Polish Journal of Surgery最新文献_第9页

Comparative study of breast core needle biopsy (CNB) findings with ultrasound BI-RADS subtyping. 乳腺核心穿刺活检(CNB)与超声BI-RADS分型的比较研究。

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Polish Journal of Surgery Pub Date : 2022-05-13 DOI: 10.5604/01.3001.0015.8480

Shokouh Taghipour Zahir, Sara Aminpour, Jamal Jafari-Nedooshan, Koorosh Rahmani, Farzan SafiDahaj

{"title":"Comparative study of breast core needle biopsy (CNB) findings with ultrasound BI-RADS subtyping.","authors":"Shokouh Taghipour Zahir, Sara Aminpour, Jamal Jafari-Nedooshan, Koorosh Rahmani, Farzan SafiDahaj","doi":"10.5604/01.3001.0015.8480","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8480","url":null,"abstract":" Introduction: Given the high prevalence of breast cancer, developing quick and accessible diagnostics solutions is critical. The BIRADS classification is a reliable method for assessing and estimating the risk of malignancy in breast lesions. Aim: The aim of this study was to compare the results of core needle biopsy of breast lesions and sonographic findings based on the BIRADS category in Yazd. Materials and methods: This retrospective analytical study was done on all core needle biopsy specimens referred to Mortaz hospital, Yazd, Iran from 2010 to 2019. Demographic data such as age, laterality of the lesion, BIRADS category, and pathology reports were extracted from patients' hospital folders. Data were analyzed by SPSS version 21. P < 0.05 was considered statistically significant. Results: In total, 514 cases with a mean age of 43.9 9.4 years were studied. Among them, 104 cases (20.2%) were malignant and 410 cases (79.8%) were benign. The most common benign and malignant lesions were fibroadenoma (24.9%), and infiltrative ductal carcinoma (83.7%) respectively. The most common BIRADS was class 4A (54.9%). Patients with benign lesions were mostly in the 3rd and 4th decade of life, while malignant lesions were more in the 4th and 5th decades, and this difference was statistically significant (P = 0.001). The correlation between ultrasound diagnoses (BIRADS) and pathology findings was statistically significant (P < 0.001). Conclusion: Based on the results, there is a significant correlation between ultrasound outcomes according to BIRADS and pathology results, and the radiology-pathology accordance, owing to its high accuracy, can be very helpful in correctly diagnosing, monitoring, and managing the lesion.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 2","pages":"1-6"},"PeriodicalIF":0.6,"publicationDate":"2022-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306813","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

Outcomes of coverage of the soft tissue defects in the hand with a groin flap. 腹股沟皮瓣覆盖手部软组织缺损的效果。

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Polish Journal of Surgery Pub Date : 2022-05-13 DOI: 10.5604/01.3001.0015.8478

Andrzej Żyluk

引用次数: 0

Adjunct internal iliac artery procedures in the context of endovascular abdominal aortic aneurysm repair: anything to stress on the consent form? 在血管内腹主动脉瘤修复的背景下辅助髂内动脉手术:同意书上有什么需要强调的吗?

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Polish Journal of Surgery Pub Date : 2022-05-02 DOI: 10.5604/01.3001.0015.8207

Charalampos Seretis, Chrysanthi Papageorgopoulou, Konstantinos Nikolakopoulos

引用次数: 0

Neutrophil to lymphocyte ratio in predicting postoperative complications and prognosis in patients with colorectal cancer. 中性粒细胞/淋巴细胞比值预测结直肠癌术后并发症及预后。

IF 0.6

Polish Journal of Surgery Pub Date : 2022-05-02 DOI: 10.5604/01.3001.0015.8385

Julia Fuss, Anna Voloboyeva, Victor Polovyj, Roksolana Yaremkevych

{"title":"Neutrophil to lymphocyte ratio in predicting postoperative complications and prognosis in patients with colorectal cancer.","authors":"Julia Fuss, Anna Voloboyeva, Victor Polovyj, Roksolana Yaremkevych","doi":"10.5604/01.3001.0015.8385","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8385","url":null,"abstract":" Introduction: Biological markers of inflammation are among the main tools for predicting the risk of developing postoperative infectious complications at the preclinical stage. One of these biomarkers is the neutrophil-lymphocyte ratio (NLR), but the insufficient number of studies does not allow judging its value as a marker of infectious complications in colorectal surgery. Aim: Aim of the study to determine the predictive value of the neutrophil-leukocyte ratio as a predictor of infectious complications after colon surgery. Methods: From September 2018 to December 2021, 234 patients were enrolled in the study after colon surgery. The frequency of infectious complications, the differences in the levels of NLR in patients with and without infectious complications were determined. Results: One hundred and thirty-seven patients met the criteria of NLR-low, and 97 patients were categorized as NLR-high. The NLR status was significantly correlated with T-stage, perineural invasion, and increased likelihood of complications. Univariate analysis indicated that both low albumin and meeting the criteria for the NLR-high group correlated with an increased occurrence of complications. Multivariate analysis identified NLR-high and low albumin levels as independent predictors for complications. Conclusion: The neutrophil-lymphocyte ratio is a reliable predictor in predicting the risk of developing infectious complications in colorectal surgery. In addition, low values of this biomarker are a significant criterion for a safe discharge of patients from hospital. The prevalence and availability of this test makes it easily reproducible in clinical practice.</br&gt.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"94 6","pages":"33-37"},"PeriodicalIF":0.6,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35256067","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

Do We Underestimate Colorectal Cancer Patients Under 50? 我们是否低估了50岁以下的结直肠癌患者?

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Polish Journal of Surgery Pub Date : 2022-05-02 DOI: 10.5604/01.3001.0015.8386

Sami Benli, Tahsin Colak, Mehmet Özgür Türkmenoğlu, Habip Sari, Caner Baysan

{"title":"Do We Underestimate Colorectal Cancer Patients Under 50?","authors":"Sami Benli, Tahsin Colak, Mehmet Özgür Türkmenoğlu, Habip Sari, Caner Baysan","doi":"10.5604/01.3001.0015.8386","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8386","url":null,"abstract":" Introduction: Early-onset colorectal cancer (EOCRC) accounts for approximately 10% of all colorectal cancers (CRCs). EOCRC has a certain hereditary predisposition and distinct clinicopathological and molecular features compared to the traditional average-onset of colorectal cancer (AOCRC). As previous publications have shown, EOCRC has a more advanced TNM stage and a more aggressive tumor histopathology. Aim: In this study, we aimed to evaluate the differences and similarities of EOCRC compared to AOCRC based on clinicopathological characteristics. Material and methods: Between January 2010 and December 2020, 394 patients with inclusion criteria who were operated on at the 3rd level health center for colorectal cancer were included in the study. Patients were divided into two groups as EOCRC (50 years and under) and AOCRC. Pearson's chi-square test was used to compare categorical variables in independent groups. In addition, logistic regression analysis was performed using the Backward method with the variables whose relationship with the age group was evaluated, with P < 0.100. Results: Our final analysis included 80 EOCRC cases and 314 controls. When the EOCRC group was compared with the AOCRC group, there was no statistically significant difference between gender, tumor location, T stage of the tumor, and survival (P = 0.190, P = 0.924, P = 0.165, P = 0.574). However, a statistically significant difference in the N stage, degree of differentiation, lymphovascular invasion (LVI) and perineural invasion (PNI) status, and P-values were: P = 0.006, P = 0.029, P = 0.019, and P = 0.003, respectively. Conclusion: EOCRC has more aggressive tumor biology than AOCRC. Our study shows that more advanced N stage, poor differentiation, tumor deposits, LVI, and PNI are seen more frequently in EOCRC.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 1","pages":"13-19"},"PeriodicalIF":0.6,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10869462","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

Comparison of modified Glasgow-Imrie, Ranson, and Apache II scoring systems in predicting the severity of acute pancreatitis. 改良Glasgow-Imrie、Ranson和Apache II评分系统预测急性胰腺炎严重程度的比较

IF 0.6

Polish Journal of Surgery Pub Date : 2022-05-02 DOI: 10.5604/01.3001.0015.8384

Rohit Chauhan, Neeraj Saxena, Neeti Kapur, Dinesh Kardam

{"title":"Comparison of modified Glasgow-Imrie, Ranson, and Apache II scoring systems in predicting the severity of acute pancreatitis.","authors":"Rohit Chauhan, Neeraj Saxena, Neeti Kapur, Dinesh Kardam","doi":"10.5604/01.3001.0015.8384","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8384","url":null,"abstract":"Aim: The course of acute pancreatitis is variable with patients at risk of poor outcomes. The purpose of this study was to compare Modified Glasgow-Imrie, Ranson, and APACHE II scoring systems in predicting the severity of acute pancreatitis. Material and Methods: After a brief history, clinical examination and qualifying inclusion criteria, 70 patients (41 women, 29 men) diagnosed with acute pancreatitis were included in the study. The three scores were calculated for each patient and evaluated for their role in the assessment of specific outcomes. Results: 34.3% patients were diagnosed with severe acute pancreatitis, while 65.7% patients had mild acute pancreatitis. A strong positive correlation was found between all the prognostic scores and the severity of disease. In the prediction of the severity of disease according to AUC, it was found that Glasgow-Imrie score had an AUC of 0.864 (0.7560.973), followed very closely by APACHE II score with an AUC of 0.863 (0.7580.968). APACHE II had the highest sensitivity (79.17%) in predicting severity while Glasgow-Imrie score was the most specific (97.83%) of all the scores. Patients with a Glasgow-Imrie score above the cut-off value of 3 had more complications and a longer hospital stay. Conclusion: The Glasgow-Imrie score was comparable to APACHE II score and better than Ranson score statistically in predicting the severity of acute pancreatitis. Its administration in predicting the severity of acute pancreatitis is recommended.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 1","pages":"6-12"},"PeriodicalIF":0.6,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10747777","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

Diagnostics and treatment of complications of SARS-CoV-2 infection in the pediatric surgery department. An analysis based on seven clinical cases and literature review. 小儿外科SARS-CoV-2感染并发症的诊断与治疗结合7例临床病例分析及文献复习。

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Polish Journal of Surgery Pub Date : 2022-04-30 DOI: 10.5604/01.3001.0015.6900

B. Kocąb, Patrycja Sosnowska-Sienkiewicz, W. Piotrowicz, P. Mańkowski

{"title":"Diagnostics and treatment of complications of SARS-CoV-2 infection in the pediatric surgery department. An analysis based on seven clinical cases and literature review.","authors":"B. Kocąb, Patrycja Sosnowska-Sienkiewicz, W. Piotrowicz, P. Mańkowski","doi":"10.5604/01.3001.0015.6900","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6900","url":null,"abstract":"Introduction: Pediatric inflammatory multisystem syndrome - temporally associated with SARS-CoV-2 (PIMS-TS) is a new disease, the first cases of which were observed in the spring of 2020. It affects children who have been infected with SARS-CoV-2 virus (severe acute respiratory syndrome coronavirus 2) and children who have been in direct contact with patients suffering from COVID-19 (coronavirus disease 2019). The disease is characterized by a wide spectrum of symptoms and the development of generalized inflammation of different organs and systems. One of the numerous symptoms may be severe abdominal pain. Aim: The aim of this study was to review the available literature and analyze the results of patients treated at the Department of Pediatric Surgery, Traumatology and Urology in Poznań in whom PIMS-TS imitated acute surgical abdominal disease. Materials and methods: material for the study was collected on the basis of medical records of patients treated at the Department of Pediatric Surgery, Traumatology and Urology of the Poznań University of Medical Sciences in the period between March 2020 and February 2021. Results: TDuring this period, seven patients met the PIMS-TS criteria and three children were qualified for surgical treatment. Only one patient had an acute surgical cause of abdominal pain. Discussions: The guidelines of the expert group at the Polish Pediatric Society and the National Consultant in the field of Pediatrics indicate the need to exclude acute surgical abdominal disease as a criterion for the diagnosis of PIMS-TS syndrome. In patients with acute abdominal pain, imaging and laboratory tests are sometimes diagnostically inconclusive, therefore exploratory laparoscopy is worth considering in order to differentiate PIMS-TS from acute surgical abdominal disease.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"122 1","pages":"5-11"},"PeriodicalIF":0.6,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78447484","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

Significance of Luminex-crossmatch assay and its mean fluorescence intensity - a retrospective observation in 380 renal transplant cases. 380例肾移植病例luminex交叉配合法及其平均荧光强度的回顾性观察。

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Polish Journal of Surgery Pub Date : 2022-04-30 DOI: 10.5604/01.3001.0015.6985

P. Pandey, A. Pande, Smriti Mishra, D. Setya, A. Devra, V. Sinha, A. Bhatt

{"title":"Significance of Luminex-crossmatch assay and its mean fluorescence intensity - a retrospective observation in 380 renal transplant cases.","authors":"P. Pandey, A. Pande, Smriti Mishra, D. Setya, A. Devra, V. Sinha, A. Bhatt","doi":"10.5604/01.3001.0015.6985","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6985","url":null,"abstract":"Introduction: Cell-based complement-dependent cytotoxicity crossmatch (CDC-XM) and solid phase assays were introduced for assessing HLA antibodies. However, the complexity of data from cell-based and solid phase assays have led to potential confusion about how to use the results for clinical decision making. Aim: Aim of this study was to compare results of cell-based assay and solid phase assay, to evaluate the usefulness of L-XM for pretransplant detection of HLA class I and II donor-specific IgG antibodies, correlate the mean fluorescence intensity (MFI) values of class I and class II L-XM assay and with CDC-XM and L-PRA (panel reactive antibodies) results. Methods: In this retrospective study, 380 prospective renal transplant recipients were tested for the presence of HLA antibodies by CDC-XM, IgG-L-XM, IgG-L-PRA & L-SAB screening with their corresponding donor. Results: Fifty-one recipients (13.42%) had a positive CDC-XM. L-XM was positive in 125 recipients (32.89%); class I-L-XM was positive in 46 (36.80%) cases, and class II-L-XM was positive in 58 (46.4%) cases and 21 (16.8%) samples were positive for class I and class II. High background was present in 22 (5.87%) samples, the results of which were confirmed by retesting or by correlation with L-PRA and L-SAB assays. Conclusion: The introduction of more sensitive approaches for the detection of anti-HLA-IgG-antibodies, such as L-XM and L-PRA assay, has allowed the identification of anti-HLA-antibodies in recipient serum which is not usually identified by CDC-XM alone. However, L-XM has some limitations; they can be overcome if we combine this assay with L-PRA.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"52 1","pages":"38-48"},"PeriodicalIF":0.6,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77253291","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: 3

Guidelines for treatment of esophageal atresia in the light of most recent publications. 食道闭锁的治疗指南，根据最近的出版物。

IF 0.6

Polish Journal of Surgery Pub Date : 2022-04-07 DOI: 10.5604/01.3001.0015.8208

Karolina Tokarska, Wojciech Rogula, Anna Tokarz, Maciej Tarsa, Witold Urban, Wojciech Górecki

{"title":"Guidelines for treatment of esophageal atresia in the light of most recent publications.","authors":"Karolina Tokarska, Wojciech Rogula, Anna Tokarz, Maciej Tarsa, Witold Urban, Wojciech Górecki","doi":"10.5604/01.3001.0015.8208","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8208","url":null,"abstract":"Introduction: Esophageal atresia is a congenital anomaly well known in the community of pediatric surgeons. Nonetheless some aspects of management remain vague and societies of gastroenterologists as well as surgeons have been gathering to determine pertinent ways to handle this condition. To make ground for unification, the guidelines of some most important societies were compared and gathered in one review.Materials and methods: Literature review of online databases of the PubMed and the Cochrane Library with (o)esophageal atresia, guidelines and follow-up used as keywords.Results: Over the course of the last few years there was a lot of effort invested in making clear and accurate guidelines for management of EA, largely with good results. In the majority of important matters, opinions of specialists were consistent or complementary to each other. Because some of them described different phases of management, gathering them together led to obtaining the wider picture, which can help pediatric surgeons in making decisions while treating the patients with EA.Conclusion: There is a necessity for careful following guidelines which have been changing quite fast along with new significant publications about EA. Some concerns remained debatable and their accentuation in this review was made to bring awareness to vague issues, such as postoperative antibiotic prophylaxis or duration of administering PPI. Additionally structured follow-up programs for the first 18 years and after reaching maturity should be made.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 1","pages":"39-45"},"PeriodicalIF":0.6,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10869463","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

Negative pressure wound therapy in surgical practice: an Institutional experience from a tertiary centre of North India. 手术实践中的负压伤口治疗:来自印度北部三级中心的机构经验。

IF 0.6

Polish Journal of Surgery Pub Date : 2022-04-07 DOI: 10.5604/01.3001.0015.8170

Amit Gupta, Ashikesh Kundal, Rishit Mani, Bhargav Gajula, Geetha Sindhuri, Jaine Chennat, Utkarsh Kumar, Deepak Rajput

{"title":"Negative pressure wound therapy in surgical practice: an Institutional experience from a tertiary centre of North India.","authors":"Amit Gupta, Ashikesh Kundal, Rishit Mani, Bhargav Gajula, Geetha Sindhuri, Jaine Chennat, Utkarsh Kumar, Deepak Rajput","doi":"10.5604/01.3001.0015.8170","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8170","url":null,"abstract":"Introduction: Negative pressure wound therapy (NPWT) has been suggested as a gold standard for managing complex wounds and to reduce the time of healing and overall morbidity and mortality of the patient. Aim: We have done a retrospective study to observe the outcome in patients managed with negative pressure wound therapy for varied etiologies. Methods: Patients with complicated wounds including lower limb wounds post-debridement, upper limb wounds post-debridement, postoperative abdominal wound dehiscence, abdominal and chest abscess wounds post-debridement and amputation stumps, managed with negative pressure wound therapy were studied on the basis of wound outcome, total hospital stay, days of NPWT application and pressure and mode of NPWT. Results: A total of 42 patients with complicated wounds were included in the study. Mean hospital stay was 16.2 days and mean NPWT application time was 8.29 days with NPWT being applied on average for 3.91 days post-procedure like debridement or amputation or after wound dehiscence in which debridement was not done. As many as 41.5% of wounds were closed with suturing, 48.8% healed by secondary intention and 9.8% were covered with split-thickness skin grafts. A significant observation was made for lower pressure being used for abdominal wound dehiscence (75 mmHg) compared to other wounds on limbs (mean 98.33 mmHg) (P < 0.001). Re-debridement after the 1st cycle of NPWT was needed in 40% of wounds managed with intermittent mode compared to 6.2% in continuous mode (P = 0.028). Conclusion: NPWT can reduce and manage wound complications with improvement in the quality of life of patients when used at an appropriate time with knowledge of its mechanism and functionality.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"95 1","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10747779","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