Wszystkie pola: surgical outcomes - Katalog OPAC zbiorów

Skocz do pozycji: 1.

Tytuł:: Surgical outcomes of patients with peroneal nerve injury: a clinical study
Autorzy:: Buyukgol, H.
Ilik, M.K.
Powiązania:: https://bibliotekanauki.pl/articles/2087968.pdf
Data publikacji:: 2020
Wydawca:: Uniwersytet Opolski. Instytut Nauk o Zdrowiu
Tematy:: nervus peroneus communis
entrapment
surgery
Opis:: Background: Nervus peroneus communis (NPC) is the most frequently entrapped nerve in the lower extremity. Although first-line treatments for peroneal nerve injury include conservative methods, patients who do not show benefit are further treated with surgical decompression. Aim of the study: The purpose of this study was to investigate the clinical and functional results of patients who were surgically treated for peroneal nerve injury. Material and methods: This retrospective study reports on 20 consecutive patients who underwent surgery for peroneal nerve damage between March 2012 and December 2015. Visual Analogue Scale (VAS) pain scores and neurological examinations were evaluated preoperatively and at the last postoperative visit (mean followup period = 10.2 months). All parameters were analyzed using Mann-Whitney U tests and results were considered significant using a p<0.05 threshold. Results: According to the British Medical Council Motor Strength Evaluation Scale, 80% (n = 16) of patients showed an improvement and 20% showed no change (n = 4). VAS pain scores significantly decreased (p<0.05) from the preoperative (M ± SD = 5.9 ± 0.4) to the postoperative time point. (1.6 ± 0.3). Conclusions: Our data suggest positive results for surgical removal of reversible causes among peroneal nerve damage cases who do not respond to conservative treatment.
Źródło:: Medical Science Pulse; 2020, 14, 2; 19-22
2544-1558
2544-1620
Pojawia się w:: Medical Science Pulse
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 2.

Tytuł:: Safe and uncomplicated inguinal hernia surgery in the elderly – message from anesthesiologists to general surgeons
Autorzy:: Chlebny, Tomasz
Zelga, Piotr
Pryt, Mateusz
Zelga, Marta
Dziki, Adam
Powiązania:: https://bibliotekanauki.pl/articles/1393197.pdf
Data publikacji:: 2017
Wydawca:: Index Copernicus International
Tematy:: elderly
inguinal hernia
mesh
surgical outcomes
Opis:: Introduction Elderly patients are often discouraged from surgery due to the risk of complications that increases with age. Aim We wanted to assess mortality, morbidity, and complications in patients older than 75 years who underwent elective or emergency inguinal hernia repair in a single center. Methods All patients older than 75 years who were operated on because of inguinal hernia in the Department of General and Colorectal Surgery, Medical University of Lodz between 2003 and 2015 were analyzed. Detailed information was collected with regard to patient demographics, mode of admission, comorbidities, type of intervention, applied anesthesia, and 30-day outcomes. Postoperative outcomes included medical and surgical complications, readmissions, and survival status. Results One hundred thirty-two patients older than 75 years were operated on for inguinal hernia, 16 (12.1%) in an emergency setting and 116 (87.9%) in an elective setting. Eighteen patients (13.6%) developed complications, 8 (50%) in the emergency group, and 10 (8.6%) in the elective group. In the emergency group, severe medical complications (Clavien-Dindo 4) were frequent, whereas in the elective group, severity of surgical and medical complications was not significantly different (Clavien-Dindo median score 2, p=0.6084), and these complications were classified as mild (Clavien-Dindo 1-2). One death occurred in the emergency group. Conclusion Inguinal hernia surgery in the elderly may be safe and effective in an elective setting and if regional anesthesia is used. Careful examination of patients before surgery and identification of potential risk factors associated with co-existing diseases are vital for reducing the risk of complications. Key point: Hernia surgery in patients older than 65 years is a low-risk intervention, if carried out in an elective setting.
Źródło:: Polish Journal of Surgery; 2017, 89, 2; 5-10
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 3.

Tytuł:: Vitrectomy in stage 5 retinopathy of prematurity - surgical and functional results of 1000 vitrectomies
Autorzy:: Prost, Marek Edmund
Powiązania:: https://bibliotekanauki.pl/articles/2040449.pdf
Data publikacji:: 2021-06-23
Wydawca:: Medical Education
Tematy:: retinopathy of prematurity
stage 5
vitrectomy
surgical outcomes
functional results
Opis:: Despite improvements in neonatal care, retinopathy of prematurity is still leading cause of blindness in the world. The most treatment problems pose stage 4 and 5 of this disease. Performing vitrectomy in stage 5 is a subject of controversy among ophthalmologists due to unsatisfactory functional results after the surgery. Therefore, our aim was to present the results of 1000 vitrectomies performed by the author in years 1994–2019 in 1018 eyes of 692 children with stage 5 retinopathy of prematurity. In these children lens sparing vitrectomies and lensectomy-vitrectomy with limbal approach were performed. The results were compared with visual function of 127 untreated children with stage 5 retinopathy of prematurity. Visual acuity of treated patients ranged from 0.05 to no light perception in stage 5 and from no light perception to finger counting in the untreated group. Comparing the functional results of treated and untreated patients, it can be concluded that vitrectomy gives a better chance of gaining useful vision.
Źródło:: OphthaTherapy; 2021, 8, 2; 108-113
2353-7175
2543-9987
Pojawia się w:: OphthaTherapy
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 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

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Skocz do pozycji: 5.

Tytuł:: Sexual dysfunctions following low anterior resection of the rectum in rectal cancer patients
Autorzy:: Włodarczyk, Marcin
Sobolewska, Justyna
Nowak, Artur
Szewczyk, Martyna
Kluska, Piotr
Dzika, Katarzyna
Darnikowska, Justyna
Mik-Wojtczak, Joanna
Włodarczyk, Jakub
Sobolewska-Włodarczyk, Aleksandra
Trzciński, Radzisław
Dziki, Łukasz
Powiązania:: https://bibliotekanauki.pl/articles/1391931.pdf
Data publikacji:: 2019
Wydawca:: Index Copernicus International
Tematy:: sexual dysfunction
rectal cancer
low anterior resection
surgical treatment outcomes
Opis:: Introduction. Low anterior resection of the rectum (LAR) is a treatment of choice in patients with diagnosed low rectal cancer. Rectal cancer surgery has a close relationship with the urinary-sexual organs and also with related nerves and nerve plexus. Thus, the sympathetic and parasympathetic nerves of the pelvic area may be damaged. As a result of this, the important point is the sexual function loss following rectal surgeries. The aim of the study was to investigate the sexual disorders in patients with rectal cancer who underwent LAR. Materials and methods. In this retrospective study the sexual activity, comfort of the experience, quality of sexual life (QoSL) during 3 periods were analyzed: before surgery, a month after and half a year after surgery. Analysis of demographic characteristics, comorbidities, previous surgeries, toumor characteristics and adjuvant therapy as was performed. Results. Most patients (64/100, 64%) expressed that LAR operation has strongly affected their QoSL, 32 patients reported the mild decrease in QoSL, while only 4 patients stated that did not experience any changes in QoSL. QoSL was assessed in 3 different periods of time: before the operation, 1 month after and 6 months after the operation (22,6±3.7 vs. 11.3±7,9 vs. 17,0±6.3; p<0.0001 respectively). The decreased QoSL one and six months after the surgery were significantly lower in patients with diagnosed hypertension and higher BMI (p=0.0283). Conclusions. Sexual disorders after LAR for rectal cancer are often underestimated and it is very important to be aware of them. In our study, it was determined that male sex, higher BMI and hypertension are related to impair of sexual dysfunction after LAR. We observed that the most severe complaints related to sexual activity occur one month after the procedure, after 6 months in most of the patients' sexual disorders were decreased approaching the initial state.
Źródło:: Polish Journal of Surgery; 2019, 91, 3; 21-26
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 6.

Tytuł:: Ocena skuteczności zabiegów przeciwjaskrowych z zastosowaniem stentu Ex-PRESS u chorych z jaskrą pierwotną i wtórną otwartego kąta
Surgical outcomes of the Ex-PRESS glaucoma filtration device in primary and secondary open glaucoma patients
Autorzy:: Romanowska-Dixon, Bożena
Sajak-Hydzik, Katarzyna
Medoń, Dominik
Powiązania:: https://bibliotekanauki.pl/articles/1929279.pdf
Data publikacji:: 2014
Wydawca:: Medical Education
Tematy:: implantacja stentu Ex-PRESS
jaskra pierwotna otwartego kąta
jaskra wtórna otwartego kąta
pooperacyjna hipotonia
Opis:: Cel: Ocena skuteczności operacji przetokowej z zastosowaniem stentu Ex-PRESS u chorych z jaskrą pierwotną (JPOK) i wtórną otwartego kąta (JWOK). Materiał i metody: Analizowano wyniki operacji przetokowych z implantacją stentu Ex-PRESS wykonanych w 53 oczach u 44 chorych w wieku 39–90 lat. Oceniano wyniki badań: ciśnienia wewnątrzgałkowego, obecności progresji zmian jaskrowych w badaniu pola widzenia i w optycznej koherentnej tomografii (OCT). Wyniki: Implantowano 33 stenty Ex-PRESS u chorych z JPOK oraz w 20 oczach z JWOK. W obu grupach w okresie pooperacyjnym uzyskano normalizację ciśnienia wewnątrzgałkowego, utrzymującą się w kolejnych badaniach kontrolnych. W obserwacji w 17 oczach (32,1%) stwierdzono progresję zmian jaskrowych w polu widzenia. Natomiast w badaniu OCT stwierdzono progresję zmian jaskrowych w 4 oczach (7,4%). Z powikłań okołozabiegowych należy wymienić przejściową pooperacyjną hipotonię (37 oczu, 69,8%) oraz niewielkie krwawienie do przedniej komory oka (18 oczu, 36,96%), przejściowe odłączenie naczyniówki w 1 oku (1,8%), dyslokację stentu w 3 oczach (5,6%). Wnioski: Leczenie operacyjne z użyciem stentu Ex-PRESS skutecznie i długotrwale obniża ciśnienie wewnątrzgałkowe u chorych z jaskrą pierwotną i wtórną otwartego kąta. Mała inwazyjność zabiegu zabezpiecza przed istotnymi klinicznie powikłaniami. Zastosowanie implantu Ex-PRESS jest skuteczną i bezpieczną metodą leczenia operacyjnego chorych z jaskrą wtórną otwartego kąta.
Purpose: To evaluate the efficiency (results) of the filtering surgery with stent Ex-PRESS implantation in the primary (POAG) and secondary (SOAG) open angle glaucoma patients. Material and methods: The surgery results with the Ex-PRESS shunt implantation in 53 eyes of 44 patients at the age between 39-90 years old were analysed. In all patients were analysed the intraocular pressure (Ta), progression of glaucomatous changes in the visual field and optical coherence tomography (OCT) results. Results: Among 33 Ex-PRESS shunts implanted in the POAG group were 10 in phakic and 23 pseudophakic eyes as well as in 20 eyes of patients with SOAG were 12 with pseudophakia. In both groups the target intraocular pressure after operation and during follow-up was observed. During follow-up the glaucomatous progression was observed in the visual fields results in 17 eyes (32.1%) and in the OCT in 4 eyes (7.4%). The postoperative complications: hypotony in 37 eyes (69,8%), hyphaema in 18 (36.96%) cases, uveal effusion in 1 (1.8%) case and stent dislocation in 3 (5.6%) were observed. Conclusions: Operation procedure with the implantation of stent Ex-PRESS efficiently and long lasting decreases the intraocular pressure in the primary and secondary open angle glaucoma patients. The small invasiveness of this surgery procedure protects from any severe clinical complications. The use of Ex-PRESS shunt is an effective and safe method of the primary and secondary open angle glaucoma filtering surgery.
Źródło:: OphthaTherapy; 2014, 1, 2; 86-93
2353-7175
2543-9987
Pojawia się w:: OphthaTherapy
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 7.

Tytuł:: Evaluation of surgical treatment outcomes in patients with laryngeal cancer during a 5-year follow-up
Autorzy:: Morshed, Kamal
Lewicki, Marcin
Bojarczuk, Katarzyna
Tarasiuk-Staniak, Agnieszka
Smoleń, Agata
Powiązania:: https://bibliotekanauki.pl/articles/552324.pdf
Data publikacji:: 2016
Wydawca:: Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:: laryngeal cancer
surgical treatment
5-year follow-up.
Źródło:: Family Medicine & Primary Care Review; 2016, 3; 302-307
1734-3402
Pojawia się w:: Family Medicine & Primary Care Review
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 8.

Tytuł:: Evaluation of long-term surgical treatment outcomes of thoraco-lumbar spinal fractures – follow-up period of over 10 years
Autorzy:: Węgłowski, R.
Polak, P.
Piech, P.
Powiązania:: https://bibliotekanauki.pl/articles/28762762.pdf
Data publikacji:: 2021
Wydawca:: Instytut Medycyny Wsi
Źródło:: Annals of Agricultural and Environmental Medicine; 2021, 28, 2; 339-344
1232-1966
Pojawia się w:: Annals of Agricultural and Environmental Medicine
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 9.

Tytuł:: Comparison of surgical outcomes of degenerative spondylolisthesis with open or minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF)
Porównanie wyników leczenia operacyjnego chorych z kręgozmykiem zwyrodnieniowym w obrębie kręgosłupa lędźwiowo – krzyżowego metodą spondylodezy międzytrzonowej (TLIF) i tylno-bocznej z otwartą i małoinwazyjną (MIS) stabilizacją przeznasadową
Autorzy:: Rocławski, Marek
Pankowski, Rafał
Adamski, Stanisław
Stogowski, Piotr
Kloc, Wojciech
Powiązania:: https://bibliotekanauki.pl/articles/20311507.pdf
Data publikacji:: 2023-11-20
Wydawca:: Wydawnictwo Exemplum
Tematy:: minimally or open invasive transforaminal lumbar interbody fusion (TLIF)
degenerative lumbar spondylolisthesis
kręgozmyk zwyrodnieniowy
spondylodeza międzytrzonowa
miniinwazyjna/otwarta stabilizacja przynasadaowa
Opis:: Introduction. One of the most commonly used surgical treatment methods for degenerative lumbar spondylolisthesis (DLS) is transforaminal lumbar interbody fusion (TLIF). It can be performed either with an open classic posterior midline approach or the minimally invasive (MIS) method using Wiltse paraspinal intermuscular accesses. Aim. To prospectively compare clinical and radiological outcomes of DLS treatment with open (O) or (MIS) TLIF. Materials and methods. Forty six surgically treated patients who met the study criteria were divided into two groups according to the access method used: O group – 24 patients, MIS group – 22 patients. Clinical and radiological outcomes were evaluated before and after the surgery and after the follow-up period in both groups. The clinical peri and postoperative parameters and complications, back and leg pain with the VAS scale, and the outcomes in the ODI scale were evaluated. Radiological outcomes were measured with the standing X-ray images in the AP and lateral projections, as well as MRI/CT and functional X-rays. During statistical comparisons, both groups were adjusted in terms of pre-operative and postoperative data. Results. Preoperative demographic data in both groups did not differ significantly, except for the follow–up period, which was longer for the O group (mean 33.2 months), and 19.5 months for the MIS group. Both VAS and ODI clinical outcomes improved in both groups. Patients from the MIS group achieved significantly better clinical results immediately after the procedure and in the early outcomes. After the follow–up period, no significant differences were found. In the MIS group, only blood loss and the length of the postoperative stay were significantly lower than in the O group. The X-ray doses were significantly higher in the MIS group. Postoperative X-ray parameters improved in both groups with no significant differences, except for the slip correction, which was better in the O group. Conclusions. Both TLIF methods lead to significant clinical and radiological improvement in patients with DLS. In certain aspects, MIS has advantages over the “open” TLIF technique in the surgical treatment of degenerative spondylolisthesis.
Wstęp. Jedną z najczęściej stosowanych metod chirurgicznego leczenia kręgozmyku zwyrodnieniowego w odcinku lędźwiowym (KZ) jest przezotworowa lędźwiowa spondylodeza międzytrzonowa (TLIF). Można ją wykonać z klasycznego dostępu tylnego w linii pośrodkowej (na otwarto) lub metodą minimalnie inwazyjną (MIS) z wykorzystaniem przykręgosłupowych dostępów międzymięśniowych Wiltse’a. Cel. Prospektywne porównanie klinicznych i radiologicznych wyników leczenia kręgozmyku zwyrodnieniowego metodą otwartą (O) lub małoinwazyjną (MIS) TLIF. Materiał i metody. 46 chorych leczonych operacyjnie, spełniających kryteria badania, podzielono na dwie grupy w zależności od zastosowanej metody dostępu: grupa O – 24 chorych, grupa MIS – 22 chorych. Wyniki kliniczne i radiologiczne oceniano przed i po operacji oraz po okresie obserwacji w obu grupach. Wyniki kliniczne: parametry i powikłania około- i pooperacyjne, ból pleców i nóg w skali VAS oraz wyniki w skali ODI. Ocena radiologiczna obejmowała analizę rentgenogramów w pozycji stojącej w projekcji AP i bocznej, a także MRI/CT i funkcjonalnych zdjęć rentgenowskich. Podczas porównań statystycznych obie grupy zostały spasowane pod względem danych przedoperacyjnych i pooperacyjnych. Wyniki. Przedoperacyjne dane demograficzne w obu grupach nie różniły się istotnie, z wyjątkiem okresu obserwacji, który był dłuższy w grupie O (średnio 33,2 miesiące) niż w grupie MIS (średnio 19,5 miesiąca). Zarówno wyniki kliniczne VAS, jak i ODI poprawiły się w obu grupach. Pacjenci z grupy MIS uzyskali istotnie lepsze wyniki kliniczne bezpośrednio oraz we wczesnym okresie po zabiegu. Po okresie obserwacji nie stwierdzono istotnych różnic. W grupie MIS jedynie utrata krwi i długość pobytu pooperacyjnego były istotnie mniejsze niż w grupie O. Dawka promieniowania rentgenowskiego była istotnie wyższa w grupie MIS. Pooperacyjne parametry rentgenowskie poprawiły się w obu grupach bez istotnych różnic, z wyjątkiem korekcji ześlizgu, która była lepsza w grupie O. Wnioski. Obie metody TLIF prowadzą do istotnej poprawy klinicznej i radiologicznej u pacjentów z KZ. W niektórych aspektach MIS ma przewagę nad „otwartą” techniką TLIF w operacyjnym leczeniu KZ.
Źródło:: Chirurgia Narządów Ruchu i Ortopedia Polska; 2023, 88, 4; 153-164
0009-479X
2956-4719
Pojawia się w:: Chirurgia Narządów Ruchu i Ortopedia Polska
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 10.

Tytuł:: The influence of age and comorbidities on the outcomes of surgical treatment with free tissue transfer: a retrospective study
Autorzy:: Czesak, Małgorzata
Sobol, Maria
Bruzgielewicz, Antoni
Niemczyk, Kazimierz
Osuch-Wójcikiewicz, Ewa
Powiązania:: https://bibliotekanauki.pl/articles/1397380.pdf
Data publikacji:: 2020
Wydawca:: Index Copernicus International
Tematy:: elderly patient
head and neck cancer
reconstructive surgery
Opis:: Introduction: Microvascular free tissue transfer enables the reconstruction of complex head and neck defects. The aim of the study was to assess the results of treatment of patients undergoing reconstructive surgery and to identify factors affecting these results, with particular reference to patient’s age. Materials and Methods: All patients who underwent free-flap head and neck reconstruction in our institution between 2010 and 2017 were included in this retrospective study. A series of 66 patients met the inclusion criteria and were divided into 2 age groups: group G1 aged <65 years (n = 41) and group G2 aged ≥65 years (n = 25). Minor local complications and general complications as well as comorbidities were analyzed. Results: No correlation was found between advanced age and the risk of free flap failure as well as the incidence of local minor complications. General complications were more frequent in the G2 group (32%) than in the G1 group (19.5%), although this is not a statistically significant difference. A statistically significant difference was found between the age and the patient’s health status according to ASA (P = 0.010). In the younger low-risk group, 12 patients (29.3%) had general and local complications, while in the older low-risk group only 1 (4%). General and local complications were found in 5 (12.2%) high-risk G1 patients and in 7 (28%) high-risk G2 patients. Conclusion(s): Patients with advanced head and neck malignant tumors should undergo reconstructive microsurgery regardless of age.
Źródło:: Polish Journal of Otolaryngology; 2020, 74, 4; 8-12
0030-6657
2300-8423
Pojawia się w:: Polish Journal of Otolaryngology
Dostawca treści:: Biblioteka Nauki

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