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Tytuł:
A Successful Resection of Two Giant Mediastinal Neurogenic Tumors
Autorzy:
Brzeziński, Daniel
łochowski, Mariusz
Kozak, Józef
Powiązania:
https://bibliotekanauki.pl/articles/1395994.pdf
Data publikacji:
2015-03-01
Wydawca:
Index Copernicus International
Tematy:
mediastinum
tumor
thoracotomy
Opis:
We reported two cases of the giant mediastinal neurogenic tumors. Patients were women in middle age. In both cases the chest X-ray and CT (computed tomography) demonstrated the huge mass in a pleural cavity without intraspinal invasion. Radical procedures with removal of the giant tumors were performed. The postoperative treatment course was uneventful. The pathology showed schwannoma and neurofibroma. The follow up examination (6-24 months) showed no recurrence of the disease.
Źródło:
Polish Journal of Surgery; 2014, 86, 12; 598-600
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Life hazard ratio – a new scale for assessing the severity of injury in the populetionalstud
Autorzy:
Nogalski, Adam
Lűbek, Tomasz
Ochal, Andrzej
Jojczuk, Mariusz
Powiązania:
https://bibliotekanauki.pl/articles/1396239.pdf
Data publikacji:
2013-07-01
Wydawca:
Index Copernicus International
Tematy:
severity of injury
risk factors
scale traumatic
Opis:
The heterogeneous population of patients affected by trauma is extremely difficult to systematize. This is due to the diversity of mechanisms of injury, the nature and severity of the injury and the population, which relate to injuries, diverse in terms of gender, age, presence of comorbidities that make up the final severity of the injury and a certain degree of danger to life. The aim of the study was to develop a universal method to assess the severity of injury and loss of life resulting from their consequences, using the parameters available in the Polish administrative databases, a similar diagnostic efficacy as other used scales to assess the severity of damage. Material and methods. The study analyzed a group of 92 463 patients hospitalized due to injuries sustained as a result of injuries in all hospitals of the Lublin region in 2003-2005. Developed catalogs risk factors, reference to the population of the Lublin province. Results. Developed five models predictive of injury severity scale counterparts, which include different combinations of risk factors associated with the type of injury, age of the patient and the mechanism of injury that have been evaluated for their diagnostic efficacy in differentiating the expected outcomes. Prediction model have the best diagnostic efficacy AUROC 0.9615, SE 0.0025 and 95% CI 0,9565-0,9665, hereinafter referred to as Life Hazard Ratio (LHR), which has a similarly high diagnostic efficacy as the other, examined in the work of the rock assess the severity of damage AUROC 0.9585, SE 0.0368, 95% CI0 0.8849-1. Conclusions. 1. The proposed method of use of the International Classification ICD-10 allows the use of regional administrative databases to conduct detailed analyzes of population and monitor trends in the epidemiology of injuries. 2. Developed Life Hazard Ratio (LHR)is a universal method for the objective evaluation of the severity of injuries and the associated risk of life-threatening, can also conduct population studies. 3. LHR has a comparable rate of diagnostic efficacy as other commonly used scales assessing the severity of the injury.
Źródło:
Polish Journal of Surgery; 2013, 85, 7; 381-386
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of Outcomes and Treatment Safety of Patients with Metastatic Colorectal Cancer to the Liver with Estimation of Prognostic Factors
Autorzy:
Zeman, Marcin
Maciejewski, Adam
Półtorak, Stanisław
Kryj, Mariusz
Powiązania:
https://bibliotekanauki.pl/articles/1396271.pdf
Data publikacji:
2013-06-01
Wydawca:
Index Copernicus International
Tematy:
colorectal cancer liver metastases
liver resection
neutrophil to lymphocyte ratio
fibrinogen
Opis:
Liver resection is essential part of colorectal cancer liver metastases (CLM) treatment. Mean 5-year overall survival after resection achieves 30-45%. There are many factors influencing long-term outcomes, and among them the inflammatory response to tumor plays an important role. The aim of the study was evaluation of outcomes and treatment safety of patients with metastatic colorectal cancer to the liver with estimation of prognostic factors. Material and methods. 130 consecutive patients (70 men and 60 women) operated in MSC Institute and Cancer Center in Gliwice from 2001 to 2009 due to colorectal liver metastases were analysed. Age of the patients ranged from 33 to 82 years (median 60 years). 96 (74%) patients underwent potentially radical resection, and in remaining 34 (26%) was performed radiofrequency ablation (RFA) alone or combined with the resection. In the resection group 37 right hepatectomies, 11 left hepatectomies, 28 segmentectomies and 20 metastasectomies were performed. Disease-free survival (DFS) and overall survival (OS) were statistically analysed using the Kaplan-Meier method. Factors determining DFS and OS were analysed using Cox regression model. Results. In the resection group the 3- and 5-years OS was 64,5% and 46,6% respectively, and the 3- and 5-years DFS was 32% and 30,5% respectively. In the RFA group the 3- and 5-years OS was 33% and 9,5%. Statistically significant prognostic factors in the resection group in uni- and multivariate analysis were: grade and nodal involvement of the primary tumor, diameter of metastatic focus, positive and narrow (<1 mm) resection margins, preoperative fibrinogen level, preoperative neutrophil to lymphocyte ratio and leukocyte amount of the peripheral blood. The perioperative mortality rate was 3%. Conclusions. Liver resection due to colorectal liver metastases is a safe and effective method resulting in high survival rates. We confirmed some generally accepted prognostic factors influencing longterm outcomes and shown the impact of inflammatory response. We also confirmed the hypothesis that preoperative plasma fibrinogen level influences outcomes after liver resection due to CLM.
Źródło:
Polish Journal of Surgery; 2013, 85, 6; 333-339
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The Impact of the Types of Microorganisms Isolated from Blood and Wounds on the Results of Treatment in Burn Patients with Sepsis
Autorzy:
Glik, Justyna
Kawecki, Marek
Gaździk, Tadeusz
Nowak, Mariusz
Powiązania:
https://bibliotekanauki.pl/articles/1396591.pdf
Data publikacji:
2012-01-01
Wydawca:
Index Copernicus International
Tematy:
burns
sepsis
burn wound infections
blood infection
Opis:
Despite development of combustiology, infections continue to be the most important cause of death among patients with burns. Sepsis is the most severe clinical presentation of infection in patients after thermal injuries who require immediate treatment. Early diagnosis and proper treatment of sepsis are important in the clinical management that is often hampered for multiple reasons, e.g. impaired patient immunity, problems with microorganisms with multi-antibacterial drug resistance.The aim of the study was to assess effect of type of a microorganism isolated from blood and wound on results of treatment of sepsis in patients with burns.Material and methods. Effect of type of microorganisms isolated from blood and wound on the result of treatment of sepsis was studied in 338 patients hospitalized immediately after an injury in Centre for Burn Treatment in Siemianowice Śląskie in years 2003 - 2004 (at the age of 18 - 96 years, 66 women and 272 men). Clinical symptoms of generalized infection were found in all study subjects. The study group was divided into two subgroups: cured patients and patients who died of sepsis. The following parameters were assessed in both subgroups: type of microorganism isolated from blood, type of microorganism isolated from wound as well as occurrence of the same and different infections of blood and burn wound.Results. positive blood cultures were found in 165 patients (48.8%), 106 (64.2%) were cured, 59 (35.8%) died. The most commonly isolated microorganisms in cured patients were Gram(+) Staphylococcus epidermidis MRSE (19.81%) and Staphylococcus aureus MRSA (18.87%). Gram(-) intestinal rods were least commonly isolated from this group. The most commonly isolated microorganisms from blood of patients who were to die, included non-fermenting Gram(-) rods Acinetobacter baumannii (35.59%) and Pseudomonas aeruginosa (22.03%). Mixed bacterial flora was found in the blood of 22.03% patients. Among patients who were to die, the same microorganisms were found in the blood and in the wound in 32.2% of patients, while this rate was 17.92 in cured patients. The most commonly found bacteria in the blood and burn wound in the cured patients included Staphylococcus aureus MRSA (31.58%) and Staphylococcus aureus (21.05%). In the group of patients who were to die, the most common bacteria isolated simultaneously from the blood and burn wound included Acinetobacter baumannii (47.37%) and Pseudomonas aeruginosa (36.84%).Conclusions. 1. The patients with thermal injuries are at higher risk of death in the event of sepsis caused by Gram(-) bacteria versus Gram(+) bacteria. 2. Infection of blood and burn wound caused by the same bacteria Pseudomonas aeruginosa and Acinetobacter baumanni increases the risk of death due to sepsis in patients with burns following thermal injuries.
Źródło:
Polish Journal of Surgery; 2012, 84, 1; 6-16
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Assessment of the Knowledge of GPS Considering the Surgical Treatment of Obesity
Autorzy:
Giaro, Marcin
Wyleżoł, Mariusz
Truszczyński, Olaf
Lewandowski, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/1396633.pdf
Data publikacji:
2012-08-01
Wydawca:
Index Copernicus International
Tematy:
bariatric surgery
general practitioners
Opis:
Bariatric surgery is currently the only effective treatment option for morbidly obese patients. There has been observed a considerable disproportion between the number of procedures conducted in Poland and the number of patients requiring such treatment. There are no studies assessing bariatric knowledge among general practitioners who play crucial role in polish health care system.The aim of the study was to assess the knowledge of general practitioners regarding bariatric surgery.Material and methods. An anonymous questionnaire conducted among 282 general practitioners in 2010-2011 during local educational conferences. The questionnaire consisted of 10 questions relating to fundamental issues of bariatric surgery.Results. Only one twelfth (8.1%) of the general practitioners questioned knows the indications for bariatric surgery, can apply them, and has epidemiological awareness. 61.5% of general practitioners know the surgical procedures used for the treatment of obesity, whereas 58% of them show the knowledge of surgical technique in which they are performed. Only 23% of general practitioners were aware that bariatric surgery decreases cancer risk. 92% of the participants noticed a necessity of education regarding the surgical treatment of obesity.Conclusions. Bariatric knowledge among general practitioners is not adequate to scientific research results published during the last years. Most general practitioners who participated in our study are aware of that and are awaiting for educational programmes focused on this issue.
Źródło:
Polish Journal of Surgery; 2012, 84, 8; 383-389
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Intraoperative Difficulties and the Reasons for Conversion in Patients Treated with Laparoscopic Colorectal Tumors
Autorzy:
Tarnowski, Wiesław
Uryszek, Mariusz
Grous, Aleksander
Dib, Naser
Powiązania:
https://bibliotekanauki.pl/articles/1396686.pdf
Data publikacji:
2012-07-01
Wydawca:
Index Copernicus International
Tematy:
laparoscopic surgery
colorectal tumors
conversion
complications
oncology
Opis:
The aim of the study was an evaluation of conversion causes and intraoperative difficulties in patients treated with laparoscopic surgery due to colorectal tumours on the basis of authors' own material.Material and methods. in the period 2009-2012 160 patients were operated on because of large bowel cancer, 79 women and 81 men. Average age of patients was 66 years. The conversion was recognized as desuflation of peritoneal cavity, trocars removal and making laparotomy.Results. The conversion was made in 22 cases (13,7%). More in men (16.1%) than in women. The conversion was made twice as likely in T3 and T4 tumors than in T1 and T2.Conclusions. The main cause of conversion in laparoscopic operations of colorectal cancer is local tumor progression.
Źródło:
Polish Journal of Surgery; 2012, 84, 7; 352-357
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Local Antibiotic Therapy in Rectal Cancer Surgery
Autorzy:
Morawiec, Zbigniew
Pawlak, Mariusz
Kołacińska, Agnieszka
Dziki, Adam
Powiązania:
https://bibliotekanauki.pl/articles/1397022.pdf
Data publikacji:
2012-12-01
Wydawca:
Index Copernicus International
Tematy:
rectal cancer
infectious complications
local antibiotic use
Opis:
Infectious complications and their consequences are still key issues in rectal cancer surgery. Currently, intravenous antibiotic administration is a recognized method for lowering the rate of these complications. The aim of the study was to assess the efficacy of complementary application of a gentamicin-impregnated sponge in the perineal wound or in the vicinity of intestinal anastomosis after abdominoperineal resection or low anterior resection. Material and methods. 112 patients with primary rectal cancer were enrolled in this study. 42 patients were treated with a gentamicin sponge and drainage (group A) and 70 individuals were treated with drainage alone (group B). In the aforementioned groups a routine short-term regimen of antibiotic prophylaxis was used. We applied gentamicin-impregnated sponges in 27 patients in whom anterior resection was performed and in 15 patients from the abdominoperineal resection group (64% and 36%, respectively). In the control group, 44 anterior resections and 26 abdominoperineal resections were carried out (63% and 37%, respectively). Results. We did not observe statistically significant differences in the incidence of suppurative complications (intraabdominal abscess, perineal wound infection): 4 cases (9.52%) in group A and 9 (12.58%) in group B and anastomotic leakage with clinical manifestation after low anterior resection: 1 case (3.7%) in group A and 2 (4.5%) in group B. Postoperative fever of unknown origin was noted more often in group B: 23 patients (32.8%) versus 10 patients (23.8%) in group A and this difference was statistically significant (p<0.05). Hospitalization after surgery was also significantly longer in group B (9-37 days, median 11 days) as compared with group A (8-26 days, median 13 days) (p<0.05). Conclusions. Local antibiotic therapy in rectal cancer surgery lowered the incidence of postoperative fever of unknown origin and permitted shorter hospitalization after surgery. Local gentamicin application in rectal cancer surgery did not change significantly the rate of infectious complications.
Źródło:
Polish Journal of Surgery; 2012, 84, 12; 613-617
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Own experience from the use of a substitute of an allogeneic acellular dermal matrix revitalized with in vitro cultured skin cells in clinical practice
Autorzy:
Łabuś, Wojciech
Kawecki, Marek
Glik, Justyna
Maj, Mariusz
Kitala, Diana
Misiuga, Marcelina
Klama-Baryła, Agnieszka
Kraut, Małgorzata
Nowak, Mariusz
Powiązania:
https://bibliotekanauki.pl/articles/1394264.pdf
Data publikacji:
2015
Wydawca:
Index Copernicus International
Tematy:
acellular dermal matrix ADM
burn
fibroblasts
keratinocytes
tissue engineering
Opis:
As a result of the removal of cells from human allogeneic dermis, a collagen scaffold is obtained, which can be populated de novo with autologous/allogeneic skin cells and transplanted onto the area of skin loss. The optimal method for production of acellular dermal matrices (ADM) has been selected. Three female patients (a mean age of 54 years) were subjected to the transplantation of either autologous or allogeneic keratinocytes and fibroblasts into the holes of acellular dermal matrix (ADM) mesh graft. The method for burn wound treatment based on the use of a viable dermal-epidermal skin substitute (based on ADM and in vitro cultured fibroblasts and keratinocytes) may be the optimal method of burn treatment.
Źródło:
Polish Journal of Surgery; 2015, 87, 10; 513-521
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Factors determining the best surgical exposure and safe clip positioning in surgical treatment of anterior communicating artery (AComA) aneurysms – particular significance of AComA complex rotation in the axial plane
Autorzy:
Świątnicki, Wojciech
Radomiak-Załuska, Anna
Heleniak, Mariusz
Komuński, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1392107.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
computed tomography angiography
intracranial aneurysms
subarachnoid hemorrhage
vascular spatial orientation
Opis:
Introduction: The aim of this study was to evaluate whether Anterior Communicating Artery (AComA) complex rotation in axial plane may influence the ease of surgical exploration in this region and safety of clip positioning when left vs right-sided approach is compared. Materials and methods: This is a retrospective study based on analysis of patients operated due to AComA aneurysm, both ruptured and unruptured. AComA complex position in relation to coronal plane was evaluated using 3D-CTA VR reconstructions. Next, comparison between surgical approach from the side where A1-A2 junction (angle) was located anterior and posterior to coronal plane was performed in relation to surgical difficulties and intra- and postoperative complications. Results: Subgroup statistical analysis revealed that there is a strong and statistically significant correlation between AComA complex rotation and surgical difficulties expressed by the need of repeated temporary clip application and brain transgression. When anterior vs posterior angle side approach was compared in relation to surgical difficulties and complications, there was a statistically significant difference with strong correlation (p < 0.05) in favour of posterior angle side approach. Interestingly, in 72.7% and 45.5% of patients that were operated from the side where A1-A2 junction was located posterior to coronal plane, the approach was performed form the side of a non-dominant A1 and aneurysm dome projection side, respectively. Conclusions: Despite its limitations, our results suggest that microsurgical clipping strategy of AComA aneurysms should at least include AComA complex rotation in axial plane, besides well acknowledged factors, when deciding from which side these lesions will be approached.
Źródło:
Polish Journal of Surgery; 2019, 91, 6; 6-10
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Czynniki wpływające na wybór strony dostępu chirurgicznego w leczeniu operacyjnym tętniaków kompleksu tętnicy łączącej przedniej (AComA) – szczególne znaczenie rotacji kompleksu w płaszczyźnie osiowej
Autorzy:
Świątnicki, Wojciech
Radomiak-Załuska, Anna
Heleniak, Mariusz
Komuński, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1392128.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
angiografia CT
krwotok podpajęczynówkowy
orientacja przestrzenna naczyń
tętniaki wewnątrzczaszkowe
Opis:
Wprowadzenie: Celem niniejszego badania była ocena, czy rotacja kompleksu tętnicy łączącej przedniej (AComA) w płaszczyźnie osiowej może mieć wpływ na: łatwość w uzyskaniu dostępu chirurgicznego do tętniaków w tym obszarze oraz bezpieczeństwo założenia klipsa. Materiały i metody: Retrospektywnej analizie poddano pacjentów operowanych z powodu tętniaka pękniętego i niepękniętego (lub „zimnego”), zlokalizowanego w obrębie kompleksu tętnicy łączącej przedniej. Umiejscowienie kompleksu w odniesieniu do płaszczyzny czołowej zbadano przy użyciu rekonstrukcji objętościowej 3D-CTA. W przypadku rotacji AComA oceniono, czy połączenie (kąt) odcinków A1 i A2 tętnicy przedniej mózgu znajdowało się do przodu, czy też do tyłu od płaszczyzny czołowej. Wreszcie, na podstawie strony dostępu chirurgicznego (prawa vs lewa), porównano częstość pojawiania się trudności chirurgicznych, jak również ewentualnych powikłań w okresie śród- i pooperacyjnym w odniesieniu do pozycji kąta A1-A2 względem płaszczyzny czołowej. Wyniki: Analiza statystyczna przeprowadzona w podgrupach ujawniła, że istnieje silna i statystycznie istotna korelacja między rotacją kompleksu AComA a trudnościami chirurgicznymi, wyrażonymi potrzebą wielokrotnego stosowania klipsów czasowych oraz transgresji mózgu. Porównanie strony dostępu chirurgicznego w odniesieniu do położenia kąta A1-A2 względem płaszczyzny czołowej oraz powstania możliwych trudności chirurgicznych pozwoliło ustalić statystycznie istotną różnicę z mocną korelacją (p < 0,05; V Cramer 0,59) na korzyść dostępu od strony, po której kąt A1-A2 znajdował się ku tyłowi od tej płaszczyzny (tylny kąt). Co ciekawe, u 72,7% pacjentów, którzy byli operowani od strony tylnego kąta, dominujący odcinek A1 położony był po stronie przeciwnej. 45,5% pacjentów operowano od strony kopuły, a nie szyi tętniaka. Wnioski: Pomimo ograniczeń badania, nasze wyniki sugerują, że decyzja dotycząca wyboru strony dostępu chirurgicznego do tętniaków AComA, poza powszechnie uznanymi czynnikami, powinna opierać się również na ocenie rotacji kompleksu AComA względem płaszczyzny czołowej.
Źródło:
Polish Journal of Surgery; 2019, 91, 6; 6-10
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Literature Review Concerning Cell and Skin Substitute Cultures Obtained by Means of Tissue Engineering used in the Treatment of Burns
Autorzy:
Cichowski, Andrzej
Kawecki, Marek
Glik, Justyna
Klama-Baryła, Agnieszka
Łabuś, Wojciech
Maj, Mariusz
Nowak, Mariusz
Dworak, Andrzej
Sieroń, Aleksander L.
Powiązania:
https://bibliotekanauki.pl/articles/1395744.pdf
Data publikacji:
2014-04-01
Wydawca:
Index Copernicus International
Źródło:
Polish Journal of Surgery; 2014, 86, 4; 202-210
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Patients’ opinions about polish surgeons and surgical treatment
Autorzy:
Olakowski, Marek
Hładoń, Aleksandra
Seweryn, Mariusz
Ciosek, Jakub
Świątkiewicz, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/1393911.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
surgeon
surgery
opinions about surgeon
Opis:
In Polish society Stereotypes about the surgeons are deeply rooted, which could really affect their relationship with the patient and the entire treatment process. The aim of the study was to evaluate the results of an opinion survey on the image of the surgeon and operative treatment. Material and methods. Between 1 January and 30 October 2012, 1000 patients were examined by use of a original questionnaire containing 25 questions. Results were analyzed statistically by STATISTICA test. Differences between groups were tested using Chi-square test (X²) with Yates modification, adopting the significance level α = 0.05. Results. The study group consisted of 1000 patients, including 56% of women (n = 560) and 44% of men (n = 440). The media image of Polish surgeon was identified as positive by 78% of respondents. A majority of patients (74%) considered that the Polish surgeons had equal level of competence and skills as foreign specialists. The greatest trust of the respondents (n = 537) had surgeons in middle age (40‑60 years). For the majority of patients (n = 649) a sex of the surgeon had no significance. Respondents clearly stated that a surgeon performing the operation should not have additional financial rewards. Almost all respondents in medical emergencies without hesitation declared their agreement to surgery (n = 974). Conclusions. Present knowledge of Polish patients about surgeons and surgical treatment is high. The surgeon has a high social prestige, respect and appreciation, and his image in the opinion of the vast majority of respondents is positive.
Źródło:
Polish Journal of Surgery; 2016, 88, 5; 420-432
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Opinie pacjentów o polskich chirurgach i leczeniu operacyjnym
Autorzy:
Olakowski, Marek
Hładoń, Aleksandra
Seweryn, Mariusz
Ciosek, Jakub
Świątkiewicz, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/1393922.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
chirurg
operacja
opinie o chirurgu
Opis:
W polskim społeczeństwie występują silnie zakorzenione stereotypy myślenia na temat chirurga, któ- re mogą w istotny sposób wpływać na proces leczenia. Celem pracy było zaprezentowanie wyników badania ankietowego dotyczącego opinii chorych przebywających w szpitalu na temat wizerunku chirurga i leczenia operacyjnego. Materiał i metodyka. W okresie od 1 stycznia do 30 października 2012 r. badaniem ankietowym objęto 1000 chorych. Badanie ankietowe zostało przeprowadzone przy użyciu autorskiego kwestionariusza zawierającego 25 pytań. Uzyskane wyniki zostały opracowane statystycznie z użyciem programu STATISTICA. Różnice między grupami sprawdzono przy użyciu testu chi-kwadrat z modyfikacją Yatesa, przyjmując poziom istotności α = 0,05. Wyniki. Grupa badana liczyła 1000 chorych, w tym 56% kobiet (n= 560) oraz 44% mężczyzn (n= 440). Medialny obraz polskiego chirurga jako pozytywny określiło 78% ankietowanych. Większość chorych (74%) uznała, że polscy chirurdzy dorównują poziomem kompetencji i umiejętności zagranicznym specjalistom. Największym zaufaniem ankietowanych (n=537) cieszyli się chirurdzy w średnim wieku (40‑60 r.ż.). Płeć chirurga dla większości chorych (n=649) nie miała znaczenia. Prawie wszyscy ankietowani w sytuacji zagrożenia zdrowia i życia bez wahania zadeklarowali zgodę na operację (n=974). Wnioski. Współczesna wiedza polskich pacjentów na temat chirurgów i leczenia operacyjnego jest duża. Chirurg cieszy się wysokim prestiżem społecznym, szacunkiem i uznaniem, a jego obraz w opinii zdecydowanej większości ankietowanych jest pozytywny.
Źródło:
Polish Journal of Surgery; 2016, 88, 5; 420-432
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The Efficiency of Burn Wounds Debridement with Use of Hydrosurgery - Our Experiences
Autorzy:
Kawecki, Marek
Mikuś-Zagórska, Karolina
Glik, Justyna
Nowak1, Mariusz
Powiązania:
https://bibliotekanauki.pl/articles/1395208.pdf
Data publikacji:
2015-03-01
Wydawca:
Index Copernicus International
Tematy:
debridement
hydrosurgery
water jet
Opis:
The aim of the study was to present experience of doctors from the Center for Burns Treatment in Siemianowice Śląskie who use a Versajet system. Material and methods. Debridement with the use of a water jet was applied in 70 patients with IIbo /IIIo thermal burns in the period between 2009-2013. The corresponding evaluation involved duration of operation, locations, wound surfaces and technique of debridement after operation. Microbiological tests were also performed before and after debridement. Results and conclusions. In the paper, its authors draw attention to the short time of debridement. The application of a water jet allows precise debridement, particularly in hardly accessible places, preparation of wounds to be covered with autologous split thickness skin graft, protection of healthy tissues.
Źródło:
Polish Journal of Surgery; 2015, 87, 1; 1-5
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
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