Polish Journal of Surgery最新文献_第8页

Dupuytrens disease - whats new: a review. Dupuytrens病——新发现:综述。

IF 0.6

Polish Journal of Surgery Pub Date : 2022-10-24 DOI: 10.5604/01.3001.0016.0058

Andrzej Żyluk

{"title":"Dupuytrens disease - whats new: a review.","authors":"Andrzej Żyluk","doi":"10.5604/01.3001.0016.0058","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0058","url":null,"abstract":"Dupuytrens disease is a common fibrotic disorder of the palmar aponeurosis characterized by the formation of nodules and cords, as well as development of progressive flexion deformities in the digits, leading to functional impairment. Surgical excision of the affected aponeurosis remains the most common treatment. Quite a few new information appeared about epidemiology, pathogenesis and particularly treatment of the disorder. The objective of this study is an updated review of scientific data in this topic. Results of epidemiologic studies showed that Dupuytrens disease is not so uncommon in Asian and African population as it was earlier believed. An important role of genetic factors on development of the disease in a proportion of patients was demonstrated, however, it did not translate neither to the treatment nor to the prognosis. The most changes concerned the management of Dupuytrens disease. A positive effect of steroids injections into the nodules and cords for inhibition of the disease in early stages was shown. In the advanced stages, a standard technique of partial fasciectomy was partly replaced by mini-invasive methods such as needle fasciotomy and collagenase Clostirdium hystolyticum injections. Unexpected withdrawal of collagenase from the market in 2020 resulted in considerable limitation of the availability of this treatment. It seems that updated knowledge on Dupuytrens disease may be interested and useful for surgeons involved in management of the disorder.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10764903","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

Assessment of the use of the Magseed marker in the localization of non-palpable lesions in the mammary gland. 评估Magseed标记在乳腺不可触及病变定位中的应用。

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Polish Journal of Surgery Pub Date : 2022-10-24 DOI: 10.5604/01.3001.0016.0664

Marcin Cieciorowski, Thomas Wow, Sławomir Cieśla, Agnieszka Kolacinska, Dawid Murawa

{"title":"Assessment of the use of the Magseed marker in the localization of non-palpable lesions in the mammary gland.","authors":"Marcin Cieciorowski, Thomas Wow, Sławomir Cieśla, Agnieszka Kolacinska, Dawid Murawa","doi":"10.5604/01.3001.0016.0664","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0664","url":null,"abstract":"Introduction Currently, more and more cases of breast cancer are detected in the early stages of advancement. Removal of the minimum required tissue volume ensures that the proper shape of the breast is maintained. On the other hand, it is important to get negative tissue margins. Objective To present your own experience with the use of preoperative breast tumor determination using the Magseed marker. Material and methods On the eve of the procedure, a Magtrace magnetic marker was administered to determine the lymph nodes and, under ultrasound control, a Magseed magnetic marker to the tumor, and the site of the lesion was marked with a skin marker as the operated site. Before the skin incision, the lesion was located using intraoperative ultrasound and the Sentimag probe. After the tumor was excision, the presence of the marker was confirmed in the preparation using the magnetic method and the compatibility of the ultrasound image before and after the procedure. The results of the research group were 23 patients. Radicality of the procedure was achieved in 20 patients (87%). To assess the size of the preparation and tumor, a formula from the work of Angarita et al. on the volume of the ellipsoid was used. It was assessed what part of the excised preparation was a tumor marked using the Magseed marker. Cohorts of 11 patients at the beginning and end of the evaluated group were compared, showing a significant increase in this parameter. Together with the learning curve, you can identify the tumor much more precisely and save healthy breast tissues by improving the aesthetic effect in the breast range. Conclusions The method of localization of non-pallpatory lesions in the mammary gland using the Magseed marker is simple to use, and the high detection rate directly translates into a reduction in the percentage of non-radical treatments in the case of sparing treatment.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10769572","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

Operative material left in the abdominal cavity during surgical procedures. 手术过程中留在腹腔内的手术物质。

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Polish Journal of Surgery Pub Date : 2022-10-24 DOI: 10.5604/01.3001.0016.0661

Andrzej Modrzejewski, Krzysztof Kowalik, Inga Grochal, Konrad Kaźmierczak

引用次数: 0

PRESENTATION AND OUTCOMES OF LAPAROSCOPIC NISSEN FUNDOPLICATIONS. 腹腔镜尼松底手术的表现和结果。

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Polish Journal of Surgery Pub Date : 2022-10-24 DOI: 10.5604/01.3001.0016.0660

Levent Eminoglu

{"title":"PRESENTATION AND OUTCOMES OF LAPAROSCOPIC NISSEN FUNDOPLICATIONS.","authors":"Levent Eminoglu","doi":"10.5604/01.3001.0016.0660","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0660","url":null,"abstract":"Background and aim: Our study aimed to review the presentation and outcomes of LFNF in patients with gastroesophageal reflux disease (GERD).Material and MethodThis study was conducted at the Florance Nigthengele Hospital, Istanbul, Turkey from January 2011 and August 2021. A total of 1840 (990 Female, 850 Male) patients underwent LFNF for GERD. Data including age, gender, coexisting diseases, presenting symptoms, duration of symptoms, time of surgery, intraoperative complications, postoperative complications, length of hospital stay and perioperative mortality were retrospectively reviewed.Results: The mean age was 42,110,31 years. Heartburn, regurgitation, hoarseness and cough were common presenting symptoms. The mean symptom duration was 5.930.25 months. Reflux episodes > 5 min was 4.09 3. De Meester's score of the patients was measured as 32 17.8. The mean preoperative lower esophagus sphincter (LES) pressure was 9,2 1.4 mmHg and the mean postoperative LES pressure was 14.32.41mm Hg. The intraoperative complication rate was 1% and postoperative complication rate was 1.6%. There was no mortality due to LFNF intervention.Conclusion: As an anti-reflux procedure, LFNF is a safe and reliable option for patients with GERD.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327229","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

Use of intra operative fluorescein dye for prediction of flap viability. 术中荧光素染色预测皮瓣生存能力。

IF 0.6

Polish Journal of Surgery Pub Date : 2022-10-24 DOI: 10.5604/01.3001.0016.0662

Tushar Patial, Amandeep Kaur, Rajinder Mittal

{"title":"Use of intra operative fluorescein dye for prediction of flap viability.","authors":"Tushar Patial, Amandeep Kaur, Rajinder Mittal","doi":"10.5604/01.3001.0016.0662","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0662","url":null,"abstract":"Background: A successful flap is dependent on its vascularity. During dissection, flap viability may become compromised due to inadequate perfusion from the vascular pedicle(s) on which the flap is based. Various methods have been proposed to determine viability of a flap both, intraoperatively and postoperatively. The ideal method must be simple, accurate, reproducible and safe. The purpose of this study was to study the role of fluorescein dye for prediction of flap viability.Materials & Methods: Thirty patients undergoing flap coverage for various defects were evaluated. Flaps were elevated and evaluated clinically for viability. Intravenous fluorescein was injected into the patients prior to flap inset and its course through the flap was monitored under ultraviolet light. Fluorescent areas were marked intraoperatively (size and location documented). Areas of viable flaps were documented on post-operative day 5 and comparisons made.Result: The area of viable flap as determined using intra operative fluorescein dye administration corresponded to surviving flap area on post-operative day 5, in 27 of the 30 cases studied, giving positive predictive value of 90%. Overall, the dye had an accuracy of 99.03% compared to intraoperative clinical flap assessment accuracy of 95.70%. Marginal necrosis was seen in 16.6 % of all cases. No allergic reaction to the dye was observed.Conclusion: - Accurate assessment of flap viability is an area of constant research. Use of intraoperative fluorescein dye for prediction of flap viability has an accuracy of 99.03% compared to intraoperative clinical flap assessment accuracy of 95.70%. In a few cases, the dye is prone to underpredict the area of viable flap tissue. The dye can be used to corroborate clinical asessment of viable flap tissue when used intraoperatively. The dye was found to be safe and easy to use.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10763574","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

Functional disorders of the pelvic floor. Recommendations of the Polish Coloproctology Club of the Scientific Society. 盆底功能障碍。科学学会波兰直肠学俱乐部的建议。

IF 0.6

Polish Journal of Surgery Pub Date : 2022-09-12 DOI: 10.5604/01.3001.0015.9822

Tomasz Kościński

引用次数: 0

Extraperitoneal pelvic packing in trauma a review. 腹膜外骨盆填充物在创伤中的应用综述。

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Polish Journal of Surgery Pub Date : 2022-09-12 DOI: 10.5604/01.3001.0015.9819

Sajad Ahmad Salati

引用次数: 0

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?

IF 0.6

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":null,"pages":null},"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?

IF 0.6

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":null,"pages":null},"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