Maciej Smreczak, Tomasz Furgoł, Konrad Gigoń, Maksymilian Ratajczak, Marcin M Jezierzański, Michał Miciak, Sebastian Krych, Remigiusz Antończyk, Tomasz Hrapkowicz
{"title":"Could TachoSil application in cardiac surgery be potentially dangerous? A review of the literature.","authors":"Maciej Smreczak, Tomasz Furgoł, Konrad Gigoń, Maksymilian Ratajczak, Marcin M Jezierzański, Michał Miciak, Sebastian Krych, Remigiusz Antończyk, Tomasz Hrapkowicz","doi":"10.5114/kitp.2025.148533","DOIUrl":"https://doi.org/10.5114/kitp.2025.148533","url":null,"abstract":"<p><p>The application of TachoSil adhesive is becoming increasingly popular in surgical procedures. A special area of surgical medicine is cardiac surgery, where the adhesive makes it possible to provide hemostasis when classic anastomotic methods are insufficient. There are numerous studies available demonstrating the perioperative efficacy of TachoSil, and its ease of use in the human population. However, studies on the inflammation caused by TachoSil are widely limited to animal experiments. There is a lack of studies on human groups on TachoSil-induced inflammation in cardiac surgery. The purpose of our paper is to review the current knowledge on the use of TachoSil in animals and the incidence of inflammation, in order to determine whether there is a need for similar human studies in cardiac surgery. The paper discusses the details of this problem based on recent scientific reports.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"22 1","pages":"53-57"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12019980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hakan Göçer, Ahmet Baris Durukan, Ozlem Aksoy Ozmenek
{"title":"Hemiplegic migraine following percutaneous atrial septal defect closure.","authors":"Hakan Göçer, Ahmet Baris Durukan, Ozlem Aksoy Ozmenek","doi":"10.5114/kitp.2025.148506","DOIUrl":"https://doi.org/10.5114/kitp.2025.148506","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"22 1","pages":"58-59"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12019987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Minimally invasive approaches for thoracoabdominal injuries.","authors":"Gulomidin M Khodjimatov, Sardorbek M O Yahyoev","doi":"10.5114/kitp.2025.148618","DOIUrl":"https://doi.org/10.5114/kitp.2025.148618","url":null,"abstract":"<p><strong>Introduction: </strong>Thoracoabdominal injuries are associated with significant morbidity and mortality, and their diagnosis and treatment remain complex and controversial.</p><p><strong>Aim: </strong>This study evaluated the effectiveness of endovideosurgery and enhanced surgical techniques for the diagnosis and treatment of hemodynamically stable and unstable patients with thoracoabdominal injuries.</p><p><strong>Material and methods: </strong>This study included 190 cases of thoracoabdominal injuries treated between June 2017 and June 2022. Patients were divided into three groups: those with thoracic injuries, abdominal injuries, and combined thoracoabdominal injuries. The main group underwent endovideosurgery and improved surgical techniques, while the comparison group was treated with traditional methods. The outcomes of the advanced surgical approach and endovideosurgery were assessed and compared with traditional methods to evaluate their clinical significance.</p><p><strong>Results: </strong>The use of endovideosurgery and enhanced surgical techniques reduced the rate of exploratory surgery for abdominal injuries from 25.4% to 3.6% (a sevenfold reduction) and for combined thoracic and abdominal injuries from 28.2% to 5.0%. Postoperative complications also showed a significant decrease: in thoracic injuries, from 29.0% to 5.0%; in abdominal injuries, from 30.5% to 7.1%; and in combined thoracoabdominal injuries, from 37.5% to 10.0%.</p><p><strong>Conclusions: </strong>Dividing patients based on hemodynamic stability is crucial in the surgical management of thoracoabdominal injuries, facilitating the effective use of endovideosurgical techniques in appropriate patient categories.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"22 1","pages":"26-31"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12019985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bobur Turaev, Nodir Ibragimov, Afzal Babaev, Yulduz Turaeva, Kambarali Khaydarov
{"title":"Evolution of pulmonary artery reconstruction techniques: a focus on the neovalve from the right atrial appendage.","authors":"Bobur Turaev, Nodir Ibragimov, Afzal Babaev, Yulduz Turaeva, Kambarali Khaydarov","doi":"10.5114/kitp.2025.148562","DOIUrl":"https://doi.org/10.5114/kitp.2025.148562","url":null,"abstract":"<p><strong>Introduction: </strong>Pulmonary artery (PA) repair in pediatric cardiac surgery often utilizes the transannular patch (TAP) technique, which, while effective, is associated with complications such as right ventricular (RV) dysfunction and pulmonary valve (PV) regurgitation.</p><p><strong>Aim: </strong>Recent findings highlight the need for improved strategies to address these issues and enhance long-term outcomes.</p><p><strong>Material and methods: </strong>This retrospective cohort study analyzed 16 pediatric patients who underwent PA repair between December 2023 and April 2024. Patients were divided into two groups: right atrial appendage (RAA) neovalve (<i>n</i> = 8) and TAP (<i>n</i> = 8). Key procedural metrics, RV function, and postoperative outcomes were evaluated using standard statistical methods.</p><p><strong>Results: </strong>The RAA neovalve group demonstrated significantly reduced severe PV regurgitation compared to the TAP group (<i>p</i> < 0.001). Additionally, the RAA neovalve group exhibited improved RV function, with more patients showing no RV dysfunction (<i>p</i> = 0.014). The RAA neovalve group also experienced shorter ICU stays (3.88 ±0.84 days vs. 6.13 ±2.75 days, <i>p</i> = 0.044) and hospital stays (10.1 ±1.25 days vs. 13.2 ±3.19 days, <i>p</i> = 0.029).</p><p><strong>Conclusions: </strong>The RAA neovalve technique presents a significant improvement over traditional TAP in reducing severe PV regurgitation and enhancing RV function. The shorter ICU and hospital stays associated with the RAA neovalve suggest better postoperative recovery. These results indicate that the RAA neovalve could be a superior alternative to TAP for PA repair, warranting further research to confirm these benefits and explore long-term outcomes.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"22 1","pages":"14-19"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12019973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacek Kołcz, Kamil Adamczyk, Anna Rudek-Budzyńska, Janusz Skalski
{"title":"Hraska procedure for failing Fontan circulation.","authors":"Jacek Kołcz, Kamil Adamczyk, Anna Rudek-Budzyńska, Janusz Skalski","doi":"10.5114/kitp.2025.148509","DOIUrl":"https://doi.org/10.5114/kitp.2025.148509","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"22 1","pages":"60-65"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12019984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating smoking cessation strategies in thoracic surgery outpatient clinics.","authors":"İsmail Sarbay","doi":"10.5114/kitp.2024.145870","DOIUrl":"10.5114/kitp.2024.145870","url":null,"abstract":"<p><p>Introduction Smoking cessation remains a global challenge due to the complex and individualized nature of addiction. Understanding the interplay of psychological, social, and biological factors is crucial for developing effective, personalized cessation strategies.</p><p><strong>Aim: </strong>This study investigated the factors influencing the success of smoking cessation efforts among patients visiting thoracic surgery outpatient clinics.</p><p><strong>Material and methods: </strong>Between October 2022 and October 2023, 355 smokers sought assistance at thoracic surgery outpatient clinics, with 231 patients included in the study after exclusions. Data on demographics, comorbidities, cessation attempts, and Fagerström addiction scores were analyzed. Patients received nicotine replacement therapy (NRT), medical therapy (bupropion), and behavioral therapy. Follow-ups were conducted at 1, 3, and 6 months to assess cessation outcomes.</p><p><strong>Results: </strong>The cohort included 137 males and 94 females, with an average age of 45 years. Overall, 81 patients (35.06%) quit smoking in the first month, and 15 (6.49%) additional patients quit by the third month. Relapse occurred in 36 (15.58%) patients, and 99 (42.86%) patients failed to quit. Success rates were similar between genders and unrelated to age, comorbidities, previous attempts, or smoking intensity. The success rate was slightly higher among those who received pharmacotherapy, but the difference was not statistically significant. However, full adherence to behavioral suggestions was significantly associated with increased cessation success (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Behavioral therapy plays a critical role in smoking cessation success. Tailored behavioral strategies significantly enhance outcomes, highlighting the need for personalized approaches in cessation programs. Patients in thoracic surgery outpatient clinics benefit from comprehensive support, emphasizing behavioral adaptation to improve cessation rates.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 4","pages":"201-205"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Where should we perform a central venous bypass to salvage a functioning fistula?","authors":"Ayla E Çelikten, Ufuk Türkmen, Görkem Yiğit","doi":"10.5114/kitp.2024.145839","DOIUrl":"https://doi.org/10.5114/kitp.2024.145839","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 4","pages":"250-252"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hamid Kouatli, Mohammed Massine El Hammoumi, El Hassane Kabiri
{"title":"Primary lung tuberculosis mimicking metastatic lesions of resected shoulder osteosarcoma.","authors":"Hamid Kouatli, Mohammed Massine El Hammoumi, El Hassane Kabiri","doi":"10.5114/kitp.2024.145845","DOIUrl":"10.5114/kitp.2024.145845","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 4","pages":"231-233"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}