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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
Marek Zawadzki, Małgorzata Krzystek-Korpacka, Marek Rząca, Roman Czarnecki, Zbigniew Obuszko, Wojciech Witkiewicz
INTRODUCTION: With the rising number of elderly patients and increasing incidence of colorectal cancer, management of geriatric patients has become the forefront of colorectal surgery. OBJECTIVES: This study aimed to investigate the short-term surgical outcomes following colorectal resection in elderly patients. MATERIALS AND METHODS: A total of 464 patients who underwent surgical resection for colorectal tumor between 2013 and 2017 were included...
June 13, 2018: Polski Przeglad Chirurgiczny
Urszula Skorus, Jakub Kenig, Kinga Mastalerz
INTRODUCTION: IgG4-related disease (IgG4-RD) is a newly recognised disorder of unknown etiology and pathogenesis, characterised by dense IgG4+ cells infiltration and fibrosis. IgG4-RD can affect various organs, but gastrointestinal tract involvement is rare. First case of isolated gastric IgG4-RD reported in polish population was diagnosed in our Clinic and became the reason for conducting a literature review. MATERIALS AND METHODS: A literature review was performed using PubMed database...
June 13, 2018: Polski Przeglad Chirurgiczny
Andrzej Nowicki, Sylwia Dahms
INTRODUCTION: The incidence, morbidity and 5-year survival rates illustrate the epidemiological situation of colorectal cancer and assess the effectiveness of the treatment. In Poland, the National Health Fund is the payer of benefits. The data related to morbidity, incidence, and 5-year survival may be supplementary to the epidemiological data of the National Cancer Registry. OBJECTIVE: Analysis of benefits granted by NHF in Bydgoszcz to persons with diagnosed colorectal cancer in 2006-2011 including the assessment of incidence, morbidity and 5-year survival of the population in the Kujawsko-Pomorskie province...
May 22, 2018: Polski Przeglad Chirurgiczny
Andrzej Zyluk, Anna Chrapusta, Jerzy Jabłecki, Leszek Romanowski, Tomasz Mazurek
The paper summarizes 32 months (January 2014 - August 2016) of activity of the Replantation Service for hand amputation in Poland. Over this period a total of 568 cases of total and subtotal amputations as well as other complex injuries to the hand were referred. Of these, 354 referrals (62%) were accepted and 214 (38%) rejected. Among accepted, there were 167 total (47%) and 142 subtotal (40%) amputations; 45 patients (13%) had other severe hand injuries. Vast majority of the patients constituted males aged a mean of 39 years...
May 22, 2018: Polski Przeglad Chirurgiczny
Andrzej Zyluk, Zbigniew Szlosser, Piotr Puchalski, Ireneusz Walaszek
The objective of this study was assessment of quality of the surgical curriculum in Pomeranian Medical University in years 2015-2017. MATERIAL AND METHODS: A questionnaire-survey has been conducted in a group of 100 of Polish students from the Medical Faculty just before the final test-exam in subject surgery. Main topics of the questionnaire items concerned students' opinion on the expected usefulness of acquired surgical knowledge for future medical practice, acquired manual skills, range of knowledge learned in particular academic years and on understanding the term "skill/competency-oriented teaching" surgery...
May 22, 2018: Polski Przeglad Chirurgiczny
Udo Barth, Klaus Wasseroth, Volker Rahms, Roland Albrecht, Frank Meyer
INTRODUCTION: Chylous complications, which occur also in the profile of vascularsurgical interventions with considerable frequency, are challenging with regard to their adequate management. Aim & method: Compact short overview on epidemiological, classifying, symptomatic, diagnostic and therapeutic aspects of chylous complications in vascular surgery, based on i) own clinical experiences, ii) a current selection of relevant scientific references and iii) representative case reports from clinical practice...
May 16, 2018: Polski Przeglad Chirurgiczny
Armin Kraus, Manfred Infanger, Costanza Chiapponi, Stefan Piatek, Patrick Zardo, Andrej Udelnow, Hans-Jürgen Haß, Frank Meyer
Teaching in surgery, one of the classical big clinical and main disciplines beside internal medicine, needs to be also associated with great attention in regard to a valuable final result at the end of the study of human medicine. In particular, surgery is not only the subject to a large number of lectures it also represents one third (four months) of the compulsory internship (practical year - in German, "Praktisches Jahr") at the end of the study of medicine. Therefore, medical teaching of students should be always part of serious and steady attempts to optimize course und contents as a component of guiding activities focussing onto the substantial improvement of the study of medicine...
May 16, 2018: Polski Przeglad Chirurgiczny
Adam Nałęcz, Krzysztof Dębski, Marek Dobosz, Magdalena Krauze
Desmoid (desmoid tumor) is a cytologically benign fibrous tumor that originates from musculoskeletal structures of the entire body [1]. The term "desmoid", first introduced by Muller in 1838, derives from the Greek word desmos, which means tendinous [2]. The etiopathogenesis of desmoid is not fully understood, most reports of publications regarding its treatment are based on individual case reports. The prognosis is good, and healing is achieved mainly through surgical excision of the lesion. The aim of the paper is to present a case of a 33-year-old woman with diagnosed familial polyposis in the colon, who has been identified with mesenteric desmoid...
May 16, 2018: Polski Przeglad Chirurgiczny
Paweł Wojtkiewicz, Tomasz Nowak, Kamil Jankowski, Dariusz Łaski
Introduction Obscure gastrointestinal bleeding (OGIB) is defined as a reccurent bleeding to gastrointestinal tract without evaluated origin, despite detiled endoscopic and image diagnostics. Mots common reason of OGIB i small bowel bleeding (SBB). Methodology Retrospective analysis of patients hospitalised in Gastroenterology Department of 7 Szpital Marynarki Wojennej w Gdańsku with suspicion of OIGB. Results Double balloon enteroscopy was performed in 31 cases. Origin of bleeding was founded in small bowel in 87% of cases and in 64 % successfull,simultaneous therapeutic procedure was performed...
May 16, 2018: Polski Przeglad Chirurgiczny
Stanislav Chernyshov, Mikhail Alexeev, Evgeny Rybakov, Mikhail Tarasov, Yuri Shelygin, Irina Zarodniuk, Marina Sukhina
BACKGROUND: This study aims to examine the factors involved in anastomotic leak (AL) following low anterior resection and total mesorectal excision (LAR-TME) and to determine the usefulness of early measurement of the inflammatory biomarkers C-Reactive Protein (CRP) and Procalcitonin (PCT). METHODS: One hundred patients undergoing LAR-TME with a proximal diverting stoma were analyzed between 2013 and 2016. Postoperative CRP and PCT levels were measured on the 3rd and the 6th postoperative days...
May 16, 2018: Polski Przeglad Chirurgiczny
Andrzej Nowicki, Zbigniew Kula, Alicja Świerszczyńska
OBJECTIVE: The aim of the study was to evaluate the prevalence and clinical aspects of Barrett's esophagus and adenocarcinoma of the lower part of esophagus in gastroscopy. MATERIAL AND METHODS: Retrospective review of 10000 upper gastrointestinal endoscopic examinations were performed at the Department of Oncology Endoscopy in Bydgoszcz from 2004 to 2014 in terms of incidence of Barrett's esophagus and adenocarcinoma in the lower part of esophagus...
May 16, 2018: Polski Przeglad Chirurgiczny
Jan Maryański, Agata Cyran-Chlebicka, Benedykt Szczepankiewicz, Włodzimierz Cebulski, Maciej Słodkowski, Marek Wroński
BACKGROUND: Extra-appendiceal colorectal neuroendocrine tumors are rare neoplasms with a variable biological behavior. MATERIALS AND METHODS: The study group consisted of 15 patients with an extra-appendiceal colorectal neuroendocrine tumor who underwent surgical resection (M/F=3:12, mean age=62.9 years). Lower-grade neuroendocrine tumors and neuroendocrine carcinomas were recognized in 5 and 10 patients, respectively. Data were evaluated retrospectively with regard to clinical and pathologic characteristics and outcomes...
May 16, 2018: Polski Przeglad Chirurgiczny
Mateusz Kamiński
INTRODUCTION: Acute appendicitis is the most common acute abdominal illness. Despite diagnosis progress there is still 20% negative appendectomy rate. The aim of the study was to determine the usefulness of abdominal sonography in diagnosis of acute appendicitis. MATERIALS AND METHODS: Data were collected retrospectively from 326 patients who were operated with suspected appendicitis and had abdominal ultrasound before surgery. Appendicitis was confirmed by pathologic reports...
May 16, 2018: Polski Przeglad Chirurgiczny
Bogusław Antoszewski, Marta Fijałkowska
INTRODUCTION: Cleft lip and/or palate are the most common face malformations. Clinical picture of these anomalies is very variable. Cleft can include only lip and/or alveolus, palate or all of these structures can be clefted. AIM: The aim of this paper is to present all particular types of clefts, their relationship to sex and body side in the group of children from Lodz during the years 1981-2015. MATERIAL AND METHOD: The study group included 434 patients with facial clefts (218 males and 216 females) in the age between 4 weeks to 18 years...
May 16, 2018: Polski Przeglad Chirurgiczny
Mani Habibi, Mehmet Kazak, Hatice Arioz Habibi, Nurullah Bulbuller
Round ligament mesothelial cyst is a rare cause of inguinal mass. Round ligament cysts are generally diagnosed during operation in cases who are operated with a pre-diagnosis of inguinal hernia. In this study, we aim to present two cases, who have applied to our clinic with the complaint of a mass in inguinal region and who are diagnosed as round ligament cyst, together with their ultrasound, magnetic resonance images and operation images.
May 16, 2018: Polski Przeglad Chirurgiczny
Jacek Kabzinski, Anna Walczak, Adam Dziki, Michał Mik, Ireneusz Majsterek
As a result of reactive oxygen species operation, cell damage occurs in both cellular organelles and molecules, including DNA. Oxidative damage within the genetic material can lead to accumulation of mutations and consequently to cancer transformation. OGG1 glycosylase, a component of the Base Excision Repair (BER) system, is one of the enzymes that prevents excessive accumulation of 8-oxoguanine (8-oxG), the most common compound formed by oxidative DNA damage. In case of structural changes of OGG1 resulting from polymorphic variants, we can observe a significant increase in the concentration of 8-oxG...
April 30, 2018: Polski Przeglad Chirurgiczny
Ashish Gupta, Amit Gupta, Rohik Anjum, Saumya Agrawal, Dhiraj Mallik
Tuberculosis (TB) is an infectious disease that can affect any organ system of the body. Abdominal TB can be gastrointestinal, lymph nodal, visceral or peritoneal. The gallbladder (GB) is rarely involved in abdominal TB as a primary organ. Extensive research literature on gallbladder TB is limited to case reports. There has been no review on this rare abdominal pathology. GB tuberculosis is a difficult diagnosis preoperatively. It is a rare differential among the more common gallbladder pathologies such as cholelithiasis, or a gallbladder malignancy...
April 30, 2018: Polski Przeglad Chirurgiczny
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