Nowa Medycyna最新文献_第4页

Cosmetic aspect of proctological surgeries 直肠外科手术的美容方面

Nowa Medycyna Pub Date : 2020-03-01 DOI: 10.25121/nm.2020.27.1.17

M. Kołodziejczak, P. Ciesielski

{"title":"Cosmetic aspect of proctological surgeries","authors":"M. Kołodziejczak, P. Ciesielski","doi":"10.25121/nm.2020.27.1.17","DOIUrl":"https://doi.org/10.25121/nm.2020.27.1.17","url":null,"abstract":"Although it may seem that the aesthetic appearance of a wound after proctological surgery is of secondary importance relative to the cure of disease, it may affect proper healing, treatment efficacy and the maintenance of anal function. Cosmetic correction of the anal region primarily includes removal of marginal anodermal folds and correction of deformities after proctological surgeries. We present indications for the removal of hypertrophied anodermal folds, as well as situations when such surgery should be abandoned. The most common deformities after proctological surgeries include keyhole deformity, which forms after anal fissure surgery with posterior sphincterotomy and surgical treatment of anal fistula with Hippocrates’ drainage, as well as deformities due to abnormal wound healing. In addition to poor cosmetic result, deformities may lead to functional complications in the form of anal leakage, underwear staining and poor gas continence, which requires surgical correction. Another group includes patients with anal deformity due to scars after multiple proctological procedures, but with no functional defects. The management in these patients largely depends on their mental attitude to these defects and usually no surgical treatment is implemented. Good cosmetic result after proctological surgery often corresponds with good functional outcome and patient’s postoperative satisfaction.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132638482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dr Stanisław Michałek-Grodzki (1889?1951) – twórca polskiej szkoły chirurgii plastycznej

Nowa Medycyna Pub Date : 2019-12-01 DOI: 10.25121/nm.2019.26.4.146

M. Ciesielska

引用次数: 0

Gluteal protuberance as a first symptom of branched pilonidal sinus with anal fistula – case report 臀突为支状毛突窦伴肛瘘的首发症状1例

Nowa Medycyna Pub Date : 2019-12-01 DOI: 10.25121/nm.2019.26.4.136

K. Krasińska, S. Głowacki, Tomasz Pokładowski, F. Orchowski

引用次数: 0

Rectal prolapse surgeries using perineal, trans-anal and extra-anal approach 直肠脱垂手术采用会阴，经肛和肛外入路

Nowa Medycyna Pub Date : 2019-12-01 DOI: 10.25121/nm.2019.26.4.129

M. Kołodziejczak, P. Ciesielski

{"title":"Rectal prolapse surgeries using perineal, trans-anal and extra-anal approach","authors":"M. Kołodziejczak, P. Ciesielski","doi":"10.25121/nm.2019.26.4.129","DOIUrl":"https://doi.org/10.25121/nm.2019.26.4.129","url":null,"abstract":"Rectal prolapse is a rare condition. Epidemiological data estimate that 4/1,000 adults are affected. Although rectal prolapse in most often seen in older women, it may develop in both men and women at any age. In the last century, perineal access was the primary surgical approach in patients with rectal prolapse. Currently, a number of transabdominal (laparotomy, laparoscopy) and transperineal techniques are used. Proper preoperative qualification is of key importance for therapeutic success in a patient with rectal prolapse. Indications for perineal rectal prolapse surgery include advanced age, general comorbidities, short-segment prolapse, incarceration and necrotic rectal prolapse. Advantages of the perineal approach include prolapse repair by resection, simultaneous repair of pelvic prolapse, and, in the case of overlapping anal sphincter insufficiency (which is common), the possibility of simultaneous anterior and posterior levator ani repair. Perineal rectosigmoidectomy (Altemeier’s procedure) and Delorme’s procedure are the most common perineal surgical procedures performed in patients with full-thickness rectal prolapse. Anal encirclement (Thiersch wire) is a historical method, which is used in rare cases of patients not eligible for other procedures. STARR (stapler transanal rectal resection), wedge resection of the rectal mucosa, mucosal plication (Gant-Miwa procedure) may be used in patients with partial-thickness rectal prolapse. The paper presents the above mentioned surgical methods, along with their indications, uses, advantages, disadvantages, and possible complications.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126339251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A patient with a foreign body in the large intestine – a case report 大肠异物患者1例报告

Nowa Medycyna Pub Date : 2019-12-01 DOI: 10.25121/nm.2019.26.4.142

P. Siekierski, Waldemar Kiereś, P. Ciesielski

引用次数: 0

Deep infiltrating endometriosis of the rectovaginal septum – an interdisciplinary problem 直肠阴道隔深浸润性子宫内膜异位症-一个跨学科的问题

Nowa Medycyna Pub Date : 2019-09-01 DOI: 10.25121/nm.2019.26.3.108

T. Songin

{"title":"Deep infiltrating endometriosis of the rectovaginal septum – an interdisciplinary problem","authors":"T. Songin","doi":"10.25121/nm.2019.26.3.108","DOIUrl":"https://doi.org/10.25121/nm.2019.26.3.108","url":null,"abstract":"Endometriosis refers to the ectopic localization of the uterine glandular epithelium, which can infiltrate all peritoneal cavity organs as well as, though less commonly, distant locations. One of its most severe forms is deep infiltrating endometriosis (DIE) of the rectovaginal septum. In cases of DIE, the infiltration may involve the vagina, uterus, rectum, and the area of anal sphincters and pelvic floor muscles. The condition causes a variety of pain symptoms, including dyspareunia and dyschezia, and other intestinal complaints, significantly impairing the quality of a woman’s life. Important elements of the diagnostic work-up include obtaining the patient’s detailed history followed by transvaginal and transrectal examinations. Additional examinations recommended in patient assessment are transvaginal and transrectal ultrasonography, and MRI. The sensitivity and specificity of the methods may reach 91 and 98%, respectively. The combination of these diagnostic modalities significantly increases the rate of diagnosis, reducing the time to the start of treatment which, at present, is on average 7 years. The main management methods for DIE include pharmacotherapy and surgical treatment complemented by an appropriate diet, physiotherapy and psychotherapy. Hormone treatment markedly reduces pain, contributing to an improvement in the quality of life, and causes slight changes in the size of endometriotic lesions, which is associated with the relapse of symptoms after the discontinuation of medication. Surgical methods allow radical removal of lesions, but may cause significant complications, adversely affecting the function of the intestine, bladder, anal sphincters, and other body organs. In each case, the choice of optimum treatment should be adjusted individually to the patient based on the experience of the multidisciplinary team.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124133445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychological characteristics of 101 patients with benign proctological diseases 101例良性直肠疾病患者的心理特征分析

Nowa Medycyna Pub Date : 2019-09-01 DOI: 10.25121/nm.2019.26.3.89

Katarzyna Martowska, M. Kołodziejczak, A. Matczak, I. Sudoł-Szopińska

{"title":"Psychological characteristics of 101 patients with benign proctological diseases","authors":"Katarzyna Martowska, M. Kołodziejczak, A. Matczak, I. Sudoł-Szopińska","doi":"10.25121/nm.2019.26.3.89","DOIUrl":"https://doi.org/10.25121/nm.2019.26.3.89","url":null,"abstract":"Introduction. Benign proctological diseases, such as haemorrhoidal disease, anal fissure, fistula in ano and anal abscess, affect a large part of socjety. These diseases are stressogenic due to severe pain and anxiety associated with both treatment and potential complications, such as incontinence or the need for a stoma. The intimate nature of these conditions and their adverse effects on social functioning are also important. The intimate nature of these conditions and their adverse effects on social functioning are also important. Aim. The aim of the study was to determine the temperamental and personality traits of individuals with mild proctological diseases. Material and methods. A group of 101 patients (56 men and 45 women) aged between 19 and 56 years (M = 36.57; SD = 9.77) and a reference group of healthy individuals (56 men and 45 women) aged between 19 and 58 years (M = 39.54; SD = 9.40) were included. The patients were asked to complete questionnaires measuring temperament traits (RMQ), the incidence of depressive symptoms (DSQ), type D personality traits (DS14), and a questionnaire to evaluate stress coping strategies (Mini-COPE). Results. The study showed that male patients were characterised by higher perseveration and regularity. Female patients did not differ in terms of temperamental traits from healthy women. Proctological patients scored higher for social inhibition compared to healthy individuals. A relationship was shown between type D personality and depressive symptoms. Conclusions. Temperament and personality traits of patients with benign proctological diseases may be a prognostic factor for depressive symptoms. High perseveration, reactivity and social inhibition adversely affect the well-being of patients.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127568073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advances in proctology 直肠学的进展

Nowa Medycyna Pub Date : 2019-08-08 DOI: 10.25121/nm.2019.26.3.97

M. Kołodziejczak, P. Ciesielski

{"title":"Advances in proctology","authors":"M. Kołodziejczak, P. Ciesielski","doi":"10.25121/nm.2019.26.3.97","DOIUrl":"https://doi.org/10.25121/nm.2019.26.3.97","url":null,"abstract":"In recent years there has been progress in proctological diagnostics and minimally invasive procedures. We present the latest diagnostic options in proctology, including dynamic 3D anorectal ultrasonography technique, the so-called echodefecography, as well as volume render mode, a technique based on computer processing of ultrasound images. The current state of knowledge on the treatment of the most common proctological diseases: haemorrhoidal disease, anal fistula, anal fissure, stool incontinence, rectal prolapse and pilonidal sinus, was also presented. According to the available analyses, patients are most interested in maintaining full postoperative gas and stool continence, while the effectiveness of the surgery comes second. Modern surgery meets these expectations by developing preoperative diagnosis and minimally invasive techniques which do not cause sphincter damage. Indications for the use of these methods, their limitations, and possible postoperative complications were discussed. There is still some room for classical surgical techniques, which have been enriched with methods supporting the healing of difficult healing wounds and inflammation of the anorectal region: negative pressure wound therapy systems and hyperbaric chambers.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"210 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121847519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Władysław Dering i Jan Grabczyński – lekarze-więźniowie w Auschwitz

Nowa Medycyna Pub Date : 2019-06-01 DOI: 10.25121/nm.2019.26.2.70

M. Ciesielska

引用次数: 0

Progress in diagnostic imaging of anal inflammatory diseases 肛门炎性疾病的影像学诊断进展

Nowa Medycyna Pub Date : 2019-04-02 DOI: 10.25121/nm.2019.26.2.58

J. Piłat, S. Rudzki, J. Bicki, W. Dąbrowski

{"title":"Progress in diagnostic imaging of anal inflammatory diseases","authors":"J. Piłat, S. Rudzki, J. Bicki, W. Dąbrowski","doi":"10.25121/nm.2019.26.2.58","DOIUrl":"https://doi.org/10.25121/nm.2019.26.2.58","url":null,"abstract":"The authors present issues related to the diagnosis of the most common inflammatory diseases of the anus. They deal with anal fistulas and abscesses in a special way. They present various diagnostic methods: from basic proctological examination to instrumental methods. They asses the usefulness, disadvantages and limitations of individual methods. The highest assessment of the presented diagnostic methods was obtained by two tests, i.e. magnetic resonance imaging and endosonographic examination in the 3D option, supported by the use of the render mode option or hydrogen peroxide as a contrast agent. In a sense, both examinations are comparable when it comes to inflammatory diseases of the anus. For endosonographic examination, the advantage is low cost, repeatability and availability. The disadvantage of magnetic resonance imaging is the high price of the test, the low availability and possible claustrophobia of the patient or the presence of metal implants. However, the undeniable advantage of magnetic resonance imaging is the ability to assess anal fistulas or abscesses located high above the levator muscles. In the assessment of deeply located lesions, the advantage of magnetic resonance results from the shorter focus of the endosonographic probe. The high frequency of the probe gives good image quality, but it is paid for the shorter penetration of the ultrasound rays. The use of the render mode or contrast – hydrogen peroxide option puts the endosonographic examination in a one row with magnetic resonance imaging in the diagnosis of the most frequent occurring fistulas and abscesses. Considering lower costs, repeatability of the endosonographic examination it is a valuable modern instrument in the diagnosis of inflammatory lesions of the anus.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125788376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0