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Wyszukujesz frazę "abdominal hernia" wg kryterium: Temat

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    Wyświetlanie 1-7 z 7
    Tytuł:
    Laparoscopic Treatment of Abdominal Hernia – 5 Years of Experience
    Autorzy:
    Litarski, Andrzej
    Pawełczyk, Jerzy
    Majcherek, Jarosław
    Janczak, Dawid
    Pawłowski, Lech
    Rucińska, Zuzanna
    Janczak, Dariusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1395771.pdf
    Data publikacji:
    2014-08-01
    Wydawca:
    Index Copernicus International
    Tematy:
    abdominal hernia repair
    laparoscopy
    complications
    Opis:
    Laparoscopic surgery has become a well approved method of abdominal hernias treatment in recent years. Due to the advancement of laparoscopy and the use of improved synthetic materials laparoscopic surgery is characterized not only by low complication but also by a short period of recovery after surgery. The aim of the study was a retrospective analysis of the results of laparoscopic abdominal hernia surgeries (IPOM). Material and methods. Between year 2007 and 2012, 65 patients aged between 29 to 76 underwent laproscopic abdominal hernia surgeries due to either primary or postoperative abdominal hernias. All patients were examined in perioperative period, after 12 and 24 months after surgery in search of complications, pain and reccurence. Recovery period was also estimated. Results. In most cases postoperative pain was estimated from 1 to 4 on VAS scale. The most frequent complications were seromas that occured in 3 patients. The other complications were pneumothorax, wound hematoma and wound infection that occured once each. One patient required reoperation due to wound hematoma. Chronic postoperative pain was diagnosed in 3 patients and 4 recurrences were stated. Conclusions. Laparoscopic therapy of abdominal hernias is a safe operative method characterized by low recurrence and complication rates as well as short hospital stay and quick recovery. This technique is restricted by high material costs and the lack of full refund for the procedure.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 8; 353-358
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Evaluation of the Levels of Metalloproteinsase-2 in Patients with Abdominal Aneurysm and Abdominal Hernias
    Autorzy:
    Antoszewska, Magdalena
    Powiązania:
    https://bibliotekanauki.pl/articles/1396355.pdf
    Data publikacji:
    2013-05-01
    Wydawca:
    Index Copernicus International
    Tematy:
    abdominal aortic aneurysm
    abdominal hernia
    matrix metalloproteinases (MMP-s)
    extracellular matrix (ECM)
    fascia
    Opis:
    Abdominal aortic aneurysms and abdominal hernias become an important health problems of our times. Abdominal aortic aneurysm and its rupture is one of the most dangerous fact in vascular surgery. There are some theories pointing to a multifactoral genesis of these kinds of diseases, all of them assume the attenuation of abdominal fascia and abdominal aortic wall. The density and continuity of these structures depend on collagen and elastic fibers structure. Reducing the strengthof the fibersmaybedue to changes in the extracellular matrix (ECM) by the proteolytic enzymes-matrix metalloproteinases (MMPs) that degrade extracellular matrix proteins. These enzymes play an important role in the development of many disease: malignant tumors (colon, breast, lung, pancreas), cardiovascular disease (myocardial infarction, ischemia-reperfusion injury), connective tissue diseases (Ehler-Danlos Syndrome, Marfan’s Syndrome), complications of diabetes (retinopathy, nephropathy). One of the most important is matrix metalloproteinase-2 (MMP-2). The aim of the study was an estimation of the MMP-2 blood levels in patients with abdominal aortic aneurysm and primary abdominal hernia, and in patients with only abdominal aortic aneurysm. Material and methods. The study involved 88 patients aged 42 to 89 years, including 75 men and 13 women. Patients were divided into two groups: patients with abdominal aortic aneurysm and primary abdominal hernia (45 persons, representing 51.1% of all group) and patients with only abdominal aortic aneurysm (43 persons, representing 48,9% of all group). Results. It was a statistically significant increase in MMP-2 blood levels in patients with abdominal aortic aneurysm and primary abdominal hernia compared to patients with only abdominal aortic aneurysm. It was a statistically significant increase in the prevalence of POCHP in patients with only abdominal aortic aneurysm compared to patients with abdominal aortic aneurysm and primary abdominal hernia. Conclusions. Statistically significant higher MMP-2 blood levels in patients with abdominal aortic aneurysm and primary abdominal hernia seems shows that this enzyme plays a role in the pathogenesis of primary abdominal hernias. The observed distribution of MMP-2 blood levels in patients with abdominal aortic aneurysm and primary abdominal hernia may raise the conclusion that this enzyme determines the presence of multi-organ failure of the connective tissue - the patients with only abdominal aortic aneurysm had significantly lower MMP-2 blood levels.
    Źródło:
    Polish Journal of Surgery; 2013, 85, 5; 271-278
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Intraperitoneal alloplasty combined with the anterior component separation in giant incisional hernias
    Autorzy:
    Feleshtynskyi, Yaroslav
    Lerchuk, Orest
    Smishchuk, Vitalii
    Vatamaniuk, Volodymyr
    Powiązania:
    https://bibliotekanauki.pl/articles/1392384.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    giant postoperative abdominal hernia
    ACST
    IPOM
    onlay
    ACS
    seroma
    suppuration
    meshoma
    Opis:
    The use of the anterior technique for abdominal wall components separation combined with “onlay” alloplasty (ACST + onlay) in giant incisional hernias (IH) may pose a surgical challenge as it does not exclude increased intra-abdominal pressure (IAP) and the occurrence of abdominal compartment syndrome (ACS). There remains a high incidence of surgical site complications. In our view, the use of intra-abdominal alloplasty combined with anterior separation of the anterior abdominal wall components (ACST + IPOM) will contribute to the improvement of surgical outcomes in giant IH. Purpose: to improve the results of surgical treatment of giant IH using ACST + IPOM. Materials and methods: Analysis of surgical treatment of 164 patients with giant IH aged 30 to 75 (mean age 54.7 ± 3.3). Depending on the surgery, the patients were divided into two groups. Group I (82 patients) consisted of patients who underwent our modified technique, including ACST + IPOM. The surgery in group II (82 patients) involved ACST + onlay. Results and discussion: As compared with ACST + onlay, ACST + IPOM surgery contributes to a significantly reduced incidence of ACS [6.1% (group II) versus 0 (group I), (p <0.05)], seroma [25.6% versus 7.3%, p <0.05], surgical site infection (SSI) [4.9% versus 2.4%, p> 0.05], meshoma [3.7% versus 0] and hernia recurrences [6.5% versus 1.6%, p> 0.05]. Conclusions: IAP value equal or exceeding 9.1 mmHg (1.2 kPa) during surgery in approximated rectus muscles is prognostic for ACS occurrence and requires intraoperative preventive measures. Utilization of ACST + IPOM in giant IH ensures an optimal abdominal cavity volume without a substantial increase in IAP and reduces the probability of ACS, whereas the use of ACST + onlay results in ACN in 6.1% (p <0.05) patients. Reduced contact of the mesh with the subcutaneous tissue in ACST + IPOM contributes to a significantly lower incidence of seroma [7.3% vs 25.6% (p <0.05)], surgical site infection (SSI) [2.4% vs 4.9% (p> 0.05)], postoperative wound infiltrate [2 (2.4%) vs. 11 (13.4%) (p <0.05)], chronic postsurgical pain [1 (1.6%) vs. 5 (8.1%) (p> 0.05)] and recurrent IH [1 (1.6%) vs. 4 (6.5%) (p> 0.05)] as compared with ACST + onlay technique.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 1; 1-5
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Komputerowa symulacja membrany stosowanej w leczeniu przepuklin brzusznych
    Numerical simulation of membrane structure used in the treatment of abdominal hernia
    Autorzy:
    Szepietowska, K.
    Powiązania:
    https://bibliotekanauki.pl/articles/99161.pdf
    Data publikacji:
    2011
    Wydawca:
    Politechnika Śląska. Katedra Biomechatroniki
    Tematy:
    przepuklina brzuszna
    membrana
    implant syntetyczny
    zszywki
    abdominal hernia
    membrane
    synthetic implant
    joint
    Opis:
    Z uwagi na częste nawroty choroby i chęć zminimalizowania bólu u pacjentów po operacjach przepukliny wykonanych metodą wideoskopową, lekarze poszukują optymalnej liczby zszywek łączących implant z tkanką ludzką. Celem pracy jest analiza wpływu warunków brzegowych na siłę ścinająca zszywki. Metodą Elementów Skończonych przeanalizowano dwa modele membran: z podporami sztywnymi i z podporami sprężystymi. Wywnioskowano, że przyjmowanie modelu z podporami sprężystymi jest bardziej wskazane, ponieważ model ten jest bezpieczniejszy i bardziej odpowiada rzeczywistości.
    Due to frequent recurrences and desire to minimize pain after hernia repair operation, physicians are looking for the optimal number of joints which connect implant with human tissue. The main aim of this study is to analyze the influence of boundary conditions on the shear strength in joints. Two models of membrane have been analyzed using Finite Element Method: with stiff supports and with elastic supports. In conclusion, the solution with elastic supports seems to be more appropriate due to the boundary conditions closer to real tissue-implant system and also safer if considering the shear force value in the joints.
    Źródło:
    Aktualne Problemy Biomechaniki; 2011, 5; 159-164
    1898-763X
    Pojawia się w:
    Aktualne Problemy Biomechaniki
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Anticoagulants as a Risk Factor in Patients Operated on for Abdominal Hernia
    Autorzy:
    Piątek, Barbara
    Piwnik, Marcin
    Podgórski, Michał
    Strzelczyk, Janusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1395815.pdf
    Data publikacji:
    2014-06-01
    Wydawca:
    Index Copernicus International
    Tematy:
    abdominal hernia
    anticoagulants
    acetylsalicylic acid
    low-molecular-weight heparin
    vitamin K antagonists
    haemorrhagic complications
    Opis:
    The aim of the study was to determine whether patients treated with anticoagulants in the perioperative period are at higher risk of developing bleeding complications. Material and methods. Medical records of patients operated for abdominal hernia were analysed. Data concerning demographic characteristic of a group, type of hernia, comorbidities, preoperative anticoagulation therapy and complications were collected. Association of applied anticoagulation therapy with the time of drainage, the amount of drained discharge and the length of hospitalisation was evaluated. Results. Analysed group consisted of 186 patients. Thirty seven patients were treated with different schemes of anticoagulant therapy before the the surgery. Patients treated with triple anticoagulation therapy (acetylsalicylic acid, low-molecular weight heparin, vitamin K antagonists) had significantly longer time of drainage in comparison to patients treated according to other schemes (p<0.05). The amount of drained discharge and time of hospitalisation did not differ significantly. Neither comorbidities nor the administration of low-molecular weight heparin did not affect the analysed parameters. Conclusions. Patients operated on abdominal hernia, who were treated with triple anticoagulation therapy in peri-operative period, require significantly longer drainage of the wound what can result in prolonged hospitalisation
    Źródło:
    Polish Journal of Surgery; 2014, 86, 6; 263-267
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Efficacy evaluation of case-specific approach for surgical treatment of incisional ventral hernia
    Autorzy:
    Sokolova, Svetlana
    Sherbatykh, Andrey
    Tolkachev, Konstantin
    Beloborodov, Vladimir
    Dulskiy, Vadim
    Kozlova, Natalia
    Powiązania:
    https://bibliotekanauki.pl/articles/1391517.pdf
    Data publikacji:
    2021
    Wydawca:
    Index Copernicus International
    Tematy:
    surgery
    ventral hernia
    abdominal wall
    endoprostheses
    life quality
    Opis:
    The Aim of research is to improve the results of surgical treatment of incisional ventral hernia by applying a case-specific approach and a new method of plastic repair of anterior abdominal wall. The prospective controlled dynamic study is based on incisional ventral hernia treatment results with the use of meshed endoprostheses among 219 patients. On-lay alloplasty was used in patients younger than 60 years of age, without severe concomitant pathology, with small and medium hernias and anterior abdominal wall defect of up to 10 cm (W1 - W2). The article shows a selection algorithm for anterior abdominal wall plastic repair method. It goes through advantages of the author’s proprietary technique. The article displays frequency and patterns of complications, life quality of the patients after various prosthetic plastic repairs. In the main group, positive treatment results were observed in 65.0%, long-term results of the operation were observed in 88.4%, complications occurred in 13.6%, relapse in 4.5%. «On lay» treatment tactics showed positive results in 59.4%, long-term results of the operation were observed in 74.7%, complications occurred in 40%, relapse in 3.1%. After «sub lay» intervention, excellent results were observed in 40.0% of patients, long-term results of the operation were observed in 81.9%, complications occurred in 12%, and relapse in 1.4%.
    Źródło:
    Polish Journal of Surgery; 2021, 93, 5; 1-5
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Przepukliny Spigla w badaniu ultrasonograficznym
    Sonographic imaging of Spigelian hernias
    Autorzy:
    Smereczyński, Andrzej
    Kołaczyk, Katarzyna
    Lubiński, Jan
    Bojko, Stefania
    Gałdyńska, Maria
    Bernatowicz, Elżbieta
    Powiązania:
    https://bibliotekanauki.pl/articles/1061363.pdf
    Data publikacji:
    2012
    Wydawca:
    Medical Communications
    Tematy:
    Spigelian ernias
    abdominal integument
    hernia sac contents
    treatment
    ultrasound examination
    badanie ultrasonograficzne
    leczenie
    powłoki brzuszne
    przepukliny spigla
    zawartość worka
    Opis:
    The aim of the work was to present clinical material referring to rarely occurring abdominal cavity hernias in semilunar line – Spigelian hernias diagnosed with the help of ultrasound. Material and methods: In the period from 1995 to 2001 785 anterior abdominal wall hernias were diagnosed including 11 Spigelian hernias (1.4%) diagnosed in 10 patients (7 women and 3 men) aged from 38 to 65 years old (average age 48). Eight patients complained of spastic pain in abdomen, in 5 of them it was accompanied by bloating and sometimes loud peristalsis. All the patients had been observing the mentioned symptoms from 2 to 5 years. Each of them had had colonoscopy and abdominal cavity ultrasound examination performed, some of them even three times. In 3 women with uterine fibroid the uterus was removed which did not eliminate the symptoms. The ultrasound examination of the abdominal integument was performed mainly with the use of linear transducers of the frequency of 7–12 MHz; in obese patients also convex transducers were used (3,5–6 MHz). Each examination of abdominal integument included the assessment of the following areas: linea alba from xiphoid process to pubic symphysis including umbilicus, both semilunar lines from costal margins to pubic bones, and also inguinal areas. Moreover, all types of postoperative scars were examined. Each hernia was assessed in terms of size (the greatest dimension), hernia sac contents, width of the ring and reducibility under the compression of the transducer. Moreover, cough test and Valsalva’s maneuver were performed. Generally, the examination was performed in a standing position. Results: In 9 patients hernias were localized unilaterally, in one patient bilaterally. In 7 cases the hernia sac contained small bowel, in 2 cases the preperitoneal and omental fat, and in 2 cases preperitoneal fat only. Eight patients presenting with clinical symptoms underwent operative repair. Conclusion: Ultrasound examination is beneficial in confirming the diagnosis of Spigelian hernias especially in terms of proper, therapeutic decision‑making.
    Celem pracy było zaprezentowanie materiału klinicznego dotyczącego rzadko występujących przepuklin jamy brzusznej w kresie półksiężycowatej – przepuklin Spigla rozpoznanych za pomocą ultrasonografii. Materiał i metoda: W okresie od 1995 do 2011 roku w badaniu ultrasonograficznym rozpoznano 785 przepuklin powłok przedniej ściany brzucha, w tym 11 przepuklin Spigla (1,4%), stwierdzonych u 10 chorych (7 kobiet i 3 mężczyzn) w wieku od 38 do 65 lat (średnia 48 lat). Ośmiu pacjentów skarżyło się na kurczowe bóle w podbrzuszu, przy czym u 5 towarzyszyły temu wzdęcia brzucha i niekiedy głośna perystaltyka. Wszyscy wymienione objawy obserwowali od 2 do 5 lat. Każdy z nich miał wykonane badanie kolonoskopowe i ultrasonograficzne jamy brzusznej, niektórzy nawet trzykrotnie. U 3 kobiet usunięto zmienioną mięśniakowato macicę, co nie wyeliminowało dolegliwości. Badania ultrasonograficzne powłok brzusznych przeprowadzono głównie głowicami liniowymi o częstotliwości 7–12 MHz; u osób otyłych stosowano również głowice konweksowe (3,5–6 MHz). Badanie powłok brzusznych obejmowało ocenę następujących okolic: kresy białej od wyrostka mieczykowatego mostka do spojenia łonowego łącznie z pępkiem, obu kres półksiężycowatych od łuków żebrowych do kości łonowych, a także okolic pachwin. Ponadto badano wszelkie blizny pooperacyjne. Każdą przepuklinę oceniano pod względem wielkości (największy wymiar), zawartości worka przepuklinowego, szerokości wrót i odprowadzalności przy ucisku głowicą. Ponadto stosowano próbę kaszlową i Valsalvy. Zasadniczo badanie przeprowadzano w pozycji stojącej. Wyniki: U 9 osób przepukliny były zlokalizowane jednostronnie, u 1 osoby obustronnie. W 7 przypadkach worek przepuklinowy zawierał jelito cienkie, w 2 przypadkach – tłuszcz przedotrzewnowy i sieć, a w pozostałych 2 przypadkach – tylko tłuszcz przedotrzewnowy. U 8 chorych przepukliny powodowały objawy kliniczne; osoby te zostały zoperowane. Wniosek: Badanie ultrasonograficzne spełnia wymogi skutecznej metody diagnostycznej w diagnostyce przepuklin Spigla i pozwala na podjęcie właściwej decyzji terapeutycznej.
    Źródło:
    Journal of Ultrasonography; 2012, 12, 50; 269-275
    2451-070X
    Pojawia się w:
    Journal of Ultrasonography
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-7 z 7

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