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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
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
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
Łukasz Nawacki, Agata Czyż, Piotr Bryk, Dorota Kozieł, Renata Stępień, Stanisław Głuszek
BACKGROUND: Helicobacter pylori (Hp) is classified by the International Agency for Research on Cancer (IARC) as a Group 1 carcinogen. Its influence on the carcinogenesis of gastric cancer has been confirmed in many researches. The conclusion is obvious- early detection and eradication of Hp can prevent the development of the disease. METHODS: The objective of the study was to analyse the clinical and practical value of Carbon-13 urea breath test (UBT) in patients hospitalized due to pain complaints in the upper abdomen and dyspeptic symptoms...
June 4, 2018: Polski Przeglad Chirurgiczny
Maciej Matyja, Artur Pasternak, Michał Wysocki, Michał Pędziwiatr, Mirosław Szura, Kazimierz Rembiasz
INTRODUCTION: Colonoscopy is considered to be a gold standard for colorectal cancer (CRC) screening. Endoscopy training is an essential component of general surgery training program. Patients should receive care at the highest level possible, nevertheless residents need to gain experience. The aim of our study was to evaluate the effectiveness of colonoscopy performed by general surgery residents by comparing quality indicators between surgical trainees and consultants MATERIALS AND METHODS: The analysis included 6384 patients aged 40-65 who underwent screening colonoscopy between October 2014 and February 2018...
June 4, 2018: Polski Przeglad Chirurgiczny
Andrzej Szczepanik, Adam Wiszniewski, Anna Oses-Szczepanik, Wojciech Dąbrowski, Konrad Pielaciński, Andrzej Misiak
INTRODUCTION: Congenital factor VII deficiency is a rare hemorrhagic disorder inherited in an autosomal recessive pattern. Surgical treatment with insufficient diathesis correction is burdened with high risk of bleeding complications. The aim of the study was evaluation of the surgical outcome in patients with congenital factor VII deficiency and assessment of the efficacy and safety of recombinant activated factor VII (rFVIIa) used for perioperative hemostatic coverage in our two schemas of substitutive therapy...
May 22, 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
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