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Wyświetlanie 1-10 z 67
Tytuł:
Foreign bodies in the rectum – an unusual surgical problem
Autorzy:
Buczyński, Jarosław
Langner, Ewa
Dziki, Adam
Powiązania:
https://bibliotekanauki.pl/articles/1396750.pdf
Data publikacji:
2012-10-01
Wydawca:
Index Copernicus International
Tematy:
foreign body
rectum
Opis:
A foreign body in the rectum is not a very common emergency case in surgical practice, of various etiology. In the years 2003-2011, 8 people were hospitalised in the Clinic of General and Colorectal Surgery due to a foreign body in the rectum. All the patients were male. All of them were qualified for foreign body removal in a surgical suite, under general anaesthesia due to a potential need for expanding the scope of the procedure. In all situations attempts were made at removing the object through the anus, which proved successful in 7 cases, without complications.In one case the scope of the procedure needed to be expanded with laparotomy and sigmoidotomy, through which the foreign body was removed. This procedure was also carried out with no complications.
Źródło:
Polish Journal of Surgery; 2012, 84, 9; 454-456
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Therapeutic Management of Stoma Complications in Selected Patients
Autorzy:
Trzciński, Radzisław
Kresińska-Kaba, Teresa
Dziki, Adam
Powiązania:
https://bibliotekanauki.pl/articles/1396391.pdf
Data publikacji:
2013-09-01
Wydawca:
Index Copernicus International
Tematy:
stoma
treatment of complications
Opis:
Stoma complications occur in 21-75% of patients, and 30% of them require redo surgery within 10 years after previous surgical treatment. Medical treatment is successful in most cases with no need for surgery. However, severe stoma complications are the real challenge for medical team and require an individual approach to each patient. The aim of the study was to report stoma patients with severe complications of both ileo- and/or colostomy and present different options of medical treatment. Material and methods. Between March 2005 and April 2007 we treated 8 patients with severe stoma complications at the Department of General and Colorectal Surgery, Medical University of Łódź. There were 4 patients with colostomy, 3 patients with ileostomy and one patient with both ileo- and colostomy. The mean age of patients was 56,7 years (range 30-68 years). Results. In all patients we achieved either complete stoma-related wound healing or we observed substantial progress of wound healing with medical treatment. No patient required surgery for stoma complications. Conclusions. Stoma complications still occur in spite of adherence to rules of stoma care and surgical technique. Most of them can be treated conservatively. Much emphasis is put on close team work comprising doctors and nurses in the treatment of severe stoma complications.
Źródło:
Polish Journal of Surgery; 2013, 85, 9; 496-504
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Czynniki ryzyka 30-dniowej pooperacyjnej śmiertelności po operacjach raka jelita grubego
Autorzy:
Mik, Michał
Dziki, Łukasz
Trzciński, Radzisław
Dziki, Adam
Powiązania:
https://bibliotekanauki.pl/articles/1394099.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
rak jelita grubego
śmiertelność
chirurgia
czynniki ryzyka
Opis:
30-dniowa pooperacyjna śmiertelność jest czynnikiem odzwierciedlającym jakość leczenia. Wszystkie działania mające na celu zmniejszenie częstości jej występowania prowadzą do poprawy jakości leczenia. Celem pracy było wskazanie czynników ryzyka 30-dniowej pooperacyjnej śmiertelności na podstawie przebadanej grupy chorych operowanych z powodu raka jelita grubego w jednym ośrodku zajmującym się chirurgią jelita grubego. Materiał i metodyka. Do badania włączono chorych operowanych z powodu raka jelita grubego (RJG) w latach 2008‑2014. Badanie miało charakter retrospektywny, 30-dniowa śmiertelność była punktem końcowym badania. Wszystkie dane uzyskano z prospektywnej bazy danych. Wyniki. W okresie objętym badaniem operowano grupę 1744 chorych z powodu RJG. 30-dniową śmiertelność pooperacyjną odnotowano u 65 chorych (3,5%). W analizie wieloczynnikowej stwierdzono, że zaawansowanie procesu nowotworowego i gorszy stan ogólny pacjenta przed operacją były istotnymi czynnikami ryzyka 30-dniowej śmiertelności: OR 2,35; 2,01‑2,57 95%CI, p=0,03 i OR 2,18; 1,95‑2,41 95%CI; p=0,01. Operacja ze wskazań pilnych znamiennie zwiększała ryzyko śmiertelności w ciągu 30 dni po operacji: OR 2,64; 2,45‑2,87 95%CI; p=0,009. Niskie stężenie albumin w surowicy krwi i obecność cukrzycy były dodatkowymi czynnikami zwiększającymi ryzyko 30-dniowej śmiertelności: OR 1,65; 1,52‑1,78 95%CI; p=0,01 i OR 1,67; 1,41‑1,82 95%CI; p=0,03. Odsetek śmiertelności był wyższy po zabiegach resekcyjnych niż po zabiegach paliatywnych: 4,21% vs 1,57%; p=0,002. Wnioski. Chorzy operowani ze wskazań pilnych, pacjenci z zaawansowaną chorobą nowotworową i w ciężkim stanie ogólnym powinni być oceniani i przygotowywani do operacji przez wielospecjalistyczny zespół. Dodatkowo, aby zmniejszyć ryzyko śmiertelności pooperacyjnej, decyzję o rodzaju i rozległo- ści zabiegu muszą podejmować doświadczeni chirurdzy.
Źródło:
Polish Journal of Surgery; 2016, 88, 1; 44-53
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:
The Role of the XPF Gene Polymorphism (Xrcc4) Ser835ser in the Risk of Malignant Transformation of Cells in the Colorectal Cancer
Autorzy:
Kabziński, Jacek
Majsterek, Ireneusz
Dziki, Adam
Mik, Michał
Powiązania:
https://bibliotekanauki.pl/articles/1395528.pdf
Data publikacji:
2015-02-01
Wydawca:
Index Copernicus International
Tematy:
colorectal cancer
XRCC4
XPF
DNA repair
Opis:
Participation of DNA repair systems in the pathogenesis of cancer has been a suspected phenomenon for a long time. Decreased efficiency in DNA repair translates to their ability to fix and consequently leads to mutations and the process of carcinogenesis. Linking individual polymorphisms of DNA repair systems with an increased risk of colorectal cancer will allow the classification of patients to high-risk groups and their placement under preventive program. The aim of the study was to determine the effect of XPF gene polymorphism Ser835Ser on increasing the risk of colorectal cancer in the Polish population. Material and methods. as the material blood collected from 146 patients diagnosed with colon cancer was used. The control group consisted of 149 healthy subjects. Genotyping was performed by Taq- Man method. Results. The results indicate that genotype TCC/TCT is associated with an decreased risk of colorectal cancer (OR 0.574; CI 95% 0.335-0.984; p=0.043). Conclusions. Based on these results, we conclude that the XPF gene polymorphism Ser835Ser may be associated with a decreased risk of colorectal cancer
Źródło:
Polish Journal of Surgery; 2015, 87, 2; 83-85
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Retrospective analysis of local recurrence rate in breast cancer patients treated at the department of surgical oncology in Łódź between 2009 and 2013
Autorzy:
Morawiec, Jan
Dziki, Adam
Morawiec, Zbigniew
Kołacińska, Agnieszka
Powiązania:
https://bibliotekanauki.pl/articles/1395718.pdf
Data publikacji:
2014-02-01
Wydawca:
Index Copernicus International
Tematy:
breast cancer
local recurrence
Opis:
The aim of the study was to analyze clinicopathological features in breast cancer patients with local recurrence (LR). Material and methods. A retrospective analysis of database of breast cancer patients operated on in the Department of Surgical Oncology in Łódź from 2 January 2009 to 30 June 2013, identified 1080 women with primary breast cancer and 11 patients with LR. Results. LR rate was 0.23% per year. True recurrence (TR) occurred more frequently in patients with luminal B molecular subtype, in HER-2 positive and in triple-negative subgroups. In one patient with luminal -A subtype new primary (triple negative) occurred. TR were noted predominantly in patients with axillary lymph nodes metastases and with luminal B subtype who did not receive adjuvant chemotherapy but were given only endocrine therapy. LR were observed more frequently in patients who did not receive adjuvant radiotherapy or this treatment was delayed. Minimal surgical margins in postoperative specimens measured by pathologist were 4-25 mm, mean 9.5 mm. Conclusions. The LR rate in patients operated on breast cancer in the Department of Surgical Oncology between 2009 and 2013 was low. TR was diagnosed in patients with non- luminal A breast cancer despite wide surgical margins, especially if the patients did not receive optimal adjuvant systemic treatment or radiotherapy was delayed or omitted. Complete cancer excision followed by an immediate implementation of optimal adjuvant treatment seems to be crucial especially in patients with poor tumor biology.
Źródło:
Polish Journal of Surgery; 2014, 86, 2; 77-81
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Satisfaction with Life after Rectal Prolapse Surgery
Autorzy:
Winiarski, Michał
Jóźwiak, Daria
Pusty, Michal
Dziki, Adam
Powiązania:
https://bibliotekanauki.pl/articles/1396028.pdf
Data publikacji:
2013-01-01
Wydawca:
Index Copernicus International
Tematy:
rectal prolaps
satisfaction with life
incontinence
Opis:
Assessment of satisfaction with life, as a result of comparing own life situation with the individualised personal standards, is an important element for measuring satisfaction with life of the patients suffering from somatic disorders. Literature provides numerous data on satisfaction with life of different groups of patients suffering from somatic disorders. Little space is devoted to the study of the level of satisfaction of patients with rectal prolapse, which is particularly evident in relation to the Polish patient population. The aim of the studywas planned to determine the level of satisfaction with life and its determinants among patients with full-thickness rectal prolapse surgery as well as to assess the improvement of continence after this surgery. Material and methods.The study group consisted of 20 patients operated on for full-thickness rectal prolapse in the Department of General and Colorectal Surgery, Medical University in Lódź. SWLS (Satisfaction with Life Scale) Diener et al. in the Polish adaptation by Juczyński was used to assess global life satisfaction. Assessment of the incontinence severity and the postoperative improvement was made with Jorge and Wexner scale. Results.The average level of global life satisfaction among patients with rectal prolapse surgery is 21.05 (SD = 4.68) and it corresponds to the level of satisfaction of the total population. In the study group, there were no statistically significant differences in the level of global satisfaction with life depending on age, disease recurrence and continence improvement after surgery. The continence after rectal prolapse surgery improved significantly (p< 0.05). Conclusions.The most common consequences of rectal prolapse include incontinence of varying severity. The studies give grounds for considering that a rectal prolapse surgery is an effective method of treatment, being conducive to continence improvement in the study group. Rectal prolapse involves also numerous psychosocial consequences. Due to the complexity of the problem, it appears advisable to undertake further empirical studies with the object of identifying the factors influencing life satisfaction of patients operated on for rectal prolapse.
Źródło:
Polish Journal of Surgery; 2013, 85, 1; 29-34
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Higher Apoptosis Index and Proliferation Index in Colonocytes of Patients with Ulcerative Colitis in Remission
Autorzy:
Buczyński, Jarosław
Spychalski, Michał
Ławska-Wierzchniewska, Agnieszka
Dziki, Adam
Powiązania:
https://bibliotekanauki.pl/articles/1396694.pdf
Data publikacji:
2012-06-01
Wydawca:
Index Copernicus International
Tematy:
apoptosis
proliferation
ulcerative colitis
Opis:
Ulcerative colitis (UC) is a inflammatory disease of large bowel. The amount of people suffering from UC increases from year to year. Pathogenesis of this affection is still not entirely clear. Mechanisms of proliferation and apoptosis in colonocytes in the course of the disease are defectedThe aim of the study was to assess the rate of proliferation and intensity of apoptosis in colonocytes in patients with diagnose UC.Material and methods. Colon pathological samples taken from patients with diagnosed ulceraive colitis were examined. Patients were in both clinical and endoscopic remission and were treated with mesalazin. They were patient of Department of General and Colorectal Surgery. To estimate proliferation index dye with monoclonal antibody against Ki67. To determine apoptosis level immunohistochemistry with antybody against Bax was used.Results. Average Ki-67 in the test group was 42,13%, the largest value amounted to 57% and the lowest of 33%. Average value of Bax was 1.47 and ranged between 0-3. High index of bax appear not only in the bottom of the crypt, but also at their outlet.Conclusions. In ulecerative colitis genetic and immunological disturbances occur despite treatment. Mesalazine acting only on certain routes associated with the UC holds the remission, without, however "the molecular remission". Thus, it appears that the results of our research are another proof of the necessary caution in weaning support treatment.
Źródło:
Polish Journal of Surgery; 2012, 84, 6; 271-275
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Legal grounds for 'extending the scope or type of procedure'
Autorzy:
Zajdel, Justyna
Dziki, Adam
Dziki, Łukasz
Krakowiak, Anna
Zajdel, Radosław
Powiązania:
https://bibliotekanauki.pl/articles/986991.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
extending the scope of operative field
informed consent
informed refusal
legality of operation
withdrawal from health
service provision
Opis:
Introduction. The development of patient rights and increasing number of lawsuits based on medical malpractice make medical doctors constantly improve knowledge regarding the acceptability of changing the scope of operation. This is particularly important when patients have expressed their refusal to changing the scope and type of procedure (ESTP) or no informed consent (IC) has been obtained from the patient prior to the procedure. Method. The method of study comprised content analysis of existing legislation. The current jurisprudence and doctrine were confronted with existing regulations. An algorithm of correct formal procedures was elaborated. Results. The doctor has right to realize ESTP when the patient has not given the consent to it or the refusal expressed by him was not fully conscious. Healthcare providers are absolutely prohibited from realizing ESTP when patient objected to any changes being thoroughly informed by the physician prior to the operation. When patient refuses possible ESTP, the doctor has the right to withdraw from performing surgery but should inform the patient about other places, where a similar procedure can be provided.
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 4
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
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