: diagnosis and management options. SICOT J, 2017, 3: 1.
6.	马洪升, 戴燕. 日间手术治疗模式国内外发展简述. 中国医院管理, 2012, 32(1): 47-48.
7.	吕子宁, 刘洋, 梁鹏. 个体化的加速康复外科理念在日归手术麻醉中的应用. 华西医学, 2022, 37(2): 262-266.
8.	Feldheiser A, Aziz O, Baldini G, et al. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Acta Anaesthesiol Scand, 2016, 60(3): 289-334.
9.	de Valderrama JAF. A case of limited flexion and adduction of the hip in children. J Bone Joint Surg (Br), 1970, 52: 179-180.
10.	Alves K, Katz JN, Sabatini CS. Gluteal fibrosis and its surgical treatment. J Bone Joint Surg Am, 2019, 101(4): 361-368.
11.	Peiro A, Fernandez CI, Gomar F. Gluteal fibrosis. J Bone Joint Surg Am, 1975, 57(7): 987-990.
12.	刘玉杰, 王志刚, 王俊良, 等. 臀肌挛缩症临床分型与关节镜下微创手术. 中国骨伤, 2013, 26(6): 468-470.
13.	Sirinelli D, Oudjhane K, Khouri N. Case report 605: Gluteal amyotrophy: a late sequela of intramuscular injection. Skeletal Radiol, 1990, 19(3): 221-223.
14.	陈小亮, 唐学阳, 蒋欣, 等. 单侧臀肌挛缩症的诊断与治疗. 中国修复重建外科杂志, 2011, 25(5): 530-532.
15.	Liu YJ, Wang Y, Xue J, et al. Arthroscopic gluteal muscle contracture release with radiofrequency energy. Clin Orthop Relat Res, 2009, 467(3): 799-804.
16.	孙新一, 秦正碧. 四川省绵阳市部分儿童注射性臀肌挛缩症调查报告. 中华流行病学杂志, 1990, 11(5): 291-294.
17.	Pathak A, Shukla J. Idiopathic bilateral gluteus maximus contracture in adolescent female: a case report. J Orthop Case Rep, 2013, 3(1): 19-22.
18.	Martin RL, Kelly BT, Philippon MJ. Evidence of validity for the hip outcome score. Arthroscopy, 2006, 22(12): 1304-1311.
19.	Hoggett L, Anderton MJ, Khatri M. 30-day complication rates and patient-reported outcomes following day case primary lumbar microdiscectomy in a regional NHS spinal centre. Ann R Coll Surg Engl, 2019, 101(1): 50-54.
20.	Ma J, Huang Z, Huang Q, et al. Tranexamic acid combined with compression dressing reduces blood loss in gluteal muscle contracture surgery. BMC Surg, 2022, 22(1): 46.
21.	Lemos P, Pinto A, Morais G, et al. Patient satisfaction following day surgery. J Clin Anesth, 2009, 21(3): 200-205.
22.	Odom-Forren J, Hooper V, Moser DK, et al. Postdischarge nausea and vomiting: management strategies and outcomes over 7 days. J Perianesth Nurs, 2014, 29(4): 275-284.
23.	Stomberg MW, Saxborn E, Gambreus S, et al. Tools for the assessment of the recovery process following discharge from day surgery: a literature review. J Perioper Pract, 2015, 25(11): 219-224.
24.	刘蔚东, 李萍, 谭亮, 等. 日间手术的术式准入与挑战. 华西医学, 2015, 30(5): 820-823.

1. Al Bayati MA, Kraidy BK. Gluteal muscle fibrosis with abduction contracture of the hip. Int Orthop, 2016, 40(3): 447-451.
2. Huang JB, Ge H, Zhang YL, et al. The role of arthroscopic release of gluteal muscle contracture in improving patellofemoral instability. J Orthop Surg Res, 2019, 14(1): 159.
3. Zhang X, Jiang X, He F, et al. Arthroscopic revision release of gluteal muscle contracture after failed primary open surgery. Int Orthop, 2017, 41(8): 1521-1526.
4. Zhao CG, He XJ, Lu B, et al. Classification of gluteal muscle contracture in children and outcome of different treatments. BMC Musculoskelet Disord, 2009, 10: 34.
5. Rai S, Meng C, Wang X, et al. Gluteal muscle contracture: diagnosis and management options. SICOT J, 2017, 3: 1.
6. 马洪升, 戴燕. 日间手术治疗模式国内外发展简述. 中国医院管理, 2012, 32(1): 47-48.
7. 吕子宁, 刘洋, 梁鹏. 个体化的加速康复外科理念在日归手术麻醉中的应用. 华西医学, 2022, 37(2): 262-266.
8. Feldheiser A, Aziz O, Baldini G, et al. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Acta Anaesthesiol Scand, 2016, 60(3): 289-334.
9. de Valderrama JAF. A case of limited flexion and adduction of the hip in children. J Bone Joint Surg (Br), 1970, 52: 179-180.
10. Alves K, Katz JN, Sabatini CS. Gluteal fibrosis and its surgical treatment. J Bone Joint Surg Am, 2019, 101(4): 361-368.
11. Peiro A, Fernandez CI, Gomar F. Gluteal fibrosis. J Bone Joint Surg Am, 1975, 57(7): 987-990.
12. 刘玉杰, 王志刚, 王俊良, 等. 臀肌挛缩症临床分型与关节镜下微创手术. 中国骨伤, 2013, 26(6): 468-470.
13. Sirinelli D, Oudjhane K, Khouri N. Case report 605: Gluteal amyotrophy: a late sequela of intramuscular injection. Skeletal Radiol, 1990, 19(3): 221-223.
14. 陈小亮, 唐学阳, 蒋欣, 等. 单侧臀肌挛缩症的诊断与治疗. 中国修复重建外科杂志, 2011, 25(5): 530-532.
15. Liu YJ, Wang Y, Xue J, et al. Arthroscopic gluteal muscle contracture release with radiofrequency energy. Clin Orthop Relat Res, 2009, 467(3): 799-804.
16. 孙新一, 秦正碧. 四川省绵阳市部分儿童注射性臀肌挛缩症调查报告. 中华流行病学杂志, 1990, 11(5): 291-294.
17. Pathak A, Shukla J. Idiopathic bilateral gluteus maximus contracture in adolescent female: a case report. J Orthop Case Rep, 2013, 3(1): 19-22.
18. Martin RL, Kelly BT, Philippon MJ. Evidence of validity for the hip outcome score. Arthroscopy, 2006, 22(12): 1304-1311.
19. Hoggett L, Anderton MJ, Khatri M. 30-day complication rates and patient-reported outcomes following day case primary lumbar microdiscectomy in a regional NHS spinal centre. Ann R Coll Surg Engl, 2019, 101(1): 50-54.
20. Ma J, Huang Z, Huang Q, et al. Tranexamic acid combined with compression dressing reduces blood loss in gluteal muscle contracture surgery. BMC Surg, 2022, 22(1): 46.
21. Lemos P, Pinto A, Morais G, et al. Patient satisfaction following day surgery. J Clin Anesth, 2009, 21(3): 200-205.
22. Odom-Forren J, Hooper V, Moser DK, et al. Postdischarge nausea and vomiting: management strategies and outcomes over 7 days. J Perianesth Nurs, 2014, 29(4): 275-284.
23. Stomberg MW, Saxborn E, Gambreus S, et al. Tools for the assessment of the recovery process following discharge from day surgery: a literature review. J Perioper Pract, 2015, 25(11): 219-224.
24. 刘蔚东, 李萍, 谭亮, 等. 日间手术的术式准入与挑战. 华西医学, 2015, 30(5): 820-823.

West China Medical Journal

Safety and feasibility of gluteal muscle contracture in day surgery mode

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