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Wyświetlanie 1-4 z 4
Tytuł:
Results of General Surgical Treatment of Patients Over 80 Years of Age in Single-Site Experience
Autorzy:
Fiszer, Patryk
Pogorzelski, Ryszard
Toutounchi, Sadegh
Szostek, Małgorzata
Krajewska, Ewa
Jakuczun, Wawrzyniec
Tworus, Robert
Skórski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1396734.pdf
Data publikacji:
2012-04-01
Wydawca:
Index Copernicus International
Tematy:
surgery of elderly patients
eighty-year-old patients
surgical outcomes
Opis:
The aim of the study was to evaluate the results of general surgical treatment of patients over 80 years of age.Material and methods. Three hundred and four patients aged 80 to 105 years with general surgical disorders, treated in 2005-2009, were retrospectively included in the study. The collected information included demographic data, coexisting diseases, the mode of admission, the diagnosis, the method and result of treatment, and also potential complications and 30-day mortality. The data were subjected to statistical analysis.Results. The study group included 186 women and 118 men. Two hundred patients (65.8%) were admitted in an emergency setting. The most common causes of immediate hospitalisation were: mechanical ileus (26.5%), gastrointestinal bleeding (22%), trauma (16%), and gall-bladder disorders (8.5%). The remaining 104 (34.2%) patients were operated upon on an elective basis. An emergency operation was required by 121 (60%) of the patients admitted in an emergency setting; the remaining ones were treated conservatively. Hernia plasties (27.5%), cholecystectomies (15.3%), colorectal resections (13.2%), strumectomies (11.2%) and endoscopies (6.1%) predominated among elective surgeries.The total number of complications and mortality were 19.4% and 14.5%, respectively. The number of complications and mortality were significantly higher in the group of patients admitted in an emergency setting (25.5% and 20.5%, respectively) than in patients admitted on an elective basis (8.7% and 2.9%, respectively), p<0.01.The mean duration of hospitalisation was 9.7 days (1 to 60 days), with a small difference between the groups of patients treated on an elective and emergency basis (8.5 and 10.4 days), p=0.181.Conclusions. The results of surgical treatment of elderly patients do not significantly differ from the results of treatment of the general population. Much worse results, coupled with a significant increase in mortality, are observed in patients admitted and treated on an emergency basis.
Źródło:
Polish Journal of Surgery; 2012, 84, 4; 173-176
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Location and Incidence Rate of Anastomotic Aneurysms – own Clinical Material and Literature Review
Autorzy:
Pogorzelski, Ryszard
Toutounchi, Sadegh
Fiszer, Patryk
Krajewska, Ewa
Tworus, Robert
Szostek, Małgorzata M.
Jakuczun, Wawrzyniec
Skórski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1395756.pdf
Data publikacji:
2014-04-01
Wydawca:
Index Copernicus International
Tematy:
aneurysms
false aneurysms
anastomotic aneurysms
aneurysm treatment
Opis:
Anastomotic aneurysms occurs at various levels of arterial system. Determining their location and incidence rate required investigation of large patient clinical material. Material and methods. In the years 1989-2010 in local centre 230 anastomotic aneurysms were operated in 180 patients. Results. For 187 (81.3%) patients anastomotic aneurysms were localised in the groin, while for remaining 43 (18.7%) they occurred in other localisations. In aortic arch branch they occurred four times (1.7), in descending aorta - three times (1.3%), in abdominal aorta - 14 (6.1%) and in iliac arteries - 6 (2.6%). While for anastomosis with popliteal artery they were diagnosed in 16 (7%) patients. Own clinical material was compared with literature data. Conclusions. Anastomotic aneurysms in over 80% of cases occur in the groin, remaining percentage corresponds to other localisations.
Źródło:
Polish Journal of Surgery; 2014, 86, 4; 181-188
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Anastomotic aneurysms after arterial reconstructive operations – literature review
Autorzy:
Pogorzelski, Ryszard
Fiszer, Patryk
Toutounchi, Sadegh
Szostek, Małgorzata M.
Krajewska, Ewa
Jakuczun, Wawrzyniec
Tworus, Robert
Skórski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1395694.pdf
Data publikacji:
2014-01-01
Wydawca:
Index Copernicus International
Źródło:
Polish Journal of Surgery; 2014, 86, 1; 48-56
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Anastomotic aneurysms- 20-years of experience from one center
Autorzy:
Pogorzelski, Ryszard
Fiszer, Patryk
Toutounchi, Sadegh
Krajewska, Ewa
Szostek, Małgorzata M.
Tworus, Robert
Jakuczun, Wawrzyniec
Skórski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1396159.pdf
Data publikacji:
2013-04-01
Wydawca:
Index Copernicus International
Tematy:
anastomotic aneurysms
aseptic aneurysms
infected aneurysms
pseudoaneurysms
Opis:
Anastomotic aneurysms may develop after any type of vascular surgery, in different areas of the arterial system, and require reoperation. The frequency of occurrence of the above-mentioned is estimated at 1-5%. Material and methods. During the period between 1989 and 2010, 180 patients with 230 anastomotic aneurysms were subject to surgical intervention at the Department of General and Thoracic Surgery, Warsaw Medical University. The study group comprised 21 (11.7%) female and 159 (88.3%) male patients, aged between 30 and 87 years (mean age - 62.8 years). In relation to the number of anastomoses aneurysms were diagnosed in 2.1% of cases. Twenty-four (10.4%) patients were diagnosed with recurrent aneurysms. Results. Surgical procedures performed were as follows: artificial prosthesis implantation (119), reanastomosis (40), patch plasty (25), graftectomy (19), prosthesis replacement (9), and stent-graft (7) implantation. 195 (84.8%) aneurysms were subject to planned surgery, while 35 (15.2%) required emergency intervention. 77.8% of patients were diagnosed with aseptic aneurysms, while the remaining 22.2% with infected perioperative aneurysms. Good treatment results were obtained in 149 (82.8%) patients. Limb amputations were performed in 19 (10.5%) cases. Twelve (6.7%) patients died as a consequence of infection and general complications. Conclusions. Vascular reoperations are a difficult clinical problem and are burdened with a high rate of complications. The above-mentioned often require complex treatment, in order to improve therapeutic results.
Źródło:
Polish Journal of Surgery; 2013, 85, 4; 181-191
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-4 z 4

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