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    Wyświetlanie 1-5 z 5
    Tytuł:
    The Value of Scoring Systems for the Diagnosis of Acute Appendicitis
    Autorzy:
    Walczak, Dominik A.
    Pawełczak, Dariusz
    Żółtaszek, Agata
    Jaguścik, Rajmund
    Fałek, Wojciech
    Czerwińska, Monika
    Ptasińska, Karolina
    Trzeciak, Piotr W.
    Pasieka, Zbigniew
    Powiązania:
    https://bibliotekanauki.pl/articles/1395540.pdf
    Data publikacji:
    2015-02-01
    Wydawca:
    Index Copernicus International
    Tematy:
    acute appendicitis
    scoring systems
    diagnosis
    appendectomy
    symptoms
    signs
    Opis:
    Accurate diagnosis of acute appendicitis (AA) is still a problem and is not always easy, even for experienced surgeons. Studies have shown that 20 to 30% of the appendices removedwere normal. Therefore, various scoring systems have been developed to aid in the diagnosis of doubtful cases and reduce the number of unnecessary appendectomies. The aim of this study was to assess the diagnostic value of different scoring systems in acute appendicitis. Material and methods. The study involved 94 patients who underwent laparotomy due to suspected acute appendicitis. Medical examination at hospital admission was performed by a resident and a general surgery specialist. The probability of AA was evaluated using six different scoring systems: Alvarado, Fenyo, Eskelinen, Ohman, Tzankis, and RIPASA. The resident calculated the results in individual systems. The decision to perform the operation was taken by a specialist surgeon who did not know the results. Results. Normal appendix was removed in 26% of cases. Eskelinen, RIPASA and Alvarado systems showed highest sensitivity (99%, 88% and 85%, respectively). Tzankis and Fenyo systems showed highest specificity (62% and 50%, respectively). Conclusions. Our study has shown limited value of scoring systems for the diagnosis of acute appendicitis. The systems may improve diagnostic accuracy as they require obtaining a more detailed medical history, and making a more thorough and organized data analysis. However, the scoring systems should be treated only as an aid to diagnosis
    Źródło:
    Polish Journal of Surgery; 2015, 87, 2; 65-70
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Abdominal cavity eventration treated by means of the „open abdomen” technique using the negative pressure therapy system – case report and literature review
    Autorzy:
    Trzeciak, Piotr
    Porzeżyńska, Joanna
    Ptasińska, Karolina
    Walczak, Dominika
    Powiązania:
    https://bibliotekanauki.pl/articles/1394326.pdf
    Data publikacji:
    2015
    Wydawca:
    Index Copernicus International
    Tematy:
    wound dehiscence
    negative pressure wound therapy
    dressing
    open abdomen
    laparotomy
    Opis:
    Wound dehiscence is a surgical complication in which the wound ruptures along the surgical suture with abdominal cavity bowel displacement. It is observed in 0.2‑6% of operated patients. The extensive wound is a gateway for infection. Moreover, increased secretion of serous fluid induces a hygienic problem and may lead to secondary skin infections or bedsores. The negative pressure wound therapy (NPWT) system is an innovative therapeutic method. It perfectly executes the TIME strategy, receiving more and more recognition. The study presented a case of a 62-year old male patient after several consecutive wound dehiscence episodes who was primarily treated for rectal cancer by means of low anterior resection of the rectum. Due to acute respiratory insufficiency after several operations, wound necrosis with dehiscence was observed. Considering the high risk of perioperative death we abandoned surgical treatment and introduced conservative management using negative pressure wound therapy until the patient’s health improved. Literature regarding the above-mentioned issue was also reviewed.
    Źródło:
    Polish Journal of Surgery; 2015, 87, 11; 592-597
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Management of large chronic venous leg ulcers with negative pressure wound therapy
    Autorzy:
    Andrzej, Walczak, Dominik
    Michał, Wojtyniak,
    Rajmund, Jaguścik,
    Jadwiga, Porzeżyńska, Joanna
    Wojciech, Fałek,
    Monika, Czerwińska,
    Karolina, Ptasińska,
    Leokadia, Kozaczek,
    Bartosz, Szymański,
    Wojciech, Trzeciak, Piotr
    Powiązania:
    https://bibliotekanauki.pl/articles/776390.pdf
    Data publikacji:
    2017
    Wydawca:
    Fundacja Medigent
    Opis:
    Introduction: Venous leg ulcers (VLU) occur in 1\% of the adult population and are associated with chronic disability, diminished quality of life and high health-care costs. Treatment is often slow, difficult and recurrence is high because of inappropriate conditions of the wound bed. Patients and Methods: This study involves 14 patients with chronic venous ulcers larger than 100 cm\textsuperscript{2} treated with negative pressure wound therapy (NPWT). Patients underwent a radical debridement of all devitalized tissues and partial stripping of an insufficient great saphenous vein in the first operation. After adequate haemostasis, NPWT kit was applied. Once the wounds were determined to be clean and adequate granulation tissue formation was achieved, split-thickness skin grafts were applied. Dressing impregnated with neutral triglycerides and silver ions was used as a first layer and the black polyurethane NPWT foam was applied over it. The pain assessment was performed for 7 patients using 10 cm visual analog scale (VAS). Results: The mean number of NPWT dressing changes prior to grafting was 5.8. The mean number of NPWT foam changes was 2.8 after skin grafting. We accomplished complete healing of 92\% of applied skin grafts surface. One patient had recurrence of venous ulcers in the follow-up period. Moreover, one patient required regrafting. Conclusions: The application of NPWT provides quick wound-bed preparation and high graft take in venous ulcer treatment.
    Źródło:
    Negative Pressure Wound Therapy Journal; 2017, 4, 2
    2392-0297
    Pojawia się w:
    Negative Pressure Wound Therapy Journal
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Novel Technique for Treating Multiple Wounds with Negative Pressure Wound Therapy
    Autorzy:
    Andrzej, Walczak, Dominik
    Rajmund, Jaguśik,
    Karolina, Ptasińska,
    Michał, Wojtyniak,
    Wojciech, Trzeciak, Piotr
    Powiązania:
    https://bibliotekanauki.pl/articles/776370.pdf
    Data publikacji:
    2015
    Wydawca:
    Fundacja Medigent
    Opis:
    Treatment of separate wounds on the same patient with one NPWT device may be challenging. We present novel, cost-effective technique for multiple wounds management.
    Źródło:
    Negative Pressure Wound Therapy Journal; 2015, 2, 2
    2392-0297
    Pojawia się w:
    Negative Pressure Wound Therapy Journal
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The use of NPWT in combination with silver dressing in diabetic foot syndrome – case report
    Autorzy:
    Andrzej, Walczak, Dominik
    Rajmund, Jaguścik,
    Karolina, Ptasińska,
    Leokadia, Kozaczek,
    Wojciech, Trzeciak, Piotr
    Powiązania:
    https://bibliotekanauki.pl/articles/776406.pdf
    Data publikacji:
    2014
    Wydawca:
    Fundacja Medigent
    Opis:
    Patients with diabetes mellitus are at increased risk of angiopathy, neuropathy and infection compared with healthy individuals and that may lead to foot disorders. Treatment is difficult challenging and if it is not successful it often run to lower limbs amputations.We present case report of 63 years old man after amputation of big toe and part of metatarsus due to diabetic foot syndrome, successfully treated with negative pressure wound therapy in combination with silver dressing. The literature regarding this issue was also reviewed.
    Źródło:
    Negative Pressure Wound Therapy Journal; 2014, 1, 1
    2392-0297
    Pojawia się w:
    Negative Pressure Wound Therapy Journal
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-5 z 5

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