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Wyświetlanie 1-15 z 149
Tytuł:
The Influence of Splenectomy Performed Simultaneously with Gastrectomy on Postoperative Complications in Patients with Gastric Cancer Undergoing Surgery with the Intention to Treat
Autorzy:
Głuszek, Stanisław
Kot, Marta
Kuchinka, Jakub
Matykiewicz, Jarosław
Powiązania:
https://bibliotekanauki.pl/articles/1395800.pdf
Data publikacji:
2014-07-01
Wydawca:
Index Copernicus International
Tematy:
splenectomy
gastrectomy
surgical complications
general complications
gastric cancer
Opis:
Despite the growing understanding of the pathophysiological processes in the perioperative period and significant advancements in surgical techniques, operative treatment for gastric cancer remains a challenge for surgeons, especially because the primary procedure of total or nearly total gastrectomy must at times be extended by the resection of other organs. The aim of the study was to asses the influence of concomitant splenectomy in patients undergoing curative surgery for gastric cancer on postoperative complications. Material and methods. The study population consisted of 258 patients who underwent surgical treatment for gastric cancer with the intention to treat. The study assessed the influence of extending the surgical intervention by splenectomy on postoperative complications, both general and surgical, including the most severe of these, i.e. oesophago-gastric anastomotic leakage, duodenal stump leakage and peritoneal fluid infections. Results. Among the 258 gastric cancer patients receiving curative surgical treatment, the most common simultaneous intervention was splenectomy: 42/258 (16.3%), which was also accompanied by partial pancreatectomy in 8 cases. The number of surgical postoperative complications, major and minor, was similar in both subgroups: with and without splenectomy. Minor general complications, such as pyrexia with no clinically apparent reason, atelectasis, pneumonia and pleural effusion were statistically significantly more common in the subgroup with splenectomy (p=0.0001). Conclusion. Splenectomy performed concomitantly with gastrectomy for gastric cancer increases the risk of minor general complications. However, it does not increase the risk of severe surgical complications, such as oesophago-intestinal anastomotic leakage and does not increase the risk of death
Źródło:
Polish Journal of Surgery; 2014, 86, 7; 312-318
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ultrasound screening for pyelectasis in pregnant women. Clinical necessity or “art for art’s sake”?
Ultrasonograficzna ocena pielektazji u ciężarnych. Kliniczna konieczność czy „sztuka dla sztuki”?
Autorzy:
Szkodziak, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1033137.pdf
Data publikacji:
2018
Wydawca:
Medical Communications
Tematy:
pregnancy complications
Opis:
Renal pelvicalyceal dilatation is caused by urine retention in the upper urinary tract. It is referred to as pyelectasis in medical literature. This term does not indicate the cause that leads to the dilatation of and urine retention in the renal pelvicalyceal system. Mild pelvicalyceal dilatation during pregnancy is usually considered to be physiological in nature – it can occur in up to 90% of pregnant women. Retention is more common in the right kidney, in primigravidae, in the second half of pregnancy and in multiple pregnancies. Pyelectasis during pregnancy rarely causes clinical symptoms and often does not require treatment. Nevertheless, urine retention in the renal pelvicalyceal system is conducive to the development of asymptomatic bacteriuria and may be a risk factor for recurrent urinary tract infections, pyelonephritis and acute kidney failure; it may also cause renal colic. In consequence, this condition can lead to intrauterine infection and premature labor in the pregnant woman and to prematurity, anemia, congenital pneumonia or sepsis in the child. In a study conducted at the 3rd Department of Gynecology of the Medical University of Lublin it was concluded that unilateral pyelectasis of more than 20 cm3 is associated with a significant increase in the risk of asymptomatic bacteriuria. This volume corresponds to grade 3 and/or 4 pelvicalyceal dilatation according to the Society for Fetal Urology/European Federation of Societies for Ultrasound in Medicine and Biology classification. The pyelectasis volume measuring method using three-dimensional ultrasound scanning included in the criteria for the assessment of asymptomatic bacteriuria was assessed as sensitive and specific. The ultrasound-based evaluation of the kidneys for the presence of pyelectasis and its grade in pregnant women has some clinical implications. It allows for identifying cases with an increased risk of asymptomatic bacteriuria, which requires treatment in pregnant women. Screening during pregnancy for pyelectasis seems to be important in preventing asymptomatic bacteriuria from progressing to symptomatic urinary tract infection.
Poszerzenie układu kielichowo-miedniczkowego jest spowodowane zastojem moczu w górnych drogach moczowych. W piśmiennictwie nosi ono nazwę pielektazji. Termin nie określa przyczyny, która prowadzi do poszerzenia i zastoju moczu w układzie kielichowo-miedniczkowym. W ciąży łagodne poszerzenie układu kielichowo-miedniczkowego zwykle uważa się za zjawisko fizjologiczne – może ono dotyczyć do 90% ciężarnych. Zastój częściej spotykany jest w nerce prawej, u pierwiastek, w drugiej połowie ciąży oraz w ciążach mnogich. Pielektazja w ciąży rzadko wywołuje objawy kliniczne i często nie wymaga leczenia. Mimo to zastój moczu w układzie kielichowo-miedniczkowym sprzyja rozwojowi bezobjawowego bakteriomoczu i może być czynnikiem zwiększającym ryzyko nawracających zakażeń układu moczowego, odmiedniczkowego zapalenia oraz ostrej niewydolności nerek, a także może wywołać kolkę nerkową. W konsekwencji stan ten może prowadzić u ciężarnej do infekcji wewnątrzmacicznej i porodu przedwczesnego, a u dziecka do wcześniactwa, niedokrwistości, wrodzonego zapalenia płuc lub posocznicy. W badaniach przeprowadzonych w III Katedrze i Klinice Ginekologii Uniwersytetu Medycznego w Lublinie stwierdzono, że przy objętości pielektazji jednostronnej powyżej 20 cm3 istotnie wzrasta ryzyko bezobjawowego bakteriomoczu. Objętość ta odpowiada poszerzeniu układu kielichowo-miedniczkowego w stopniu III lub/i IV według Society for Fetal Urology/European Federation of Societies for Ultrasound in Medicine and Biology. Metodę pomiaru objętości z wykorzystaniem USG 3D w kryteriach oceny ryzyka bezobjawowego bakteriomoczu oceniono jako czułą i specyficzną. Ocena nerek pod kątem obecności i wielkości pielektazji podczas badania ultrasonograficznego u ciężarnych ma swoje implikacje kliniczne. Pozwala to wskazać przypadki, gdy istnieje podwyższone ryzyko bezobjawowego bakteriomoczu, który u ciężarnych wymaga leczenia. Badanie przesiewowe w okresie ciąży pod kątem obecności pielektazji wydaje się istotne w zapobieganiu progresji bezobjawowego bakteriomoczu do objawowego zakażenia dróg moczowych.
Źródło:
Journal of Ultrasonography; 2018, 18, 73; 152-157
2451-070X
Pojawia się w:
Journal of Ultrasonography
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Physical and Psychological Complications of Mastectomy: The Role of Physioterapy
Autorzy:
Adesina, Miracle A.
Olajire, Tolulope I.
Powiązania:
https://bibliotekanauki.pl/articles/1031754.pdf
Data publikacji:
2020
Wydawca:
Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
Tematy:
Mastectomy
breast cancer
physical complications
physiotherapy
psychological complications
Opis:
Breast cancer affects a large number of women worldwide. Surgical management has evolved towards mastectomies and breast-conserving surgeries. The complications following a mastectomy can be physical and/or psychological. The physical complications include pain, scarring, lymphedema, limitation in range of motion at the shoulder, muscle weakness, change in body posture, etc. Some of the psychological complications are negative boy image, anxiety, depression and depressive disorders, negative body image. Appropriate management requires a multi-disciplinary team of which the physiotherapist is a part of. Literature has shown that there is a better improvement in physical function if physiotherapy is commenced early. Therefore, physiotherapy should be incorporated pre and post-mastectomy. Physiotherapy management should focus on lymphatic drainage, soft tissue mobilization, range of motion exercises, strengthening exercises and postural correction. Increased physical activity and recommendation of support groups can help to improve psychological outcomes. It is the role of the physical therapist to deal with the physical and psychological complications of a mastectomy to improve the quality of life of the patients.
Źródło:
World News of Natural Sciences; 2020, 29, 3; 212-224
2543-5426
Pojawia się w:
World News of Natural Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Assessment of the effect of size of the umbilical ring on the risk of umbilical hernia complication in children
Autorzy:
Emeka, Chukwubuike Kevin
Chikaodili, Eze Thaddeus
Powiązania:
https://bibliotekanauki.pl/articles/2049116.pdf
Data publikacji:
2022-03-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
complications
diameter
risk
Opis:
Introduction and aim. Assessment of risk of complications in umbilical hernia is important. The aim of this study was to evaluate the effect of size of the umbilical ring on the risk of complication occurring in umbilical hernia. Material and methods. This was a prospective study of children who had umbilical hernia repair for symptomatic umbilical hernia. Using Vernier caliper, the umbilical ring diameter (URD) was measured at surgery and the patients were divided into 2 groups. Group A had URD of less than of 15 millimeter (mm) and group B patients had URD of 15 mm and above. The 2 groups were compared. Results. Thirty two cases were evaluated. Their mean age was 42 months. All the patients had umbilical pain. Twenty six (81.3%) patients had URD of less than 15 mm (group A) whereas 6 (18.7%) patients had URD of greater or equal to 15 mm (group B). Group A patients had a mean URD of 12.1±3.4 mm whereas group B patients had a mean URD of 30.5±5.0 mm (p=0.001). Conclusion. Children who have URD of less than 15 mm are at a higher risk of developing umbilical hernia complications.
Źródło:
European Journal of Clinical and Experimental Medicine; 2022, 1; 75-79
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Neonatal circumcision: profile of neonates with complications resulting from the use of plastibell
Autorzy:
Kevin Emeka, Chukwubuike
Powiązania:
https://bibliotekanauki.pl/articles/2040258.pdf
Data publikacji:
2021-03-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
circumcision
complications
neonatal
plastibell
Opis:
Introduction. Circumcision is one of the most performed surgical procedures in neonates. Aim. The aim of this study was to evaluate our experience with neonates who developed complications following the use of plastibell for circumcision. Material and methods. This was a retrospective study of male neonates who were managed for complications resulting from circumcision (performed with plastibell) over a 5-year period at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. Ethical approval was obtained from the ethics and research committee. Results. Out of the 1794 neonatal circumcisions (using plastibell) performed during the study period, 134 (7.5%) neonates had complications. Sixty percent (1074) of the circumcisions were performed in the teaching hospital while 40% were referred cases. The ages of the patients ranged from 7 to 27 days with a median of 10 days and their mean weight was 2.5 kilograms. Majority of the plastibell circumcisions that developed complications was performed by unregistered (auxiliary) nurses. Retained plastibell was the most common complication and its removal was the most performed procedure. No mortality was recorded. Conclusion. Complications following circumcision with plastibell vary widely. Retained plastibell was the most common in the present study. The most complications occurred when the circumcision was performed by auxiliary (unregistered) nurses.
Źródło:
European Journal of Clinical and Experimental Medicine; 2021, 1; 46-51
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Interstitial pneumonia during treatment with rituximab
Autorzy:
Leś, Dominika
Polakiewicz-Gilowska, Anna
Kaleta, Beata
Starzyczny-Słota, Danuta
Nowara, Elżbieta
Powiązania:
https://bibliotekanauki.pl/articles/1065045.pdf
Data publikacji:
2015
Wydawca:
Medical Education
Tematy:
complications
interstitial pneumonia
rituximab
Opis:
Rituximab (RTX) is a chimeric anti-CD20 antibody. It plays an important role in the treatment of B-cell lymphomas and diseases of autoaggression. RTX-induced lung disease is a rare entity, which should be considered in those patients treated with RTX who present with pulmonary disorders with no clear evidence of infection. A 37-year-old woman suffering from CD20-positive DLBCL (diffuse large B-cell lymphoma) received two cycles of the R-CHOP (RTX, cyclophosphamide, doxorubicin, vincristine and prednisone) regimen. After the second cycle of immunochemotherapy, symptoms of interstitial pneumonia occurred. Having excluded all the other causes, it was diagnosed as a complication associated with the administration of RTX.
Źródło:
OncoReview; 2015, 5, 1; A16-A20
2450-6125
Pojawia się w:
OncoReview
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Splenic abscess with bleeding in a female patient following coronary artery bypass grafting and cholecystectomy – a case report and literature review
Autorzy:
Juszczak, Mirosław
Szopińsk, Jacek
Szambelan, Monika
Powiązania:
https://bibliotekanauki.pl/articles/1393730.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
splenic abscess
complications
splenectomy.
Opis:
Splenic abscess is a potential complication of many disease entities which involve infections. Diagnostics are based on imaging studies. Treatment involves splenectomy and antibiotic therapy. In the case the abscess is limited, and particularly in young patients, percutaneous abscess drainage may be performed. This paper presents a case of a 66-year old female patient following coronary artery bypass grafting (CABG) complicated with sternum infection and cholecystectomy due to gallbladder abscess complicated with surgical site infection, who underwent long-term treatment in the ICU due to respiratory failure and persistent septic condition. Splenic abscess is a rare complication of abdominal cavity diseases and systemic infections.
Źródło:
Polish Journal of Surgery; 2016, 88, 6; 346-349
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Single-Layer Sutures in Abdominal Cavity Surgery
Autorzy:
Tański, Zbigniew
Jarząbek, Zbigniew
Konowalski, Bartosz
Truszkowski, Maciej
Biedrzycki, Jakub
Kuzaka, Bolesław
Kuzaka, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1392078.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
complications
complications treatment
fluid therapy
one-layer suture
ways of performing
Opis:
The aim of our study was to evaluate of short-term outcomes of 4210 patients who underwent open abdominal surgery with used either single-layer, absorbable, or continuous sutures. Seromuscular anastomosis were presented (without mucosa). Fluid therapy: GDT and zero-balance GDT were also discussed. Anastomosis leakage developed in 6 patients. They were treated by creating a stoma. Simultaneously, septic shock was treated. Re-anastomoses were performed after some time and after sepsis was suppressed. Results of treatment with use of double-layer sutures, which was is use before 1978, were presented. Analysis of 536 patients treated at the same time was conducted and 53 patients with anastomosis leakage was identified. Out of this group, 2 patients survived. Based on the literature review, the methods for performing anastomosis. Attention was paid to the advantages of single layer over multi-layer sutures: effectiveness, simplicity and lower cost of treatment. The occurrence of mechanical ileus was less frequently observed since ceasing to employ peritoneoplasty, and preoperational preparation of gastrointestinal tract in patients had a beneficial influence on their postoperative course. Postoperative complications were discussed mainly based on additional examinations such as TC and MRI. The attention was focused on the importance of medical observation and clinical examination by an experienced surgeon in order to identify postoperative complications. Antibiotic treatment in cases of postoperative complications was presented, as well as fluid therapy: GDT, zero-balance GDT and the procedures employed in cases of complications such as: anastomosis leakage, mechanical ileus, inter-peritoneal abscess. Anastomotic stenosis was not observed in this group of patients.
Źródło:
Polish Journal of Surgery; 2019, 91, 5; 12-20
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ocular side effects of the taxane-based chemotherapy – do only vascular disorders matter?
Autorzy:
Rzeszotarska, Anna
Stodolska-Nowak, Agata
Kufel-Grabowska, Joanna
Nowakowski, Błażej
Kocięcki, Jarosław
Powiązania:
https://bibliotekanauki.pl/articles/1035681.pdf
Data publikacji:
2019
Wydawca:
Medical Education
Tematy:
chemotherapy
ophthalmological complications
taxanes
Opis:
Taxanes, whose mechanism of action is based on blocking the cells’ division of cells, have been commonly used in the chemotherapy process for over two decades. The indications for the use of taxanes include ovarian cancer, breast cancer, lung cancer, prostate cancer, some of gastrointestinal malignant tumors or Kaposi sarcoma. Currently, chemotherapy based on taxanes, as well as every cytostatic medicine, allows to improve survival outcomes in many patients with diagnosed malignancies, although it also involves the occurrence of adverse effects. These adverse events may be life-threatening or at least they can decline the patient’s quality of life. The main aim of this paper is to feature possible ocular side effects during taxane based chemotherapy. Physicians taking care of patients during chemotherapy based on taxanes, as well as on every other cytostatic medicine, should be aware of these probable ocular complications. An early diagnosis of ophthalmic complications caused by chemotherapy makes it possible to avoid long-lasting adverse effects.
Źródło:
OncoReview; 2019, 9, 3; 59-63
2450-6125
Pojawia się w:
OncoReview
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Analysis of complications after blood components’ transfusions
Autorzy:
Timler, Dariusz
Klepaczka, Jadwiga
Kasielska-Trojan, Anna
Bogusiak, Katarzyna
Powiązania:
https://bibliotekanauki.pl/articles/1395603.pdf
Data publikacji:
2015-04-01
Wydawca:
Index Copernicus International
Tematy:
blood components
transfusions
complications
Opis:
Complications after blood components still constitute an important clinical problem and serve as limitation of liberal-transfusion strategy. The aim of the study was to present the 5-year incidence of early blood transfusions complications and to assess their relation to the type of the transfused blood components. Material and methods. 58,505 transfusions of blood components performed in the years 2006-2010 were retrospectively analyzed. Data concerning the amount of the transfused blood components and the numbers of adverse transfusion reactions reported to the Regional Blood Donation and Treatment Center (RBDTC) was collected. Results. 95 adverse transfusion reactions were reportedto RBDTC 0.16% of alldonations (95/58 505) - 58 after PRBC transfusions, 28 after platelet concentrate transfusions and 9 after FFP transfusion. Febrile nonhemolytic and allergic reactions constitute respectively 36.8% and 30.5% of all complications. Conclusion. Nonhemolyticand allergic reactions are the most common complications of blood components transfusion and they are more common after platelet concentrate transfusions in comparison to PRBC and FFP donations.
Źródło:
Polish Journal of Surgery; 2015, 87, 4; 166-173
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:
Ocena częstości powikłań śródoperacyjnych i okołooperacyjnych związanych z resekcją jelita w trakcie operacji cytoredukcyjnych u chorych leczonych z powodu raka jajnika w stopniu III-IV wg FIGO
The evaluation of intra- and postoperative complications related to debulking surgery with bowel resection in patients with FIGO stage III-IV ovarian cancer
Autorzy:
Bidziński, Mariusz
Derlatka, Paweł
Ziółkowska-Seta, Izabela
Kubik, Paweł
Gmyrek, Leszek
Sobiczewski, Piotr
Dańska-Bidzińska, Anna
Panek, Grzegorz
Powiązania:
https://bibliotekanauki.pl/articles/908167.pdf
Data publikacji:
2006
Wydawca:
Medical Communications
Tematy:
complications related to bowel surgery
Opis:
Introduction: The surgical treatment of advanced ovarian cancer patients is based on the maximal debulking. In a lot of patients, the necessity of widening operation range to the infiltrated organs takes place. These procedures may be connected with higher risk of intraoperative and early postoperative complications. Sometimes, the exteriorization of ileostomy is necessary, what leads to the quality of life deterioration. Aims of the study: 1) The assessment of the quantity and quality of intra- and postoperative complications in ovarian cancer patients with FIGO stage III-IV in which, to achieve the optimal debulking, partial bowel resection was performed. 2) The evaluation of intra- and postoperative complications, related to surgery with bowel resection, compared to Hartmann surgery in examined group of patients. Material and method: The analysis of 39 debulking surgical procedures with partial intestinal resection and postoperative period in ovarian cancer patients, FIGO stage III-IV, was performed. The following factors were analyzed: the size of excised tumor, the intestinal resection range, method of anastomosis or stoma exteriorization, size of lesions left, blood loss, hemoglobin concentration before and after surgery, quantity and reasons for reoperations, postoperative complications, the length of hospitalizations, time to start with chemotherapy treatment. Results: During 39 operations, the most frequent type of intestinal resection was the sigmoidectomy or proctosigmoidectomy. This kind of surgery was performed in 29 patients. In the remaining patients, left- and right-side hemicolectomy or partial enterectomy was done. There were 24 enteroenterostomies performed, and 15 Hartmann procedures. In 32 patients, the diameter of left tumor lesions was less than 10 mm. Among complications forcing the reoperations were: bleeding in 3 (7.6%) patients, the separation of anastomosis in 3 (7.6%) patients, bowel obstruction in 1 (2.5%) patient, stomach perforation in 1 (2.5%) patient. There were no deaths during postoperative period. There were not noted any differences between surgery with anastomosis and Hartmann surgery in aspect of quantity of complications, blood loss, and the time of surgery. Conclusions: Intestinal resection, during debulking surgery in advanced ovarian cancer patients, brings good results, and complications related to surgery are to be accepted. The quantity of perioperative complications, related to surgery with anastomosis, and to Hartmann surgery is similar. If it is possible, the surgery with enteroenterostomosis should be performed.
Wstęp: Leczenie operacyjne chorych na zaawansowanego raka jajnika oparte jest na dążeniu do maksymalnej cytoredukcji. U wielu pacjentek zachodzi potrzeba rozszerzenia zakresu operacji o narządy, w których stwierdzono naciek nowotworowy. Operacje takie mogą się wiązać z większym ryzykiem powikłań śródoperacyjnych i wczesnych pooperacyjnych. Niekiedy konieczne jest wyłonienie stomii jelitowej, co prowadzi do pogorszenia jakości życia chorych. Cele pracy: 1) Ocena liczby i jakości powikłań śród- i pooperacyjnych u chorych leczonych z powodu raka jajnika w stopniu III-IV wg FIGO, u których w celu uzyskania optymalnej cytoredukcji wycięto część jelita. 2) Ocena powikłań śród- i pooperacyjnych związanych z operacjami z zespoleniem jelitowym w porównaniu z zabiegami typu Hartmanna w badanej grupie chorych. Materiał i metoda: Analizowano 39 operacji cytoredukcyjnych z resekcją fragmentu jelita oraz okres pooperacyjny u chorych na raka jajnika w stopniu III-IV wg FIGO. W opisowej analizie wyników wzięto pod uwagę: wielkość usuniętego guza, zakres resekcji jelita, sposób zespolenia lub wyłonienie stomii, wielkość pozostawionych resztek, utratę krwi i stężenie hemoglobiny przed i po zabiegu, ilość i powody wykonanych reoperacji, powikłania pooperacyjne, długość hospitalizacji oraz czas do rozpoczęcia chemioterapii. Wyniki: Podczas 39 operacji najczęstszym rodzajem resekcji jelitowej było wycięcie esicy lub esicy i odbytnicy. Zabieg taki przeprowadzono u 29 pacjentek. U pozostałych chorych wykonano lewo- i prawostronne hemikolektomie lub resekcję fragmentu jelita cienkiego. Wykonano 24 zespolenia i 15 operacji Hartmanna. U 32 chorych średnica pozostawionych ognisk nie przekraczała 10 mm. Wśród powikłań zmuszających do reoperacji zanotowano: krwawienie u 3 (7,6%) chorych, rozejście się zespolenia u 3 (7,6%) chorych, niedrożność u 1 (2,5%) pacjentki, perforację żołądka u 1 (2,5%) chorej. Nie było zgonów w okresie pooperacyjnym. Nie stwierdzono zasadniczych różnic między zabiegami z zespoleniem a operacjami Hartmanna pod względem ilości powikłań, utraty krwi i czasu operacji. Wnioski: Resekcja jelitowa w trakcie operacji cytoredukcyjnej u chorych na zaawansowanego raka jajnika przynosi dobre efekty, a towarzyszące zabiegowi powikłania są do zaakceptowania. Liczba powikłań okołooperacyjnych związanych z operacjami z zespoleniem i operacjami Hartmanna jest podobna. O ile to możliwe, należy dążyć do wykonywania zespoleń.
Źródło:
Ginekologia Onkologiczna; 2006, 4, 1; 14-22
1731-5379
Pojawia się w:
Ginekologia Onkologiczna
Dostawca treści:
Biblioteka Nauki
Artykuł
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:
Prognostic efficiency of inflammatory complications development of dental implantation based on indicators of lipid peroxidation (LPO) of oral fluid
Autorzy:
Pohodenko-Chudakova, I. O.
Karsyuk, Y. V.
Powiązania:
https://bibliotekanauki.pl/articles/284842.pdf
Data publikacji:
2017
Wydawca:
Akademia Górniczo-Hutnicza im. Stanisława Staszica w Krakowie. Polskie Towarzystwo Biominerałów
Tematy:
dental implants
complications
lipid peroxidation
Opis:
The frequency of complications of dental implantation at the present stage varies from 6% to 23%, what determined the relevance of this examination. The aim of this work is to determine the predictive effectiveness of the development of inflammatory complications of dental implantation on the basis of indicators of lipid peroxidation (POL) of the oral fluid (level of malondialdehyde (MDA) and the activity level of superoxide dismutase (SOD)). We examined 49 patients 25-59 years old which had no traumas, operations and diseases requiring medical rehabilitation, inflammatory disease in the maxillofacial area and the gastrointestinal tract, as well as other factors that can affect qualitative and quantitative content of the oral fluid. These patients underwent delayed dental implantation (one implant in one segment of the jaw). The POL indices were determined twice: before operation of dental implantation and 3 days after operation. The effectiveness of the proposed method was determined in accordance to the clinical and economic studies requirements. Prognostic efficiency in accordance with the procedure of conducting clinical and economic examinations on the basis of MDA level was 78%, and based on the level of SOD activity – 76%, which classifies it as high and allow to reduce the number of complications and diagnostic mistakes including in the planning and execution of invasive procedures associated with the installation of dental implants.
Źródło:
Engineering of Biomaterials; 2017, 20, no. 143 spec. iss.; 13
1429-7248
Pojawia się w:
Engineering of Biomaterials
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Factors affecting the effectiveness of conservative management of appendicular mass
Autorzy:
Almoamin, Haithem Hussein Ali
Powiązania:
https://bibliotekanauki.pl/articles/1391541.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
appendicitis
complications
conservative
mass
pediatric
Opis:
Introduction: Acute appendicitis is the most common surgical emergency in children. Appendicular mass is a relatively common complication in improperly treated patients. The management of appendicular mass remains controversial. Aim: This study aims at determining factors affecting the effectiveness of conservative management of appendicular mass. Material and methods: This was a retrospective study of 71 children younger than 15 years with appendicular mass managed at Basra Children’s Specialty Hospital during the period between 2015 and 2019. Factors like age of the patient, duration of symptoms prior to hospital admission, size of the mass, complications, hospital stay and outcome are reviewed. Results: Appendicular mass complicates 3.9% of all cases of acute appendicitis. Conservative management of appendicular mass was effective in 84.5%. Appendicular mass occurred most frequently in children aged 5–10 years (48%). Male is more frequently affected than female with a ratio of 1.4. Regarding age effect on the efficacy of conservative management of appendicular mass, there is a significant association with P-value = 0.017. Duration of symptoms or size of the mass has no significant association with the success of conservative management. No mortality or major surgical complications are encountered. Although effective, conservative management prolongs the length of hospital stay. Conclusion: Conservative management of appendicular mass in children should be revised particularly in children younger than 5 years old, wherein operative treatment may be the first option. The reasons for that are high rate of failure of conservative management with early progress to appendicular abscess. These could be explained by the underdevelopment of the greater omentum lacking its protective effect in limiting the spread of inflammation. In addition, early appendectomy has the following advantages: decreased risk of adhesive intestinal obstruction, shortening of hospital stay (i.e, less economic burden), and avoidance of second readmission for interval appendectomy
Źródło:
Polish Journal of Surgery; 2021, 93, 3; 17-21
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
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