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Polski Przeglad Chirurgiczny

Caroline Verbeke, Marek Dobosz, Marcus Buchler, Stanisław Hać
The session participants were Prof. Caroline Verbeke (CV) from The Department of Pathology Oslo University and Prof. Marcus Wolfgang Büchler (WMB) from the Department of General, Visceral and Transplantation Surgery at the University Hospital Heidelberg. The participants had to assume the problem of the surgical treatment of pancreatic cancer with the reflection to radicality.
December 31, 2018: Polski Przeglad Chirurgiczny
Aleksandra Iljin, Bogusław Antoszewski, Tomasz Zieliński, Aleksander Skulimowski, Dariusz Szymański, Janusz Strzelczyk
PURPOSE: 1. Evaluation of results after one-time incisional hernia repair (IHR) modo on-lay and abdominoplasty (Ab-pl) in patients after loss of weight following previous Roux-en-Y Gastric Bypass – RYGB. 2. Analysis of differences in quality of life (QL) changes in bariatric patients before RYGB, as well as before and after abdominal contouring operation.tion. MATERIAL AND METHODS: Clinical analysis involved 20 patients with abdominal disfigurement (following RYGB, and massive weight loss) who underwent one-time IHR using on-lay method together with abdominoplasty...
October 19, 2018: Polski Przeglad Chirurgiczny
Andrzej Modrzejewski, Ewa Zamojska-Kościów, Edyta Tracz, Mirosław Parafiniuk
Leaving surgical instruments in the patient's body is one of the most difficult situations in the professional career of an operator and it can also have severe consequences for the patient. Contrary to world literature, there are no reports of such incidents in Polish publications. Lack of such reports creates an illusion that leaving surgical instruments in the patient's body does not happen in Poland, which is an unsubstantiated thesis. This paper presents two cases of leaving hemostats in the abdominal cavity...
September 21, 2018: Polski Przeglad Chirurgiczny
Michał Skroński, Marta Andrzejewska, Małgorzata Fedosiejew, Michał Ławiński, Dariusz Włodarek, Anna Ukleja, Paweł Nyckowski, Maciej Słodkowski
INTRODUCTION: Resection is an optimal way of treatment of hepatic tumors and metastasis from another organ. The operational injury may influence on patients body composition examined by bioelectrical impedance (BIA). Analysis of parameters may be helpful in identifying early changes indicating of deterioration in nutritional status. THE AIM OF THE STUDY: was to assess changes in body composition of patients before and after resection of liver tumors and potential radiofrequency ablation of lesions...
September 12, 2018: Polski Przeglad Chirurgiczny
Zuzanna Rucińska, Jan Juzwiszyn, Zofia Bolanowska, Maciej Malinowski, Kornel Pormańczuk, Mariusz Chabowski, Dariusz Janczak
INTRODUCTION: The patients with the aortic abdominal aneurysm of 55mm in diameter are qualified for surgery. There is open repair (OR) by means of the vascular prosthesis implantation or the less invasive endovascular method by means of the stent graft implantation through femoral arteries incision (EndovascularAorticRepair - EVAR). The aim of the study was the evaluation of the postoperative course in patients operated due to the aortic abdominal aneurysm and the evaluation of the impact of the surgical method on the short-time results...
September 12, 2018: Polski Przeglad Chirurgiczny
Jerzy Wordliczek, Aleksandra Kotlińska-Lemieszek, Wojciech Leppert, Jarosław Woroń, Jan Dobrogowski, Małgorzata Krajnik, Anna Przeklasa-Muszyńska, Jacek Jassem, Jarosław Drobnik, Anna Wrzosek, Marcin Janecki, Jadwiga Pyszkowska, Magdalena Kocot-Kępska, Renata Zajączkowska, Iwona Filipczak-Bryniarska, Krystyna Boczar, Joanna Jakowicka-Wordliczek, Małgorzata Malec-Milewska, Andrzej Kübler, Marek Suchorzewski, Sylwester Mordarski, Adam Dziki, Krzysztof Paśnik
Guidelines for the pharmacotherapy of pain in cancer patients were developed by a group of 21 experts of the Polish Association for the Study of Pain, Polish Society of Palliative Medicine, Polish Society of Oncology, Polish Society of Family Medicine, Polish Society of Anaesthesiology and Intensive Therapy and Association of Polish Surgeons. During a series of meetings, the experts carried out an overview of the available literature on the treatment of pain in cancer patients, paying particular attention to systematic reviews and more recent randomized studies not included in the reviews...
August 31, 2018: Polski Przeglad Chirurgiczny
Ewa Machała, Jan Sopiński, Iulia Iavorska, Krzysztof Kołomecki
Fine needle aspiration cytology (FNAC) is considered as the gold standard diagnostic test for the diagnosis of thyroid nodules. It is a cost-effective procedure that provides specific diagnosis rapidly with minimal complications. It plays an important role in the determination of treatment- patients with suspected malignancy diagnosis can be subjected to surgery. On the other hand it can decrease the rate of unnecessary surgeries. AIMS: The aim of this study was to evaluate and compare the correlation, accuracy of fine needle aspirational cytology (FNAC) in the diagnosis of thyroid lesions with the final histopathologic diagnosis in the surgical specimens...
August 21, 2018: Polski Przeglad Chirurgiczny
Ambareesh Samant, Vikesh Kumar, Premashish Halder, Mukesh Kumar
Mesh erosion and migration are considered the gravest of complications of mesh repairs. To the best of our knowledge, mesh erosion and migration into the stomach following a mesh repair of adult diaphragmatic hernia has yet to be reported in the literature. A case of mesh eroding into the stomach, after a prosthetic repair of an adult diaphragmatic hernia, is presented here because of its rarity.
August 14, 2018: Polski Przeglad Chirurgiczny
Joanna Chrobak-Bień, Anna Gawor, Małgorzata Paplaczyk, Ewa Małecka-Panas, Anita Gąsiorowska
INTRODUCTION: Ulcerative colitis (UC) belongs to the group of inflammatory bowel diseases of previously unknown etiology. Although UC may occur at any age, the peak of incidence falls between the ages of 20 and 40 and over 65. It is characterized by alternating periods of remission and exacerbations that hinder the daily functioning of patients. The aim of the study was to determine the degree of acceptance of the disease among WZJG patients, depending on selected socio-demographic and clinical variables...
August 6, 2018: Polski Przeglad Chirurgiczny
Ashish Gupta
Tuberculosis(TB) is one of the most common infections affecting the population in the developing countries. With the rising human immunodeficiency(HIV) infection its incidence is on a rise even in the developed countries. Pulmonary TB is the commonest form of infection, However, multiple extrapulmonary sites have also been reported. The spleen is thought to be a rare organ involved in this infection. Various presentations of the splenic TB have been reported in the literature. The definitive diagnosis of this is essentially formulated on the post-splenectomy specimen...
August 6, 2018: Polski Przeglad Chirurgiczny
Olof Jannasch, Frank Meyer, Angela Fuellert, Brigitte König, Frank Eder, Jörg Tautenhahn
BACKGROUND: It is still a matter of debate what the best management of peritonitis is following eliminating the source of infection. This particularly concerns the amplitude of local and systemic inflammatory response as well as bacterial clearence at the infectious site. AIM: To investigate the effects of vacuum-assisted closure (VAC) vs. relaparotomy on demand (ROD) onto the i) severity and course of disease, ii) surgical outcome, iii) intraperitoneal bacterial load as well as iv) local and systemic inflammatory and immune response in postoperative secondary peritonitis...
August 6, 2018: Polski Przeglad Chirurgiczny
Marek Krawczyk
Experimental research on liver transplantation was introduced in Poland by Waldemar Olszewski with his team. It was in 1972. Not until 15 years later, in 1987, did Stanisław Zieliński in Szczecin and Marian Pardela in Katowice make an attempt of transplanting liver in humans. In 1989, the attempt was made by Jacek Pawlak and Marek Krawczyk in Warsaw. The first successful liver transplantation in Poland was performed by Piotr Kaliciński at the Children's Memorial Health Institute, Warsaw. Also, in early 1990s the attempts were made by Jerzy Polański in Warsaw and Piotr Szyber in Wrocław...
June 30, 2018: Polski Przeglad Chirurgiczny
Tomasz Guzel, Dagmara Mirowska-Guzel, Gustaw Lech, Marek Wroński, Marzena Iwanowska, Maciej Słodkowski
PURPOSE: The aim of the study was to determine of carcinoembryonal antigen and matrix metalloproteinase 2 peritoneal washes and serum concentration in patients suffering from colorectal cancer concerning tumor staging and 5-year survival rate in these patients. METHODS: 80 patients who underwent curative surgery for colorectal cancer were included into the study. Preoperative serum and intraoperative peritoneal washes CEA and MMP-2 concentrations were measured. RESULTS: Concerning tumor penetration CEA-s and CEA-p concentration was higher in subsequent stages from T2 to T4...
June 20, 2018: Polski Przeglad Chirurgiczny
Michał Wlaźlak, Aleksandra Oleśna, Marian Danilewicz, Janusz Strzelczyk
Introduction Frequency of detection of pancreatic cystic lesions increased recent years. The majorities are pseudocysts, the remaining cysts are mainly neoplasms. Proven risk of malignancy affects intraductal papillary mucinous neoplasms (IPMN) and mucinous cystic neoplasms (MCN). Material and methods 145 patients operated on at the Department of General and Transplant Surgery in Barlicki Hospital in Lodz, Poland, in 2007-2016 due to pancreatic cystic lesion. The type of surgery, histopathological diagnosis and basic demographic data were analyzed...
June 20, 2018: Polski Przeglad Chirurgiczny
Justyna Kruś-Hadała, Jacek Cywiński, Piotr Kaźmierski, Krzysztof Kołomecki
The aim of this study was to compare the efficacy of two laparoscopic bariatric procedures, i.e. Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (LSG) in terms of body mass reduction and improvement in carbohydrate and lipid metabolism. MATERIAL AND METHODS: The study group consisted of patients subjected to RYGB (Group I) and LSG (Group II) procedures. Body mass and fasting concentrations of glucose, insulin, glycated haemoglobin, total cholesterol, HDL, LDL and triglycerides were evaluated on the day preceding the surgery and 1, 3 and 6 months thereafter...
June 15, 2018: Polski Przeglad Chirurgiczny
Julia Fuss, Anna Voloboyeva, Victor Poliovyj
OBJECTIVE: At present time, despite the progress made in the treatment of burn injuries, mortality rate among seriously ill patients remains high. The main causes of fatal cases with the extensive deep burns are generalized infectious complications, the major of which is sepsis. According to the authors, from 25 to 85% of deceased in later periods of burn injuries die from sepsis. The frequency and severity of infectious complications in patients with burn injuries requires an accurate diagnosis of infection that will determine the tactics of therapeutic and surgical treatment of such patients (Di Lonardo A...
June 15, 2018: Polski Przeglad Chirurgiczny
Ewa Sztuczka, Wioletta Żukowska, Marek Jackowski, Michał R Janik, Krzysztof Paśnik, Maciej Michalik
INTRODUCTION: The prevalence of obesity in Poland and worldwide is constantly rising. High effectiveness of bariatric surgery has been proven in literature. It is recommended that bariatric procedures should be done by highly qualified surgeons with the appropriate, up-to-date medical equipment. AIM: The purpose of the study is to establish Polish recommendations and standards for the use of medical equipment for bariatric surgery centers. MATERIALS AND METHODS: The review of the present recommendations of the worldwide organizations and societies (including EAES, IFSO, SAGES) and guidelines was made...
June 15, 2018: Polski Przeglad Chirurgiczny
Anna Grzegory, Lech Pomorski
Sentence recommending the content of work: Due to the health and economic consequences of postoperative hypocalcemia, it is necessary to disseminate knowledge about non-invasive methods of limiting it that can be used in everyday clinical practice such as routine perioperative calcium and vitamin D supplementation. Abstract Introduction: Postoperative hypocalcemia is a narrow but significant problem for patients undergoing thyroid and parathyroid surgery. It is the most common complication after thyroidectomy...
June 13, 2018: Polski Przeglad Chirurgiczny
Przemysław Pyda, Aleksander Sowier, Sebastian Sowier, Anna-Maria Borucka, Joanna Kapturzak, Jacek Białecki, Stanisław Wójtowicz
INTRODUCTION: Obesity is becoming one of the major public health problems. Bariatric procedures are considered the most effective methods of treating this condition but they are costly and entail a high risk of complications. Thus, there is a need to look for better bariatric treatment solutions. One of the newest, highly promising bariatric methods is endoscopic sleeve gastroplasty (ESG), which is comparably effective to other bariatric procedures in terms of weight loss but at the same time it is much less invasive...
June 13, 2018: Polski Przeglad Chirurgiczny
Agnieszka Dworzyńska, Katarzyna Paduszyńska, Lech Pomorski
Introduction Adrenal insufficiency is a typical complication after surgical treatment of adrenal tumors, especially after the removal of both adrenal glands. Human beings are not able to survive without adrenal glands and without proper hormonal substitution. Autotransplantation of a fragment of the adrenal gland may prevent this complication. This can be done by transplanting the entire adrenal glands or its fragment, such as the adrenal cortex cells. In the case of adrenal tumors, the entire adrenal gland can not be transplanted...
June 13, 2018: Polski Przeglad Chirurgiczny
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