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Wyszukujesz frazę "fistula" wg kryterium: Temat


Tytuł:
Gastrojejunocolic Fistula in a 49 Year-Old Male
Autorzy:
Tejedor, Patricia
García-Oria, Miguel
Bodega, Ignacio
Peraza, Jesús
Baquedano, Jesús
Serrano, Ángel
Olmeda, Joaquín
Powiązania:
https://bibliotekanauki.pl/articles/1396623.pdf
Data publikacji:
2012-02-01
Wydawca:
Index Copernicus International
Tematy:
gastrojejunocolic fistula
gastrocolic fistula
colon carcinoma
colon neoplasm
fistula
Opis:
Gastrojejunocolic fistula is an unusual finding in patients with colon neoplams because long evolution time is required for its appearance. The methods of diagnosis have been and continue under discussion, being the barium enema the most accepted nowadays.Gastrocolic fistula is characterized by a declining incidence due to the new methods of diagnosis. An early detection of the tumour is completely necessary to prevent complications like fistulas or malnutrition.We present a case report of gastrojejunocolic fistula in a 49 year-old patient with colon carcinoma.
Źródło:
Polish Journal of Surgery; 2012, 84, 3; 163-166
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Cell therapy in surgical treatment of fistulas. Preliminary results
Autorzy:
Piejko, Marcin
Romaniszyn, Michał
Borowczyk-Michałowska, Julia
Drukała, Justyna
Wałęga, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1393600.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
anal fistula
stem cell-based therapy
recurrent fistula
regenerative medicine
rectovaginal fistula
Opis:
Risk of recurrence after surgical treatment of a recurrent fistula is up to 50%. It has be known that more aggressive surgical treatment is associated with a high risk of anal sphincter damage and leads to incontinence. Several studies have been designed to elaborate minimally invasive treatment of rectovaginal and anal fistulas. The properties of Adipose-derived Stem Cells (ASC) significantly enhance a natural healing potency. Here, we present our experience with combined surgical and cell therapy in the treatment of fistulas. Materials and Methods: Four patients were enrolled in our study after unsuccessful treatments in the past – patients 1-3 with rectovaginal fistulas including two women after graciloplasty, and patient 4 - a male with complex perianal fistula. Adipose tissue was obtained from subcutaneous tissue. ASCs were isolated, cultured up to 10+/-2 mln cells and injected into the walls of fistulas. Follow-up physical examination and anoscopy were performed at 1, 4, 8, and 12 weeks, 6 and 12 months after implantation. Results: Up to 8 weeks after ASC implantation, symptoms of fistulas’ tracts disappeared. At 8 weeks, in patients 1-3, communication between vaginal and rectal openings was closed and at 12-16 w. intestinal continuity was restored in patient 3 and 4. After a 6-month follow-up, the fistula tract of patient 4 was closed. Up to 12 m. after ASC implantation no recurrences or adverse events were observed. Conclusion: ASCs combined with surgical pre-treated fistula tracts were used in four patients. All of them were healed. This encouraging result needs further trials to evaluate the clinical efficiency and the cost-effectiveness ratio.
Źródło:
Polish Journal of Surgery; 2017, 89, 3; 48-51
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Efficacy of Lift (Ligation of Intersphincteric Fistula Tract) for Complex and Recurrent Anal Fistulas - A Single-Center Experience and A Review of the Literature
Autorzy:
Romaniszyn, Michał
Walega, Piotr Julian
Nowak, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/1395977.pdf
Data publikacji:
2015-02-03
Wydawca:
Index Copernicus International
Tematy:
fistula-in-ano
anal fistula
ligation of intersphincteric fistula tract
LIFT
fistulotomy
Opis:
Ligation of intersphincteric fistula tract in treatment of anal fistulas (LIFT) is being said to have satisfactory results in short and long follow up, with low risk of complications. This study was designed to evaluate the results in patients with complex and recurrent fistulas in comparison with simple transsphincteric anal fistulas. The aim of the study was to present a single-center experience in LIFT procedure in treatment of both simple and complex anal fistulas, including recurrent fistulas, in comparison with a review of current literature. Material and methods. A series of 17 patients were qualified to LIFT procedure. 5 patients were treated for simple transsphincteric, 6 for complex fistulas, 6 with fistulas recurrent after fistulotomy. Median age was 47, most of the patients were male (16/17). Mean follow up was 11 months. Results. Mean operating time was 55 minutes counting from surgical site disinfection to final dressing of the wound. Of the 17 patients the overall success rate was 53%. As expected, best results were achieved in patients with simple fistulas (80% success rate), then complex (50%), and recurrent fistulas (only 33%). There were no early nor late complications of the surgery. Conclusion. As expected, in simple transsphincteric fistulas the results were satisfactory, taking into account low complication rate. Complex and recurrent fistulas seem to be risk factors of LIFT failure. The results are consistent with data published by other authors, based on the review of the current literature, and it seems there is still room for improvement, so further research is required.
Źródło:
Polish Journal of Surgery; 2014, 86, 11; 532-536
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Endoscopic management of duodenal fistula in a patient operated after abdominal injury
Autorzy:
Jędrzejczak, Bartłomiej
Bednarski, Piotr
Spychalski, Michał
Lipiński, Przemysław
Dziki, Adam
Mik, Michał
Powiązania:
https://bibliotekanauki.pl/articles/1391787.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
duodenal fistula
duodenal injury
Opis:
Post-traumatic duodenal injuries constitute a relatively rare group among this type of lesions reported in the abdominal structures. In the vast majority of cases, a post-traumatic duodenal injury is accompanied by damage to other important organs. The surgical management of duodenum injuries poses a high risk of life-threatening complications with duodenal fistula among the most common. In some cases, the combination of basic and advanced surgical procedures and intensive conservative treatment is insufficient to treat the complication. The progress in endoscopic techniques and the application of modern instruments have allowed for the use of these procedures to manage gastrointestinal injuries of various aetiology. The aim of the study is to present an effective endoscopic occlusion of post-traumatic duodenal fistula.
Źródło:
Polish Journal of Surgery; 2020, 92, 2; 64-67
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Superficialization of the outflow vein in case of a cubital fistula – always or sometimes?
Autorzy:
Borisov, Biser
Iliev, Sergey
Powiązania:
https://bibliotekanauki.pl/articles/1391927.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
av fistula
supeficialization
outflow vein
Opis:
Introduction: The hemodialysis treatment requires an outflow vein from an arterio-venous fistula which is easily accessible and suitable for multiple venepunctures. The growing number of elderly patients, overweight ones and such with diabetes mellitus has been leading to increased relative share of the primary cubital anastomoses. Material and methods: The data set comprises of 442 arterio-venous anastomoses performed within a 5-year period (from 1st July 2011 until 30th June 2016) in the Clinic of Nephrology and Dialysis at Medical University, Pleven, Bulgaria. The primary cubital fistulas are 311 (70 %) of all cases. Consecutive superficialization of the outflow vein is performed in 18 cases (6 %). Results: Not a single case of complications has been recorded – neither during the intervention, nor during the usage of the fistula afterwards. One-year patency of the fistula is observed in 17 patients (94 %). The surgery has been successful (comfortable access for puncture area) in 17 cases (94 %). Conclusion: Our experience demonstrates that the planned superficialization of the outflow vein(s) is beneficial and highly advisable. The latter improves the hospital treatment quality of the hemodialysis patients.
Źródło:
Polish Journal of Surgery; 2019, 91, 3; 6-9
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Bilateral brachiocephalic vein stenosis in a chronic hemodialysis patient with well-functioning arteriovenous fistula – A rare entity
Autorzy:
SINGH, MAJ GEN
KUMAR, VINOD
Powiązania:
https://bibliotekanauki.pl/articles/1391558.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
arteriovenous fistula
central veins
hemodialysis
Opis:
Introduction: Central vein stenosis has been reported in patients of end stage renal disease with subclavian vein being more commonly affected than brachiocephalic vein. Case report: We present a case of young female with bilateral brachiocephalic vein obstruction following arteriovenous fistula creation for hemodialysis.
Źródło:
Polish Journal of Surgery; 2021, 93, 4; 74-75
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Minimally Invasive Repair of Acquired Benign Thoracic Tracheo-Esophageal Fistula
Autorzy:
Banerjee, Jayant Kumar
Saranga Bharathi, Ramanathan
Powiązania:
https://bibliotekanauki.pl/articles/1392076.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
fistula exclusion
laparoscopy
single stage procedure
sub-sternal colonic transposition
thoracoscopy
tracheo-esophageal fistula
Opis:
Background: Repair of large, upper thoracic, cuff-induced, tracheo-esophageal fistula (TEF) is technically demanding and is conventionally performed by open surgery. Minimal access approach is, hitherto, unreported. Technique & Case: Minimally invasive repair of TEF involving fistula isolation – by thoracoscopic oesophageal exclusion, and simultaneous establishment of alimentary continuity – by laparoscopy-assisted sub-sternal colonic transposition, is described. The technique was successfully employed in repairing a large (4.5 centimetres), cuff-induced, upper thoracic TEF, in a 25-year-old woman. The rationale behind the technique, its pros and cons are analysed and contrasted against conventional techniques of TEF repair. Conclusion: Large upper thoracic, cuff-induced TEF can be successfully repaired employing minimal access.
Źródło:
Polish Journal of Surgery; 2019, 91, 5; 55-58
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Internal stenting across the pancreaticojejunostomy and main pancreatic duct after pancreaticoduodenectomy
Autorzy:
Singh, Kamaldeep
Kaman, Lileswar
Tandup, Cherring
Raypattanaik, Niladri
Dahiya, Divya
Behera, Arunanshu
Powiązania:
https://bibliotekanauki.pl/articles/1391540.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
internal stenting
pancreaticoduodenectomy
pancreaticojejunostomy
postoperative pancreatic fistula
Opis:
Background: Postoperative pancreatic fistula (POPF) is associated with high morbidity and mortality rates. Studies have reported internal stenting of the pancreaticojejunostomy (PJ) to reduce POPF, but it is still controversial. Aim: In this study, we compared the outcome of internal stenting across the PJ to reduce POPF following pancreaticoduodenectomy (PD) and described our technique of putting the internal stent across the PJ and in to the main pancreatic duct. Materials and methods: Fifty patients undergoing elective PD were included. Patients were divided into two groups in a randomized fashion; Group A (n = 25) without internal stenting across the PJ and Group B (n = 25) with internal stenting of the PJ. The primary endpoint was the occurrence of POPF. Results: Both groups were comparable in demographics, comorbidities, pathologies, pancreatic texture and pancreatic duct diameter. Out of 50 patients studied, a total of 23 (46.0%) patients developed postoperative pancreatic fistula. Ten (40%) in group A and 13 (52%) in group B (p = 0.156). Sixteen patients (32%) developed Grade A and 7 (14%) patients had Grade B postoperative pancreatic fistula. In group A, 6 patients developed grade A and 4 patients developed grade B postoperative pancreatic fistula. In group B, 10 patients developed grade A and 3 patients developed grade B postoperative pancreatic fistula. There was no Grade C fistula. All patients had satisfactory recovery after conservative management. Eight patients (16%) developed delayed gastric emptying [5 in group A and 3 in group B; p = 0.366]. Six patients developed a superficial surgical site infection (2 in group A and 4 in group B; p = 0.445). The length of hospital stay was comparable between the two groups. There was no mortality. Conclusion: Internal stenting of PJ does not decrease the rate of POPF after PD.
Źródło:
Polish Journal of Surgery; 2021, 93, 3; 40-47
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Surgical treatment of hemangiomas and arteriovenous malformations in upper extermity
Autorzy:
Jabłecki, Jerzy
Elsaftawy, Ahmed
Kaczmarzyk, Janusz
Kaczmarzyk, Leszek
Powiązania:
https://bibliotekanauki.pl/articles/1396101.pdf
Data publikacji:
2013-03-01
Wydawca:
Index Copernicus International
Tematy:
hemangiomas
vascular malformations
arteriovenous fistula
surgical treatment
Opis:
Hemangiomas belong to one of the most common type of tumors occurring in childhood. They are benign and often do not require any treatment, with the tendency to. frequently disappearing spontaneously at the age of 5-7 years. The tumors usually develop in the head and neck area, whereas vascular malformations (AVMs) are rare congenital anomalies, which may occur anywhere. In upper limb, they may amount to 30-60% of cases. It is common for these changes not to require any surgical treatment. In case they do, the main indications for such treatment of upper limb AVMs may be as follows: signs of compression of the peripheral nerves, limited mobility of the fingers because of the tumor, which entails difficulties in the functioning of the whole arm, pain and aesthetic considerations. Aim of the study was to present the results of surgical treatment of vascular tumors (hemangiomas and AVMs) in the upper limb that was applied in our department, as well as a broader discussion on epidemiology, diagnosis, and treatment of these changes. Material and methods. In 2003-2011 period we treated 11 patients aged 24-39, suffering from vascular tumors (hemangiomas / vascular malformations) in the upper limb; the group included 3 men and 8 women. In this group we diagnosed 2 cases with arm hemangiomas, 2 cases of intramuscular hemangiomas of the forearm, 2 cases of hemangiomas in metacarpal area, 2 cases of AVMs of the finger and metacarpal area, and 4 cases of isolated vascular malformations (mainly arteriovenous malformations) of the fingers. All preparations were examined histologically. Results. No complications or recurrence were found in 7 cases, recurrences of AVMs were observed in 4 patients with finger changes. In one patient with AVMs of the index finger, we observed a treble recurrence, which severely impaired functioning of his hand. We eventually suggested to him the finger amputation, to which the patient agreed Conclusions. Upper extremity is a rare location of hemangiomas and other vascular malformations requiring surgery. hemangiomas are more common in women, and the occurrence of AVMs in both males and females is similar. Surgical treatment of hemangiomas and AVMs of the upper extremities is doubtlessly an arduous task, which calls for great microsurgical skills.
Źródło:
Polish Journal of Surgery; 2013, 85, 3; 107-113
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Aortoesophageal Fistula – Rare Complication after Esophagogastrectomy, due to Cancer
Autorzy:
Saramak, Piotr
Liszka-Dalecki, Piotr
Talarek, Michał
Król, Dariusz
Szpakowski, Marek
Olesiński, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/1396193.pdf
Data publikacji:
2013-08-01
Wydawca:
Index Copernicus International
Tematy:
cancer of the cardia
aorto-esophageal fistula
Opis:
The paper contains a description of the case - 63 year old patient with surgery due locally advanced cancer of the gastric cardia. In 28 postoperative day symptoms of GI bleeding occurred. Despite the endoscopic attempts undertaken to stop bleeding, the patient died in the course of hemorrhagic shock. Posed by the post-mortem consider: aorto-esophageal fistula, is a rare complication in surgery of the esophagus. The rapidly increasing symptoms and deterioration of the patient, in most cases, despite the measures taken, ending in death of the patient. In the literature, there are few reports of this complication. There is also no clear guidelines on how to proceed. Reminder of the possibility of bad promising complications and the analysis carried out on the basis of this case and the available literature can be helpful for specializing in surgery of the digestive tract
Źródło:
Polish Journal of Surgery; 2013, 85, 8; 460-463
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Spontaneous Cholecystocutaneous Fistula: A rare clinical Entity
Autorzy:
Gupta, Amit
Joshua, Manoj
Kumar, Navin
Chauhan, Udit
Gupta, Sweety
Powiązania:
https://bibliotekanauki.pl/articles/1391316.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
cutaneous
fistula spontaneous
gall bladder stone
Opis:
Introduction: Spontaneous Cholecystocutaneous Fistula occurs as a result of complication from untreated gall bladder stone disease infrequently seen in surgical practice due to early diagnosis of gall stone disease with imaging and appropriate and prompt antibiotic and surgical treatment. Case report: We report our experience with a 40-year-old woman who presented with a yellowish discharge from the umbilicus. Abdominal examination revealed a sinus opening at the umbilicus with the yellowish discharge and a vague mass in the right hypochondrium. CT fistulogram showed tract extending form the umbilicus to the gall bladder. Open cholecystectomy with excision of the fistulous tract was carried out. Histopathological examination showed chronic inflammation of the gall bladder with the fistulous tract lined by inflammatory granulation tissue. Post-operative recovery was normal and uneventful. The patient was normal in follow-up. Cholecystocutaneous fistula is a rare clinical entity. The diagnosis is established with CT and MRCP. Surgery remains the mainstay of treatment.
Źródło:
Polish Journal of Surgery; 2021, 93, 2; 62-65
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Pancreatic-pleural fistula presenting as epigastric pain
Autorzy:
Bąk, Michał
Murawa, Dawid
Powiązania:
https://bibliotekanauki.pl/articles/1391726.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
alcohol abuse
pancreatitis
pancreatic-pleural fistula
Opis:
We are reporting a case of a pancreatic-pleural fistula causing epigastric pain. Chest radiograph revealed pleural effusion reaching the seventh rib. Thoracocentesis was performed and 1600 mL of brownish fluid was removed, which showed an elevated amylase level. Ultimately, the diagnosis was confirmed by computed tomography. Due to the failure of medical and endoscopic treatment, the decision was made to perform surgery. It resulted in total pancreatectomy.
Źródło:
Polish Journal of Surgery; 2020, 92, 4; 54-57
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Perianal abscess and fistula-in-ano in children – evaluation of treatment efficacy. Is it possible to avoid recurrence?
Autorzy:
Bałaż, Katarzyna
Trypens, Agata
Polnik, Dariusz
Pankowska-Woźniak, Katarzyna
Kaliciński, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1391785.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
fistula-in-ano
fistulotomy
perianal abscess
Opis:
Introduction: Perianal abscess and fistula-in-ano are common findings in infants and children. The perianal abscess is usually a manifestation of a fistula-in-ano. Experience of our center indicates general lack of knowledge of the origin of the abscess and therefore, it is usually treated by incision and drainage, which leads to repeated recurrences. Aim: We aimed to present the optimal management of fistula-in-ano and perianal abscess in order to reduce or even eliminate the risk of recurrence. Material and methods: The retrospective study included 24 infants with perianal abscess treated at our center between 2013 and 2015. Patients were divided into two groups: group I (50%) was primary treated in our center, while group II had undergone prior surgical interventions in other hospitals. Fistula-in-ano was intraoperatively identified in all patients (100%) and fistulotomy was performed. Results: No fecal incontinence or recurrence of perianal abscess were observed in any of our patients. In group II, the disorder was associated with severe inflammation, some patients underwent an additional surgical intervention, such as incision and drainage of an extensive buttock’s abscess; patients required longer antibiotic therapy and prolonged hospitalization. Conclusion: Minimally invasive approach (sitz baths, antibiotic therapy, puncture or incision and drainage of the abscess) appears tempting due to its simplicity and lack of need for general anesthesia, but it is associated with a high recurrence rate. Fistulotomy and fistulectomy, which are slightly more invasive procedures, significantly reduce the recurrence rate of fistulain- ano and perianal abscess.
Źródło:
Polish Journal of Surgery; 2020, 92, 2; 29-33
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A novel model of acellular dermal matrix plug for anal fistula treatment. Report of a case and surgical consideration based on first utility in Poland
Autorzy:
Bobkiewicz, Adam
Krokowicz, Łukasz
Borejsza-Wysocki, Maciej
Banasiewicz, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/1392974.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
anal fistula
biomaterial plug
plug implantation
Opis:
Anal fistula (AF) is a pathological connection between anus and skin in its surroundings. The main reason for the formation of anal fistula is a bacterial infection of the glands within the anal crypts. One of the modern techniques for the treatment of fistulas that do not interfere with the sphincters consists in implantation of a plug made from collagen material. We are presenting the first Polish experience with a new model of biomaterial plug for the treatment of anal fistula. We also point out key elements of the procedure (both preoperative and intraoperative) associated with this method. In the authors’ opinion, the method is simple, safe and reproducible. Innovative shape of the plug minimizes the risk of its migration and rotation. It also perfectly blends with and adapts to the course and shape of the fistula canal, allowing it to become incorporated and overgrown with tissue in the fistula canal. The relatively short operation time, minor postoperative pain and faster convalescence are with no doubt additional advantages of the method. Long-term observation involving more patients is essential for evaluation of the efficacy of the treatment of fistulas with the new type of plug.
Źródło:
Polish Journal of Surgery; 2017, 89, 4; 52-55
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Barogenic rupture of esophagus (Boerhaave syndrome) as diagnostic and therapeutic challenge requiring rapid and effective interdisciplinary cooperation – case report
Autorzy:
Czopnik, Piotr
Aporowicz, Michał
Niepokój-Czopnik, Agnieszka
Szajerka, Tobiasz
Domosławski, Paweł
Powiązania:
https://bibliotekanauki.pl/articles/1393124.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
Boerhaave’s syndrome
mediastinitis
oesophageal fistula
Opis:
We describe a 47-year-old male who was admitted to our centre from a local emergency unit with septic shock due to suspected Boerhaave syndrome. After the diagnosis was confirmed, the patient underwent emergency surgery. Postoperatively, the patient had symptoms of acute alcoholic delirium, and developed an oesophagomediastinal fistula as the most serious local complication. Successful conservative treatment enabled complete healing of the fistula, leading to patient recovery. No late complications like oesophageal stenosis were found at 6 months from discharge.
Źródło:
Polish Journal of Surgery; 2017, 89, 6; 37-39
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł

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