Polski przeglad chirurgiczny最新文献_第3页

Postoperative Distal Enteral Tube Refeeding in Stoma Patients: A Comparative Analysis of Clinical Outcomes. 造口患者术后远端肠管再喂养：临床结果对比分析。

Polski przeglad chirurgiczny Pub Date : 2023-10-17 DOI: 10.5604/01.3001.0053.9351

Jignesh Gandhi, Aadrika Kashyap, Pravin Shinde

{"title":"Postoperative Distal Enteral Tube Refeeding in Stoma Patients: A Comparative Analysis of Clinical Outcomes.","authors":"Jignesh Gandhi, Aadrika Kashyap, Pravin Shinde","doi":"10.5604/01.3001.0053.9351","DOIUrl":"10.5604/01.3001.0053.9351","url":null,"abstract":" Introduction: Stoma surgery, which involves creating a diversion of the small intestine through an abdominal wall opening, poses challenges in managing fluid and electrolyte imbalances. Patients with high proximal stoma often rely on costly and risky parenteral nutrition (PN). Distal enteral tube feeding, a method of delivering nutrition to the small intestine, is intended to improve clinical outcomes and reduce complications. This study presents a comparative analysis of clinical outcomes between postoperative distal enteral tube refeeding and traditional enteral and PN approaches in stoma patients with distal mucous fistula. Aim: To evaluate the effectiveness of distal enteral tube refeeding in improving postoperative outcomes after stoma surgery and to examine the impact of distal enteral tube refeeding on total hospitalization stay, ICU length of stay, TPN duration, and time to closure of the stoma. Material and methods: The study is a retrospective, single-center trial involving 84 patients who had undergone stoma surgery. The patients were divided into two groups: those receiving postoperative distal enteral tube refeeding (n = 42) and the control group (n = 42), with standard mucous fistula creation. The data was collected retrospectively from January 2012 to January 2022 and the statistical analysis was performed using descriptive statistics, the chi-square test, and the t-test. Results: The results of our study show that the patients who had undergone postoperative distal enteral tube refeeding had a significantly shorter total hospitalization stay (p = 0.0002), a significantly shorter ICU length of stay (p = 0.0006), a significantly shorter TPN duration (p= 0.0004), and a significantly faster time to closure (p = 0.0002).</br&gt.","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725634","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

Testicular and scrotal abnormalities in pediatric and adult patients. 儿童和成人患者的睾丸和阴囊异常。

Polski przeglad chirurgiczny Pub Date : 2023-10-17 DOI: 10.5604/01.3001.0053.9349

Patrycja Sosnowska-Sienkiewicz, Danuta Januszkiewicz-Lewandowska, Przemysław Mańkowski

引用次数: 0

Modified optical port entry site for laparoscopic cholecystectomy: Our experience. 腹腔镜胆囊切除术的改良光学端口入口：我们的经验

Polski przeglad chirurgiczny Pub Date : 2023-10-17 DOI: 10.5604/01.3001.0053.9350

Pravin Shinde, Aarsh Gajjar, Rajiv Karvande

{"title":"Modified optical port entry site for laparoscopic cholecystectomy: Our experience.","authors":"Pravin Shinde, Aarsh Gajjar, Rajiv Karvande","doi":"10.5604/01.3001.0053.9350","DOIUrl":"10.5604/01.3001.0053.9350","url":null,"abstract":" Introduction: The four-port laparoscopic cholecystectomy is a recognized entity in the surgical management of gallstone disease. We report our experience and feasibility of optical port entry site modification. Material and Methods: To assess the feasibility and safety of laparoscopic cholecystectomy with a different port placement, we undertook a prospective study with 60 patients at Seth GSMC and KEM Hospital, India between Jan 2022 and July 2022. Our study offered the benefit of a flexible optical port entry site, using a 5 mm optical trocar instead of the conventional 10 mm trocar. A single surgeon did all the cases and definite criteria of simple cases of gallstone disease patterned on clinical and radiological grounds. Results: 60 cases of gallstone disease were subjected to the new technique of laparoscopic cholecystectomy over seven months. 39 cases were females and 21 were males. The age range of our patients was between 20 and 55 years with a median age of 39 years. Mean Body mass index 30 (range 25 - 37). The mean operative time was 30 min (range 15 - 45 min) and a follow-up period ranged from 10 to 14 months. No cases were converted to open. We did not encounter any untoward mishaps during surgery. Discussion: Our modification of the optical port placement and size received good results and patient satisfaction. Moreover, the placement of the port at a site further from the midline and umbilicus decreases the risk of development of trocar site incisional hernia.</br&gt.","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725631","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

Retrospective analysis of treatment, including access to breast reconstructions, of breast cancer patients - war refugees from Ukraine in Poland - the experience of a single tertiary care institution. 回顾性分析乳腺癌患者的治疗，包括获得乳房重建的机会——来自乌克兰的战争难民在波兰——单一三级医疗机构的经验。

Polski przeglad chirurgiczny Pub Date : 2023-03-15

Thomas Wow, Dawid Murawa, Katarzyna Boguszewska-Byczkiewicz, Jacek Burzyński, Aleksandra Ryk, Agnieszka Kolacinska

{"title":"Retrospective analysis of treatment, including access to breast reconstructions, of breast cancer patients - war refugees from Ukraine in Poland - the experience of a single tertiary care institution.","authors":"Thomas Wow, Dawid Murawa, Katarzyna Boguszewska-Byczkiewicz, Jacek Burzyński, Aleksandra Ryk, Agnieszka Kolacinska","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Following the Russian invasion, more than 3600000 refugees have fled Ukraine and settled down in Poland; this group includes a growing number of breast cancer patients whose treatment had been started in Ukraine and hence required urgent therapy in Poland. Aim: The aim of the study was to analyze the treatment of breast cancer patients from Ukraine, who entered Poland as war refugees - the experience of a single tertiary care institution. Material and methods: The treatment of 25 consecutive breast cancer patients, war refugees from Ukraine was reviewed retrospectively. Results: Patients were treated according to subtype and staging, e.g. surgery, endocrine, anti-HER2 therapy, chemotherapy, radiotherapy. 7 patients received an immediate implant, mesh-based breast reconstruction. In 2 cases, the patients refused breast reconstruction. Conclusions: Nearly 5.5 million refugees across Europe who have fled the combat zones in Ukraine; of these, the vast majority sought shelter in Poland, and many of whom are women. It is expected that breast cancer mortality rates may rise and progress in oncology may slow as the war in Ukraine disrupts routine patient care, clinical trials and research. Hence, support from neighboring countries is mandatory.","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500672","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

The preventive effect of omega-3 fish oil on the formation of peritoneal adhesions. ω-3鱼油对腹膜粘连形成的预防作用。

Polski przeglad chirurgiczny Pub Date : 2023-02-17 DOI: 10.5604/01.3001.0016.2730

Kerem Karaman, Hüseyin Çakıroğlu, Fatıma Betül Tuncer, Mehmet Ramazan Şekeroğlu, Fahri Yılmaz

{"title":"The preventive effect of omega-3 fish oil on the formation of peritoneal adhesions.","authors":"Kerem Karaman, Hüseyin Çakıroğlu, Fatıma Betül Tuncer, Mehmet Ramazan Şekeroğlu, Fahri Yılmaz","doi":"10.5604/01.3001.0016.2730","DOIUrl":"10.5604/01.3001.0016.2730","url":null,"abstract":" Introduction: Postoperative peritoneal adhesions that form after abdominal surgery still continue to exist as an unresolved health problem. Aim: The aim of the study is to examine whether omega-3 fish oil has a preventive effect on postoperative peritoneal adhesions. Material and methods: Twenty-one female Wistar albino rats were separated into 3 groups (sham, control and experimental), each consisting of 7 rats. In the sham group, only laparotomy was performed. In both the control and experimental group rats, the right parietal peritoneum and cecum were traumatised to form petechiae. Following this procedure, the abdomen was irrigated with omega-3 fish oil in the experimental group. The rats were re-explored on the 14th postoperative day and any adhesions were scored. Tissue samples and blood samples were taken for histopathological and biochemical analysis. Results: None of the rats that were administered omega-3 fish oil developed macroscopic postoperative peritoneal adhesions (P = 0.005). The omega-3 fish oil formed an anti-adhesive lipid barrier on the injured tissue surfaces. Microscopic evaluation revealed diffuse inflammation with excessive connective tissue and fibroblastic activity in the control group rats, while foreign body reactions were common in the omega-3 rats. The mean amount of hydroxyproline in samples from injured tissues was significantly lower in the omega-3 rats than in the control rats (P = 0.004). Conclusion: Intraperitoneal application of omega-3 fish oil prevents postoperative peritoneal adhesions by forming an anti-adhesive lipid barrier on injured tissue surfaces. However, further studies are needed to determine whether this adipose layer is permanent or will be resorbed over time.</br&gt.","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731398","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

Anastomotic Leak in Colorectal Surgery: Predictive Factors and Survival. 结直肠手术中的吻合口漏：预测因素与存活率。

Polski przeglad chirurgiczny Pub Date : 2022-12-20 DOI: 10.5604/01.3001.0016.1602

Swetha Prabhakaran, Sowmya Prabhakaran, Wei Mou Lim, Glen Guerra, Alexander G Heriot, Joseph C Kong

{"title":"Anastomotic Leak in Colorectal Surgery: Predictive Factors and Survival.","authors":"Swetha Prabhakaran, Sowmya Prabhakaran, Wei Mou Lim, Glen Guerra, Alexander G Heriot, Joseph C Kong","doi":"10.5604/01.3001.0016.1602","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1602","url":null,"abstract":" Introduction: Anastomotic leak (AL) is a serious complication following colorectal surgery. Aim: The aim of this study was to identify factors associated with the development of AL and to analyze its impact on survival. Materials and methods: All consecutive adult colorectal cancer resections performed between 2007 and 2020 with curative intent and anastomosis formation were included from a prospectively maintained database. The primary outcome measure was the rate of AL. The secondary outcome measure was 5-year overall survival (OS). Results: There were 6837 eligible patients. The rate of AL was 2.2% and 4.0% in patients with colon and rectal cancer, respectively. AL was a significant independent predictor of reduced 5-year OS in patients who underwent curative surgery for rectal cancer (odds ratio 2.293, p = 0.009). Emergency surgery (p = 0.015), surgery at a public hospital (p = 0.002), and an open surgical approach (p = 0.021) were all associated with a significantly higher risk of AL in patients with colon cancer, with higher rates of AL noted in left colectomies as compared to right hemicolectomies (4.4% vs. 1.3%, p < 0.001). In rectal cancer patients, AL was associated with neoadjuvant chemoradiotherapy (p = 0.038) and male gender (p = 0.002). The anastomosis formation technique (hand-sewn vs. stapled) did not impact the rate of AL (p = 0.116 and p = 0.198 with colon and rectal cancer, respectively). Discussion: Clinicians should be cognizant of the predictive factors for AL and should consider early intervention for at-risk patients.</br&gt.","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138816215","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

Dupuytren's disease - what's new: a review. Dupuytren氏病——最新进展:综述。

Polski przeglad chirurgiczny Pub Date : 2022-10-24 DOI: 10.5604/01.3001.0016.0058

Andrzej Żyluk

{"title":"Dupuytren's disease - what's new: a review.","authors":"Andrzej Żyluk","doi":"10.5604/01.3001.0016.0058","DOIUrl":"10.5604/01.3001.0016.0058","url":null,"abstract":" Introduction: Dupuytren's 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. Aim: The aim of this study is an updated review of scientific data in this topic. Results: Results of epidemiologic studies showed that Dupuytren's 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 Dupuytren's 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. Conclusion: It seems that updated knowledge on Dupuytren's disease may be interested and useful for surgeons involved in management of the disorder.</br&gt.","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500670","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