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    Wyświetlanie 1-6 z 6
    Tytuł:
    The Application of Negative Pressure Wound Therapy with Installation in Diabetic Foot Associated with Phlegmon
    Autorzy:
    Wachal, Krzysztof
    Szmyt, Krzysztof
    Wachal, Magda
    Stanisic, Michał
    Powiązania:
    https://bibliotekanauki.pl/articles/1395568.pdf
    Data publikacji:
    2015-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    negative pressure wound therapy with installation
    V.A.C. Ulta
    diabetic foot
    phlegmon of the foot
    insulin
    Opis:
    The negative pressure wound therapy in the treatment of diabetic foot ulcers was used successfully for many years. In the case of complications associated with infection by this type of wound treatment to give very good results. From many years of sustained research on a device that could combine the advantages of the negative pressure wound therapy and drainage flow. Finally, in the last year, the first V.A.C. Ulta (KCI, USA) devices were included to the Polish hospital departments. In this paper we present a case of a patient of successfully using a negative pressure wound therapy with installation via a set of V.A.C. Ulta in the ischemic diabetic foot syndrome complicated by phlegmon and tissue necrosis. The patient was treated in stages. In first stage was performed angioplasty of critically stenosis of the superficial femoral artery segment. Secondly, the resection of the necrotic bone revised fingers and forefoot was conducted, and in the third step the negative pressure wound therapy with installation was used. Finally, the wound was closed by the intermediate thickness skin graft. The total duration of treatment was 21 days. The patient in good general condition with a completely healed wound was discharged. Currently, after the supply with orthopedic equipment, patient regained full mobility.
    Źródło:
    Polish Journal of Surgery; 2015, 87, 3; 143-147
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Comparison of the Effectiveness of the Treatment Using Standard Methods and Negative Pressure Wound Therapy (NPWT) in Patients Treated with Open Abdomen Technique
    Autorzy:
    Szmyt, Krzysztof
    Krokowicz, Łukasz
    Bobkiewicz, Adam
    Cybułka, Bartosz
    Ledwosiński, Witold
    Gordon, Maciej
    Alammari, Ahmed
    Banasiewicz, Tomasz
    Drews, Michał
    Powiązania:
    https://bibliotekanauki.pl/articles/1395206.pdf
    Data publikacji:
    2015-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    C-reactive protein
    negative pressure wound therapy
    open abdomen
    Opis:
    Open abdomen technique is a surgical treatment in which the fascia and skin are left open in order to reduce the value of the intra-abdominal pressure. According to the World Society of the Abdominal Compartment Syndrome (WSACS) normal values of the intra-abdominal pressure are between 5 and 7 mm Hg. Intra-abdominal hypertension occurs when the pressure value is equal to or exceeds 12 mm Hg. The aim of the study was to compare the results of the open abdomen treatment using standard methods and negative pressure wound therapy. Material and methods. The study was in the form of a retrospective analysis of the documentation of the patients treated with open abdomen technique. The study included 37 patients treated in the Department of General and Endocrine Surgery and Gastroenterological Oncology and in the Department of Anesthesiology and Intensive Care of the Medical Sciences since 2009-2012. Patients were divided into two groups: group 1 (n = 20) was treated with standard surgical procedures (laparostomy, repeated peritoneal cavity lavage) and group 2 (n =17) was treated using negative pressure wound therapy (NPWT). The analysed clinical data included the period of hospitalization and clinical outcome (survival vs death), the occurrence of enteroatmospheric fistulae, cyclical determination of the quantitative C-reactive protein levels. Results. The number of deaths during hospitalization in the group treated with NPWT was lower than in the group treated with standard methods (3 vs 9). The number of fistulae during hospitalization in the group treated with NPWT dropped as compared to the group treated using standard procedures (18% vs 70%). The decrease in the CRP levels was recorded in the group treated with NPWT and its increase - in the group treated with standard methods. Conclusions. The use of NPWT in patients requiring open abdomen treatment is reasonable due to the positive results with respect to survival rates and the decrease in the number of gastrointestinal fistulae. It is necessary to train the physicians in using this type of therapy in the form of workshops and in the clinical setting.
    Źródło:
    Polish Journal of Surgery; 2015, 87, 1; 22-30
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Surgical methods of treatment of intestinal passage disturbances with the characteristics of constipation in patients with intestinal stoma based on own experience
    Autorzy:
    Krokowicz, Łukasz
    Sławek, Sylwia
    Ledwosiński, Witold
    Bobkiewicz, Adam
    Borejsza-Wysocki, Maciej
    Kuczyńska, Barbara
    Szmyt, Krzysztof
    Paszkowski, Jacek
    Drews, Michał
    Banasiewicz, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/1395605.pdf
    Data publikacji:
    2015-04-01
    Wydawca:
    Index Copernicus International
    Tematy:
    end colostomy
    loop colostomy
    constipation
    parastomal hernia
    Opis:
    Stoma is an intestinal fistula created in emergency or by elective indications, and it is done to drain out the digestive tract content. In some patients there is a disturbance passage of gastric contents through the stoma, which may take the form of chronic constipation or even periodic subileus that will sooner or later require surgical treatment. The aim of the study was the assessment of the causes and method of treatment of constipation in patients with intestinal stoma. Material and methods. A total of 331 patients with stoma followed by Ostomy and Proctology Outpatient Clinic were included in the study in the years 2011-2014. The study included 146 women and 185 men and the average age was 61.3 ± 12.7 years. Within the entire froup, 273 patients had the end stoma performed whereas in 58 patients the loop stoma was created. The highest percentage of patients were the ones with diverticulosis and colorectal cancer, i.e. 132 and 114 patients respectively. A stoma was created in 35 patients due to inflammatory bowel disease (IBD), in 23 patients because of cancer, in 14 as a result of injuries and in 13 due to rectovaginal fistula. Results. Out of the entire group subject to study (331 patients) 93 patients (28.1%) suffered from constipation. 50 patients with constipation required surgical intervention. The most common indication for surgical treatment was the parastomal hernia (36 patients, 72%), other indications were the narrowing of the stoma (5 patients, 10%), its collapse (6 patients, 12%) or prolapse (3 patients, 6%). Parastomal hernia was responsible for 84% of constipation within the stoma and 86.1% were treated with laparotomy (31 out of 36 patients). Other causes of constipation were the stomal stenoses (5 patients), collapse of the stoma (6 patients) and stomal prolapse (3 patients). All patients were treated surgically with a good final result. Conclusions. Constipation associated with dysfunction of the stoma in most cases should be treated surgically. Parastomal hernia is the most common cause of constipation in the stoma. Treatment should be performed in due time because of the possibility of developing complications, especially dangerous one is a strangulated parastomal hernia and ischemia of stoma.
    Źródło:
    Polish Journal of Surgery; 2015, 87, 4; 160-165
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Ancient woodland indicator plant species in the parks and gardens of the Pomeranian Cistercian Trail
    Autorzy:
    Sobisz, Zbigniew
    Kubus, Marcin
    Szmyt, Ewa
    Strzalkowski, Krzysztof
    Powiązania:
    https://bibliotekanauki.pl/articles/2025982.pdf
    Data publikacji:
    2021
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    Cistercians
    ancient woodland
    indicator species
    parks and gardens
    Pomerania
    Opis:
    The research aimed to make an inventory of the vascular flora of 11 parks and gardens of the Pomeranian Cistercian Trail, with particular emphasis on taxa attached to old deciduous forests. A total of 62 species were registered, recognised as indicators of old deciduous forests in Poland. The presence of species of this group was confirmed in all of the analysed objects, but their number varied from 7 to 50. The group of ancient woodland species includes forest species for which the light indicator values are lower than or equal to 4 (plants of shadowy places, with a relative light intensity). The group of indicator species also includes forest geophytes and forest myrmecochores, autochores and barochores, as well as woodland species that can tolerate stress, under the classification of ecological strategy types S, S/CSR, S/SC and S/SR.
    Źródło:
    Studia Quaternaria; 2021, 38, 2; 133-141
    1641-5558
    2300-0384
    Pojawia się w:
    Studia Quaternaria
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Severe deep neck infections successfully treated with negative pressure wound therapy with instillation - a case report
    Autorzy:
    Krzysztof, Szmyt,
    Adam, Bobkiewicz,
    Łukasz, Krokowicz,
    Tomasz, Banasiewicz,
    Powiązania:
    https://bibliotekanauki.pl/articles/776400.pdf
    Data publikacji:
    2020
    Wydawca:
    Fundacja Medigent
    Opis:
    Background: Deep neck infection (DNI) is a life-threatening complication associated with significant mortality and morbidity rates. The most common causes of DNI are the tonsilitis, dentitis, salivary glands inflammation, malignancies, and foreign bodies. As a result of neck infection, patients are at high risk of potential secondary complications which include: descending mediastinitis, pleural empyema, septicemia, jugular vein thrombosis, pericarditis. We presented a case of successful management of DNI with the utility of negative pressure wound therapy with instillation (iNPWT). Method: A 37-year-old male with deep neck infection due to dentitis was qualified for iNPWT. Due to previous incisions and drainage of the neck abscesses, some undermined wounds drained towards each other’s were revealed with an excessive amount of purulent content. Standard NPWT dressing was placed and polyurethane foam was covered with contact layer dressing. Additionally, an inflow drain was placed within one of the wounds in regard to instill an antimicrobial solution. The wound was instilled four times daily. Results: The patient underwent a total of eight iNWPT sessions. Locally, a reduction in purulent content was achieved with a decrease of wounds’ dimensions and improvement of wound bed granulation. Moreover, improvement of the patient’s general condition and decrease of inflammatory markers was achieved. Conclusions: iNPWT may play an important role in the management of combined, complicated wounds due to DNI. The instilled antimicrobial solution facilitates dissolving and removing of the purulent content that impairs the wound healing.
    Źródło:
    Negative Pressure Wound Therapy Journal; 2020, 7, 2; 10-14
    2392-0297
    Pojawia się w:
    Negative Pressure Wound Therapy Journal
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-6 z 6

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