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    Wyświetlanie 1-11 z 11
    Tytuł:
    An Evaluation of the Efficacy of Microvascular Breast Reconstruction Techniques
    Autorzy:
    Dobrut, Mirosław
    Maciejewski, Adam
    Półtorak, Stanisław
    Powiązania:
    https://bibliotekanauki.pl/articles/1396030.pdf
    Data publikacji:
    2013-01-01
    Wydawca:
    Index Copernicus International
    Tematy:
    breast reconstruction surgery
    Opis:
    The aim of the studywas to evaluate the efficacy of different microvascular techniques in breast reconstruction with the analysis of postoperative complications. The additional goal of the study is to analyze the quality of life of patients after microvascular breast reconstruction in comparison to the control group of patients who underwent only mastectomy without any reconstructive procedures. Also the algorithm of breast reconstruction is presented as the result of own experiences. Material and methods.Clinical material contain 2 groups of patients - women after surgical treatment in Department of Oncological and Reconstructive Surgery, Cancer Center in Gliwice in the year 2004-2009 where in 53 cases immediate and in 26 delayed breast microvascular reconstruction were performed. In all cases the diagnosis of cancer was proved by histopathological biopsy before the treatment. The type of radical resection (mastectomy) depended on histopathological type of cancer and its localization. The reconstruction - immediate vs delayed was carefully planned together with oncological treatment of the cases. Everywhere this plan was established based on carefully examinations of inferior epigastric vessels and theirs perforators. The choice between immediate and delayed microvascular reconstruction was based on prognosis and predictive factors. The QOL was analyzed due to own questionnaire when functional, aesthetics and social effects were evaluated. ResultsFree flap survival rate for all types of free flap was 95%. In cases where classic TRAM was used the rate was 85%, in cases where muscle sparring TRAM was chosen the survival rate was 100% and in remaining cases of DIEP reconstructions the rate was 89%. Generally the complications after microvascular reconstruction occurred in 13 cases (16%). In 9 cases the problems with flaps perfusion were notified. Total flap necrosis was observed in 2 TRAM and in 2 DIEP cases. In all those cases salvage surgery was administered in which the microanastomoses were explored and repaired. In 5 cases the cause of the complications was venous thrombosis, in 2 cases the vascular pedicle was kinked, and in remaining 1 the arterial thrombosis was found. The second type of complication was fat necrosis (<25% of flap volume) which was observed in 5 cases between 1 and 4 months after surgery, and it request minor plastic surgery. Donor site complications were noted in 4 cases. In two of those hernia in cicatrices was diagnosed (both were classic TRAM’s), in remaining 2 in which also fully muscle TRAM was classic the weakness of abdominal wall was observed. In group were msTRAM and DIEP were used no donor site complications occurred.
    Źródło:
    Polish Journal of Surgery; 2013, 85, 1; 6-11
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Bilateral risk-reducing mastectomy – surgical procedure, complications and financial benefit
    Autorzy:
    Gierej, Piotr
    Rajca, Bartosz
    Górecki-Gomoła, Adam
    Powiązania:
    https://bibliotekanauki.pl/articles/1391543.pdf
    Data publikacji:
    2021
    Wydawca:
    Index Copernicus International
    Tematy:
    prophylactic mastectomy
    risk-reducing mastectomy
    breast reconstruction
    Opis:
    Risk-reducing mastectomy is a recognized prophylactic treatment for women at high and very high risk of breast cancer development in many countries. In surgical treatment, mastectomy with simultaneous reconstruction is preferred. The most common method is simultaneous reconstruction with the use of implants, but an equivalent method with a comparable or lower complication rate is simultaneous reconstruction with own tissues, taking into account free tissue flaps. The patient should be informed about the high risk of complications, possible deterioration of the life quality and high rate of corrective reoperations. In order for this form of the most effective and financially measurable health prophylaxis to be actually implemented, it is necessary to rationally evaluate the procedure and differentiate its costs depending on the type of reconstruction performed.
    Źródło:
    Polish Journal of Surgery; 2021, 93, 3; 48-54
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Body image in women with breast cancer undergoing surgical treatment - a comparative analysis
    Autorzy:
    Brandt-Salmeri, Anna
    Ilska, Michalina
    Kołodziej-Zaleska, Anna
    Powiązania:
    https://bibliotekanauki.pl/articles/1933075.pdf
    Data publikacji:
    2019
    Wydawca:
    Politechnika Śląska. Wydawnictwo Politechniki Śląskiej
    Tematy:
    breast cancer
    mastectomy
    breast conserving therapy
    BCT
    breast reconstruction
    body image
    self-esteem
    rak piersi
    mastektomia
    terapia oszczędzająca pierś
    rekonstrukcja piersi
    obraz ciała
    samoocena
    Opis:
    Surgery is the most basic treatment in case of breast cancer: it involves a complete or partial removal of the mammary gland. The aim of the study was to assess the body image distress and self-esteem in a group of women with breast cancer undergoing various surgical procedures. The material was collected in a group of 229 women with breast cancer who were divided into subgroups based on the surgery criterion (mastectomy, breast-conserving therapy - BCT and mastectomy with breast reconstruction). The study used the Body Image Scale by Hopwood, Fletcher, Lee and Al Ghazal (2001; Polish adaptation by Brandt-Salmeri and Przybyła-Basista), Rosenberg Self-Esteem Scale - SES (Polish adaptation by Łaguna, Lachowicz-Tabaczek and Dzwonkowka, 2007) and an original survey. Analyses showed, among other things, significant differences in the assessment of discomfort associated with a change in body image depending on the type of surgery. The research also revealed that the assessment depended on differences between the women in terms of age and the time elapsed since the onset of treatment. Negative body image was adversely associated with self-esteem in all studied groups. Body image was significantly related to age and time elapsed since the treatment in the post-mastectomy group. At the same time, it was related only to age in the BCT group and with regards to the breast reconstruction group, the relationship concerned only elapsed time.
    Źródło:
    Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska; 2019, 141; 7-24
    1641-3466
    Pojawia się w:
    Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    BREAST-Q questionnaire: tool for evaluation of quality of life following breast reconstruction with DIEP/SIEA flap
    Autorzy:
    Ulatowski, Łukasz
    Noszczyk, Bartłomiej
    Powiązania:
    https://bibliotekanauki.pl/articles/1392917.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    BREAST-Q
    microsurgery
    breast reconstruction
    DIEP
    quality of life
    rib-sparing
    Opis:
    Breast cancer management is important for both oncologists and plastic surgeons. We can observe a considerable progress in knowledge and treatment modalities in this type of cancer. Treatment often requires reconstruction of the removed breast. Modern methods are becoming better and more suited to patient’s needs. At the same time, we observe a steadily increasing interest in quality of life after medical procedures. This tendency is particularly visible in plastic surgery, where simple analysis of complication rate is insufficient. In order to effectively help, a scrupulous evaluation of the outcomes by the patient herself is necessary. The aim of the study is to discuss and present the use of BREAST-Q questionnaire. It allows to assess patient’s satisfaction with the breast treatment as a whole and medical care. In this article, we present BREAST-Q questionnaire scores in 20 patients following secondary breast reconstruction with DIEP flap without rib removal when accessing internal mammary vessels. The assessment of quality of life is necessary for the reconstructive surgeon to evaluate his own work. It enables deeper understanding of needs and better advice for future patients during preoperative consultation. The results can also be useful for payers in order to decide about reimbursement of specific procedures.
    Źródło:
    Polish Journal of Surgery; 2018, 90, 6; 1-5
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Motives for the choice of not undergoing breast reconstruction
    Autorzy:
    Szadowska-Szlachetka, Zdzisława
    Charzyńska-Gula, Marianna
    Muzyczka, Katarzyna
    Dobrowolska, Beata
    Stanisławek, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/972568.pdf
    Data publikacji:
    2016
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    breast cancer
    breast reconstruction motives
    Opis:
    Introduction and objective. Currently, most women with less advanced breast cancer are offered operations with breast conserving treatment; however, if it is necessary to completely remove the breast, the patients may benefit from free breast reconstruction. The aim of the study was to determine the motives for breast reconstruction after mastectomy or decisive reasons for rejecting this treatment. Material and methods. The study included 241 women hospitalized in Polish oncological hospitals who were divided into two groups: 55.19% (n=133) were women after mastectomy; 44.81% (n=108) after breast reconstruction. Quantitative approach with the use of survey method was utilised. Results. Women who wished to undergo breast reconstruction were generallyy younger, better educated and more often professionally active. For women who wished to undergo breast reconstruction, the most important aspect was the willingness to improve their body image, their mental well-being, the inconvenience connected with wearing the prosthesis, better sexual relations with husband/partner, and the possibility of exposing the neckline without discomfort. The strongest correlation was found between women’s young age and their functioning in a relationship. Women after mastectomy, who decided not to undergo a breast reconstruction, were afraid of another operation, suffering, and they believed that there were more important issues. Conclusions. The study revealed a relationship between the lack of knowledge, in which hospital breast reconstruction procedure can be performed and the lack of motivation for undergoing the procedure. Women who have had knowledge of the possibility of a free breast reconstruction were younger, better educated and more often lived in the city.
    Źródło:
    Journal of Pre-Clinical and Clinical Research; 2016, 10, 1; 39-44
    1898-2395
    Pojawia się w:
    Journal of Pre-Clinical and Clinical Research
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Personality traits and decision on breast reconstruction in women after mastectomy
    Autorzy:
    Miśkiewicz, Halina
    Antoszewski, Bogusław
    Iljin, Aleksanda
    Powiązania:
    https://bibliotekanauki.pl/articles/1393868.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    breast reconstruction
    mastectomy
    personality
    Opis:
    The aim of the study was evaluation of the correlation between selected personality traits in women after mastectomy and their decision on breast reconstruction. Material and methods. The study was conducted between 2013‑2015, in the Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Lodz, and Department of Oncological and Breast Surgery, CZMP. Comparative analysis comprised 40 patients, in whom mastectomy and breast reconstruction was done, and 40 women after breast amputation, who did not undergo reconstructive surgery. Basing on self-constructed questionnaire, five features of personality were evaluated in these women: pursue of success in life, ability to motivate others, openness to other people, impact of belonging to a social group on sense of security and the importance of opinion of others about the respondent. Apart from the questionnaire, in both groups of women a psychologic tool was used (SUPIN S30 and C30 tests) to determine the intensity of positive and negative emotions. Results. Women who did not choose the reconstructive option were statistically significantly older at mastectomy than women who underwent breast reconstruction. There were statistically significant differences between both groups in response to question on being open to other people and value of other people’s opinion. The differences in responses to question on the impact of belonging to a social group on personal sense of safety were hardly statistically significant. In psychometric studies there were significant differences in responses to SUPIN C30 test for negative emotions and S-30 for positive emotions. The level of negative emotions – feature of group A was in 47.5% in the range of high scores and in 47.5% within low and low-average scores. Among women from group B 57.5% had high scores, while 37.5% low and average scores. There were significant differences in the results of positive emotions evaluation in S-30. Women who did not undergo breast reconstruction usually had high scores, while those who decided on reconstructive surgery usually had low scores and low-high scores. Conclusions. 1. The decision on breast reconstruction after mastectomy is connected with personality features of patients. Introvert women, who base their self-opinion on opinion of others and their sense of security on belonging to a social group, rarely choose to undergo breast reconstruction. 2. Younger patients after mastectomy more frequently choose the breast reconstructive option. 3. A special algorithm of medical and psychological care in patients after mastectomy should be created to improve their further quality of life.
    Źródło:
    Polish Journal of Surgery; 2016, 88, 4; 209-214
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Satisfaction with life and social factors in decision‑making process on breast reconstruction in women after mastectomy
    Autorzy:
    Miśkiewicz, Halina
    Antoszewski, Bogusław
    Woźniak, Ewa
    ljin, Aleksandra
    Powiązania:
    https://bibliotekanauki.pl/articles/1393917.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    mastectomy
    satisfaction with life
    breast reconstruction
    Opis:
    The aim of the study was to analyse the correlation between satisfaction with life in women after mastectomy and motivation to undergo breast reconstruction, compared to women who after breast amputation did not decide to undergo reconstructive treatment. Material and methods. Comparative analysis comprised patients after mastectomy, who decided on breast reconstruction (40) and those who did not undergo reconstructive surgery (40). The study was conducted in the Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Lodz and Department of Oncological surgery and Breast Diseases ICZMP, Łódź, between 2013‑2015. In the study the question whether higher satisfaction with life prompts decision on breast reconstruction was investigated. The Satisfaction with Life Scale (SWLS) was used, as well as an original questionnaire. The correlations between statistical parameters were evaluated using the chi-square test. Results. We have demonstrated differences between the level of satisfaction with life in patients who decided to undergo breast reconstruction and those who did not choose reconstructive surgery. The discrepancies may reflect differences in the system of values and level of satisfaction with life before reconstructive treatment and also point to potential effect of these factors on the decision to undergo surgery. Conclusions. 1. Differences in cognitive structures between ‘Amazons’ determine the decision on reconstructive treatment. 2. Transfer of information between the therapeutic team and women after mastectomy is not satisfactory. 3. Higher level of satisfaction with life has a positive effect on the decision of breast reconstruction.
    Źródło:
    Polish Journal of Surgery; 2016, 88, 5; 475-487
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Struktura drzewostanów lipowo-sosnowych powstałych w wyniku półnaturalnej przebudowy starodrzewów sosnowych
    Structure of lime-pine stands established as a result of seminatural reconstruction of old pine forests
    Autorzy:
    Jaszczak, R.
    Małys, L.
    Turski, M.
    Hnat, M.
    Majowski, R.
    Powiązania:
    https://bibliotekanauki.pl/articles/1008329.pdf
    Data publikacji:
    2012
    Wydawca:
    Polskie Towarzystwo Leśne
    Tematy:
    lesnictwo
    drzewostany sosnowe
    starodrzew
    przebudowa drzewostanow
    przebudowa polnaturalna
    drzewostany lipowo-sosnowe
    struktura drzewostanu
    drzewa lesne
    sosna zwyczajna
    Pinus sylvestris
    lipa drobnolistna
    Tilia cordata
    wzrost roslin
    pozycja biosocjalna drzew
    struktura piersnic
    struktura wysokosci
    old pine forest
    seminatural reconstruction
    pine
    lime
    structure of breast height diameter
    height structure
    biosocial structure
    Opis:
    The paper presents results of the inventory carried out in 2008 in two−storeyed stands in which the upper storey consisted of pine trees and the lower one of lime trees. The structure of breast height diameter, height and the biosocial structure of the two species was discussed.
    Źródło:
    Sylwan; 2012, 156, 05; 360-368
    0039-7660
    Pojawia się w:
    Sylwan
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The Use of a Pedunculated, Extended Latissimus Dorsi Flap in Primary and Secondary Breast Reconstruction Procedures - Case Report
    Autorzy:
    Maciejewski, Adam
    Ulczok, Rafał
    Dobrut, Mirosław
    Szumniak, Ryszard
    Półtorak, Stanisław
    Powiązania:
    https://bibliotekanauki.pl/articles/1396681.pdf
    Data publikacji:
    2012-07-01
    Wydawca:
    Index Copernicus International
    Tematy:
    breast reconstruction surgery
    LD flap
    Opis:
    The extended latissimus dorsi flap (LD) is used in breast reconstruction since the 70's. LD flap is often used in corrective surgery in cases of unsatisfactory cosmetic results after breast-conserving therapy. In our department LD flap has several uses. In addition to free microvascular flaps - which applies in breast reconstructive surgery is routine, there are clinical situations where the use of pedicled LD flap is justified. The main indications for its use are: the inability to apply microvascular flap, the general condition (diabetes, advanced atherosclerosis), smoking, previous surgery of abdominal wall, abdominal obesity, patient preferences. Approximately 30% of patients after breast reconstruction require corrective procedures. Group which uses extended LD flap account for 24 patients. In 16 cases it was used for elective breast reconstruction. In the remaining eight cases it was used in the corrective procedures symmetry and shape of the previously reconstructed breast. Based on our own experience it can be concluded that the LD flap with an alternative to microvascular techniques. Complication rate when using the LD flap is relatively low and includes: seroma and slight motor disability of the shoulder girdle.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 7; 367-370
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Thermal sequences database of the skin flaps in breast reconstruction and burns
    Autorzy:
    Moderhak, Mateusz
    Kaczmarek, Mariusz
    Powiązania:
    https://bibliotekanauki.pl/articles/114409.pdf
    Data publikacji:
    2019
    Wydawca:
    Stowarzyszenie Inżynierów i Techników Mechaników Polskich
    Tematy:
    thermography
    active dynamic thermography
    burns
    breast reconstruction
    image database
    Opis:
    This paper presents a database of Active Dynamic Thermography (ADT) thermal sequences gathered throughout 6 year study on ADT application in skin flap blood perfusion monitoring and burn wounds diagnosis. For skin flap monitoring the database comprises of data collected during three different breast reconstruction procedures. The patients were monitored pre, intra and post surgically within 90 days period. The sequences were used in skin flap parametric imaging aimed at reducing complications and improving flap perfusion. For burns investigation patients were monitored following an accident, at the 3-rd day and 21 days after.
    Źródło:
    Measurement Automation Monitoring; 2019, 65, 1; 26-29
    2450-2855
    Pojawia się w:
    Measurement Automation Monitoring
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Why Women Who Have Mastectomy Decide Not to Have Breast Reconstruction?
    Autorzy:
    Zieliński, Tomasz
    Lorenc-Podgórska, Katarzyna
    Antoszewski, Bogusław
    Powiązania:
    https://bibliotekanauki.pl/articles/1395853.pdf
    Data publikacji:
    2015-02-03
    Wydawca:
    Index Copernicus International
    Tematy:
    mastectomy
    breast reconstruction
    personal choice
    Opis:
    Breast cancer is the most common malignancy occurring in women. The treatment of breast cancer is a complex, multistep process involving surgical treatment, chemotherapy, radiotherapy, hormone therapy, targeted therapy, and very often rehabilitation. After the treatment of the underlying disease, or still in its course, there remains a problem of deformation of the chest. Although the number of women opting for breast reconstructive surgery increases every year, the number of such procedures in Poland is low. The aim of the study was to investigate the reasons why women after amputation of the breast due to cancer are not likely to undergo breast reconstructive surgery. Material and methods. The study comprised 73 women, residents of the province of Silesia, aged between 37 and 79 years, who had undergone mastectomy for malignancy in the years 1987-2013. Results. From all of the reasons given by women for refraining from breast reconstruction, the most frequently pointed was the fear of being subjected to further surgery (38.3%). 23 women (31.5%) admitted that they were also afraid of postoperative pain. Similarly, a common response (35.6%) was that it is not essential for their mental state, and 30% of respondents fully accepted their appearance after mastectomy. Concern about the effect of failed reconstruction was reported by 24.6% of the women, and the fear that the surgery could negatively affect the process of cancer treatment by 27.4% of respondents. Lack of information about the capabilities and knowledge of breast reconstruction methods was not an important factor in decision-making. Conclusions. Most of the surveyed women who abandon breast reconstruction surgery, make this decision on the basis of more than one reasons. Fear of undergoing a second surgical procedure and pain related to it were the most important reasons for the refusal of breast reconstruction. An important factor in the decision to desist from breast reconstruction is the age of the patients.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 10; 451-455
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-11 z 11

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