Polish Journal of Surgery最新文献_第7页

Incontinence after fistulotomy in low anal fistula: Can Kegel exercises help improve postoperative incontinence? 下肛瘘造瘘术后尿失禁:凯格尔运动能改善术后尿失禁吗?

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Polish Journal of Surgery Pub Date : 2022-09-12 DOI: 10.5604/01.3001.0015.9820

Pankaj Garg, Aalam Sohal, Vipul Yagnik, Baljit Kaur, Geetha Menon, Sushil Dawka

{"title":"Incontinence after fistulotomy in low anal fistula: Can Kegel exercises help improve postoperative incontinence?","authors":"Pankaj Garg, Aalam Sohal, Vipul Yagnik, Baljit Kaur, Geetha Menon, Sushil Dawka","doi":"10.5604/01.3001.0015.9820","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9820","url":null,"abstract":"AimFistulotomy is the commonest procedure performed for low anal fistulas. The incidence of gas and urge incontinence after fistulotomy and whether Kegel exercises (KE) could help recover sphincter function after fistulotomy has not been studied before. Methods Patients operated by fistulotomy for low fistulas were recommended KE (pelvic contraction exercises) 50 times/day for one year postoperatively. Incontinence (solid, liquid, gas and urge) was evaluated objectively (Vaizeys scores) preoperatively [Pre-op Group], in the immediate postoperative period [Pre-KE Group] and at 6-months follow-up [Post-KE Group]. Incontinence scores in all three groups were compared to evaluate the efficacy of KE. Results101 MRI-documented low anal-fistula patients were included. There were 79 males (mean age 39.412.9 years) and median follow-up was 12 months (6-18months). Two patients were lost to follow-up. Fistulas healed in all the patients. Incontinence was present in 5/99 patients (mean incontinence scores-0.130.63) preoperatively and occurred in 20/99 (mean incontinence scores-1.032.18) patients postoperatively (Pre-KE Group). With KE, the incontinence improved completely in 10 and partially improved in other 10 (mean incontinence scores-0.311.09). Urge and gas incontinence accounted for most cases (80%). The mean incontinence scores deteriorated significantly after fistulotomy (pre-op vs pre-KE, p=0.000059, significant) but continence improved significantly with KE, thus the scores between pre-op and post-KE became comparable (pre-op vs post-KE, p=0.07, not significant).ConclusionsFistulotomy, even in low fistulas, can lead to significant increase in gas and urge incontinence. Regular Kegel exercises postoperatively can help recover lost sphincter function and can bring back continence comparable to preoperative levels.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 3","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10869461","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

Anal stenosis. Recommendations of the Polish Coloproctology Club of the Scientific Society. 肛门狭窄。科学学会波兰直肠学俱乐部的建议。

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Polish Journal of Surgery Pub Date : 2022-09-12 DOI: 10.5604/01.3001.0015.9821

Tomasz Kościński

引用次数: 0

100 years of Thorek method - is this technique of breast reduction still actual? 100年的索雷克方法——这种缩胸术还在使用吗?

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Polish Journal of Surgery Pub Date : 2022-08-22 DOI: 10.5604/01.3001.0015.9663

Anna Kasielska-Trojan, Tomasz Zieliński, Bogusław Antoszewski, Marta Fijałkowska

{"title":"100 years of Thorek method - is this technique of breast reduction still actual?","authors":"Anna Kasielska-Trojan, Tomasz Zieliński, Bogusław Antoszewski, Marta Fijałkowska","doi":"10.5604/01.3001.0015.9663","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9663","url":null,"abstract":"In 1922, Max Thorek described the method of breast reduction with the transfer of the nipple-areola complex as free grafts. Initially, this method met with quite a lot of criticism. Therefore, the search for solutions guaranteeing better aesthetic results of breast reduction have been evolved.The aim of the study is to present our own experiences related to the Thorek method of breast reduction in patients with gigantomastia and to consider whether this technique is still relevant in the 21st century.The study included women operated on for large breasts at the Plastic, Reconstructive and Aesthetic Surgery Clinic between 2012-2021. In the analysis 95 women aged 17 to 76 were involved.In the analyzed group of 95 women, 14 patients underwent breast reduction with transfer of the nipple-areola complex as a free graft (modified Thorek's method). In the remaining 81 cases, breast reduction was performed with the transfer of the nipple areola complex on the pedicle (upper-medial - 78, lower - 1, upper-lower - McKissock's method - 2).The usage of Thorek's method is still actual in a selected group of women. This technique seems to be the only safe one in patients with gigantomastia, with a high risk of nipple-areola complex necrosis related to the distance of nipple transfer, as well as after the end of the reproductive period. Its main disadvantages (tendency to breasts being too wide and flat, unpredictable nipple projection and nipple pigmentation) can be minimized by modification of the Thorek method or minimally invasive follow-up techniques.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 4","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9444497","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

Fecal Occult Blood Test, Is it still worth for Colorectal Cancer Screening? 粪便潜血试验对结直肠癌筛查是否仍有价值?

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Polish Journal of Surgery Pub Date : 2022-08-22 DOI: 10.5604/01.3001.0015.9661

Ahmet Cem Esmer, Şevket Cumhur Yeğen

{"title":"Fecal Occult Blood Test, Is it still worth for Colorectal Cancer Screening?","authors":"Ahmet Cem Esmer, Şevket Cumhur Yeğen","doi":"10.5604/01.3001.0015.9661","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9661","url":null,"abstract":"Introduction: One of the most critical factors determining survival in terms of colorectal cancers is diagnosis and treatment at an early stage. Diagnosis at an early stage is possible with screening programs carried out within preventive health services. In this study, we aimed to compare the results of patients who underwent colonoscopy due to fecal occult blood test (FOBT) positivity with those over 50 years of age who underwent colonoscopy with other complaints and to reveal whether FOBT test is still essential for screening programs.Methods: This study included patients who underwent colonoscopy between January 2016 and December 2021. Patients were analyzed in two groups according to colonoscopy reasons: group I (FOBT-positive) and group II (other reasons).Results: A total of 3393 patients were included in the study. The patients were divided into two groups for evaluation. Patients who underwent colonoscopy for FOBT positivity (Group I) and patients over 50 years of age who underwent colonoscopy for other reasons (Group II). When the colonoscopy findings were compared between the groups' inflammatory bowel diseases (p=0,03) were higher in group I, while normal colonoscopy (p=0,03) was found to be more common in group II. Polyps, malignancy, diverticulosis, and perianal diseases seem similar between the groups statistically.Conclusion: FOBT can still be used in colorectal screening because it is inexpensive, widely available, has more participation due to non-invasiveness, and can be applied outside of clinical settings.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 3","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10754777","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

[Impact of COVID-19 on morbidity, management, and course of acute appendicitisa retrospective cohort study]. [COVID-19对急性阑尾炎发病率、治疗和病程的影响回顾性队列研究]。

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Polish Journal of Surgery Pub Date : 2022-08-22 DOI: 10.5604/01.3001.0015.9659

Łukasz Nawacki

{"title":"[Impact of COVID-19 on morbidity, management, and course of acute appendicitisa retrospective cohort study].","authors":"Łukasz Nawacki","doi":"10.5604/01.3001.0015.9659","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9659","url":null,"abstract":"Background: Acute appendicitis is one of the most common causes of abdominal pain requiring surgical intervention. This study aimed to assess the impact of the COVID-19 pandemic on the morbidity, therapeutic management, and course of acute appendicitis.Methods: This study retrospectively analyzed patients hospitalized at a general surgery department between 1 January 2019 and 19 March 2020 and compared them to patients hospitalized between 20 March 2020 (global pandemic declaration date) and 6 June 2021. Therefore, our analysis encompassed the period 443 days preceding the pandemic and 443 days after the start thereof. Other factors evaluated herein included sex, length of hospital stay, time from symptom onset, type of surgery, laboratory test results, histopathological diagnosis, and polymerase chain reaction test results for SARS-CoV-2 infection.Results: Statistical analysis was conducted using statistical software IBM SPSS version 27. Significant differences in length of hospital stay, time from symptom onset to hospital admission, number of leukocytes, and type of surgical procedure were observed between groups of patients treated before and after the pandemic.Conclusion: Acute appendicitis remained one of the most commonly encountered diseases requiring surgical intervention during the COVID-19 pandemic. Overall, significant differences were observed between patients treated before and after COVID-19 had been declared a pandemic.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 4","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10769571","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

Comparative Analysis of Preoperative Ratio Based Markers in Predicting Postoperative Infectious Complications After Gastrectomy. 基于术前比例的指标预测胃切除术后感染并发症的比较分析。

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Polish Journal of Surgery Pub Date : 2022-08-22 DOI: 10.5604/01.3001.0015.9662

Selçuk Gülmez, Aziz Senger, Orhan Uzun, Omer Ozduman, Cem Ofluoglu, İsmail Subasi, Bulent Sen, Mahmud Pence, Ugur Duman, Erdal Polat

{"title":"Comparative Analysis of Preoperative Ratio Based Markers in Predicting Postoperative Infectious Complications After Gastrectomy.","authors":"Selçuk Gülmez, Aziz Senger, Orhan Uzun, Omer Ozduman, Cem Ofluoglu, İsmail Subasi, Bulent Sen, Mahmud Pence, Ugur Duman, Erdal Polat","doi":"10.5604/01.3001.0015.9662","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9662","url":null,"abstract":"Aim: Postoperative infections (POIs) are associated with prolonged postoperative recovery, delayed adjuvant therapy, psychological problems, and poor long-term outcomes. The study aims to cross-compare the ratio-based preoperative parameters to predict POIs in patients with D2 gastrectomy for gastric cancer.Materials and methods: A retrospective cohort and single-center study evaluated the data of 293 patients who underwent curative gastrectomy between January 2007 and November 2019 in a tertiary hospital in Istanbul. A receiver operating characteristic (ROC) curve was used to assess the ability of laboratory values to predict clinically relevant POIs. The predictive capacity of the neutrophil-lymphocyte ratio (NLR), lymphocyte-monocyte ratio (LMR), platelet-lymphocyte ratio (PLR), and CRP-albumin ratio (CAR) was calculated by the area under the curve. Then, the cutoff points were determined for all 4 indexes.Results: POIs developed in 77 (26.2%) patients. Patients with POI had higher Charlson comorbidity index (CCI) scores and a longer length of hospital stay. ROC curve analysis revealed that NLR, LMR, and CAR were significantly effective in predicting POI, while PLR was ineffective. LMR was the best ability to predict the POI. According to multivariate analysis, CCI score 3, NLR> 3.8, and LMR 2.34 were independent risk factors influencing the POI.Conclusion: Preoperative LMR was most predictive for POI. Although CAR predicted the development of the POI, it was not superior to LMR and NLR. PLR did not have any prediction for POI. In addition, increased comorbidity (CCI 3) was an independent risk factor for POI.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 4","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10769574","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

Recto-vaginal fistulas. 直肠阴道瘘管。

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Polish Journal of Surgery Pub Date : 2022-08-22 DOI: 10.5604/01.3001.0015.9658

Tomasz Kościński

引用次数: 0

Resection of a large Solid Pseudopapillary Neoplasm of the Pancreas: A multidisciplinary feat and review of literature. 胰腺大实体假乳头状肿瘤的切除:多学科的壮举和文献回顾。

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Polish Journal of Surgery Pub Date : 2022-08-22 DOI: 10.5604/01.3001.0015.9664

Gautam Anand, Deborshi Sharma, Sanjay Meena, Munish Guleria, Anita Nangia

引用次数: 0

SCORING SYSTEM FOR PREDICTED SURGICAL-SITE INFECTION IN NEONATES AND PEDIATRIC INTENSIVE CARE UNIT: A PRELIMINARY STUDY. 预测新生儿和儿科重症监护病房手术部位感染的评分系统:初步研究。

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Polish Journal of Surgery Pub Date : 2022-08-22 DOI: 10.5604/01.3001.0015.9660

Leecarlo Lumban Gaol

{"title":"SCORING SYSTEM FOR PREDICTED SURGICAL-SITE INFECTION IN NEONATES AND PEDIATRIC INTENSIVE CARE UNIT: A PRELIMINARY STUDY.","authors":"Leecarlo Lumban Gaol","doi":"10.5604/01.3001.0015.9660","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9660","url":null,"abstract":"Background: Surgical-site infections (SSI) account for a large portion of morbidity with the rate of 500,000 cases per year from 27 million surgeries. Some researchers found that factors contributing to surgical wound infections are the number of bacteria contaminants, the bacterias virulence, the micro-environment around the surgical wound, and the immune system of the host.Objective: To account the risk factors for surgical-site infections in neonatal and pediatric intensive care unit and apply them in a risk index for neonates and pediatrics in critical care unit.Method: A cohort retrospective study was initiated to investigate risk factors for SSI at Tarakan General Hospital from January 2018 to July 2019. The different factors then analyzed with chi-square test, whereas the multivariate binary logistic regression model was used to examine independent risk factors for SSI.Result: A total of 179 patients met the inclusion criteria. There were 66 patients in NICU and 113 in PICU. Bivariate analysis showed that SSI was associated with type of ward, operating room temperature, perioperative septicemia, length of stay, and the use of chlorhexidine bath-washing (p<0.05). Multivariate analysis identified three independent parameters correlating with the occurance of SSI: operating room temperature (odds ratio [OR] 12,510; 95% confidence interval [CI] 4,198 37,279; P<0.001); perioperative septicemia (OR 6,424; 95% CI 2,221 18,581; P=0.001); and the use of chlorhexidine bath-washing (OR 35,751; 95% CI 8,627 148,164; P<0.001).Conclusion: From these three independent paramaters, we recommend a prognostic scoring for SSI in post operative NICUs and PICUs patients that still need another diagnostic, validity and realibility test to improve patients outcome.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 4","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10769573","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 prospective study of head injury patterns in motorcycle riders wearing/not wearing helmets. 戴/不戴头盔摩托车手头部损伤模式的前瞻性研究。

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Polish Journal of Surgery Pub Date : 2022-08-22 DOI: 10.5604/01.3001.0015.9282

Yogesh Takalkar, Kumar Vashist, Vaishnavi Chakravarthy, Pravin Shinde

{"title":"A prospective study of head injury patterns in motorcycle riders wearing/not wearing helmets.","authors":"Yogesh Takalkar, Kumar Vashist, Vaishnavi Chakravarthy, Pravin Shinde","doi":"10.5604/01.3001.0015.9282","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9282","url":null,"abstract":"Introduction: Road traffic accidents (RTA) are a major public health problem and one of the five leading causes of morbidity and mortality around the world. Use of two wheelers are growing rapidly especially inlow to middle income countries leading to an increase in RTA. 27% deaths related to accidents in India are among users of motorized two wheelers.Aims: To study the pattern of head injuries in motorcycle riders wearing/not wearinghelmets.Materials and methods: The study is designed as a prospective observational study. Study groups shall be initially categorized based on use of helmets and will be studied in terms of clinical presentation on admission. Basic epidemiological information will be collected in every patient. Case record shall be done in two parts.1) clinical survey 2) radiological survey . Survey is designed as per ATLS guidelines of assessment of trauma patients.Results: Helmet wearers suffered significantly less head and traumatic brain injuries than the non-helmeted counterparts.Conclusion: Helmets provide significant protection against the morbidity and mortality of Traumatic brain injury (TBI) as a result of road traffic accidents (RTA).","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 1","pages":"25-28"},"PeriodicalIF":0.6,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10747776","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