Polski przeglad chirurgiczny最新文献

{"title":"Bloodstream infections caused by Bacteroides and Phocaeicola: clinical relevance and antimicrobial susceptibility. Presentation of twenty-four cases.","authors":"Marta Kierzkowska, Dariusz Kawecki, Edyta Podsiadły, Anna Majewska","doi":"10.5604/01.3001.0055.4473","DOIUrl":"10.5604/01.3001.0055.4473","url":null,"abstract":"<p><p>Introduction: Anaerobic bloodstream infections caused by Gram-negative bacilli are rare, but the mortality rate remains high. Increasing resistance complicates treatment strategies. Aim: This study aimed to assess the clinical and microbiological characteristics of BSIs caused by Bacteroides spp. and related genera, and to evaluate the antibiotic susceptibility of isolated strains in adult patients hospitalized in a multidisciplinary Polish hospital over a 10-year period. Materials and methods: A retrospective, observational, single-center study included adult patients diagnosed with anaerobic BSIs between 2014 and 2023. Microbiological identification was performed using MALDI-TOF MS. Antimicrobial susceptibility was evaluated via gradient diffusion assay and interpreted according to EUCAST. Results: Anaerobic BSIs caused by Bacteroides spp. and Phocaeicola spp. were identified in 24 patients (mean age: 65.6 years). B. fragilis was the most common isolate (62.5%). Mortality among these hospitalized patients was 46%, with a significantly higher risk observed in elderly patients (median age of deceased: 83 years). All isolates were susceptible to metronidazole and carbapenems; 25% showed resistance to clindamycin. Discussion: The study confirmed high mortality, significant age-related risk, and variable antimicrobial susceptibility. Notably, Bacteroides-related BSIs often originated from gastrointestinal and urinary sources and were associated with chronic comorbidities, including renal failure. Conclusions: Empirical treatment regimens must consider increasing resistance among anaerobes. Timely microbiological diagnostics, including anaerobic cultures and susceptibility testing, are essential to guide therapy and improve patient outcomes. Significance: This study underscores the necessity for ongoing surveillance of anaerobic BSIs and highlights gaps in empirical treatment practices, advocating for broader clinical awareness and targeted antimicrobial stewardship.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"97 6","pages":"48-56"},"PeriodicalIF":0.7,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971733","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}

{"title":"Metoidioplasty vs Phalloplasty: a choice dilemma.","authors":"Adela Sobolewska, Kamila Mozga, Klaudia Ciupak, Klaudiusz Garbacki, Justyna Wyroślak-Najs","doi":"10.5604/01.3001.0055.4401","DOIUrl":"10.5604/01.3001.0055.4401","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Metoidioplasty and phalloplasty are one of the most common surgeries among transgender patients, yet they still do not have any specific guidelines, how to perform each method. By synthesizing current evidence, this review seeks to offer clarity on the factors influencing patient choice and the relative advantages and disadvantages of gender affirming surgery. &lt;br&gt;&lt;br&gt;&lt;b&gt;Aim:&lt;/b&gt; The aim of this study is to elucidate the critical factors influencing the choice of surgical method, with a particular focus on the prevalence of common postoperative complications and their impact on sexual satisfaction. &lt;br&gt;&lt;br&gt;&lt;b&gt;Methods:&lt;/b&gt; A total of 22 articles (9 metoidioplasty and 13 phalloplasty surgeries) were collected for the review and analyzed for postoperative urinary tract complications, life satisfaction, and sexual function of the patients. &lt;br&gt;&lt;br&gt;&lt;b&gt;Results:&lt;/b&gt; Nine metoidioplasty articles presented a total of 2718 patients, while 13 articles focused on phalloplasty and provided 1300 cases. &lt;br&gt;&lt;br&gt;&lt;b&gt;Discussion:&lt;/b&gt; It may seem that although phalloplasty results in more male-like looking genitalia, there is no significant difference in general satisfaction with the appearance of the neopenis between phalloplasty and metoidioplasty. Both methods, however, present postoperative complications connected to the urinary tract such as fistulas and strictures. &lt;br&gt;&lt;br&gt;&lt;b&gt;Conclusions:&lt;/b&gt; This review has provided a comparative analysis of metoidioplasty and phalloplasty as 2 principal gender-affirming surgical options for transgender men. While each procedure offers unique benefits and drawbacks, the selection between them should be individualized.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 1","pages":"1-8"},"PeriodicalIF":0.7,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215488","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}

{"title":"The expression of genes KRAS, DPM1, ACRV1, and MBD3L2 in the saliva as potential tumor markers in the detection of pancreatic cancer.","authors":"Jakub Ciosek, Daria Dranka-Bojarowska, Adam Lewiński, Paweł Lampe","doi":"10.5604/01.3001.0055.4390","DOIUrl":"10.5604/01.3001.0055.4390","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Introduction:&lt;/b&gt; Pancreatic cancer is still an unresolved, significant diagnostic and clinical problem. An ideal tumor marker with a high sensitivity, organ specificity, and prognostic value that correlates with tumor stages and eliminates the imperfection of preoperative serum carbohydrate antigen 19-9 (CA 19-9) concentration is still being sought.&lt;b&gt;Aim:&lt;/b&gt; This study aimed to conduct a comparative analysis expression of genes &lt;i&gt;KRAS, DPM1, ACRV1&lt;/i&gt;, and &lt;i&gt;MBD3L2&lt;/i&gt; in the saliva of patients with pancreatic cancer (PC) and a control group (CG).&lt;b&gt;Material and methods:&lt;/b&gt; The study was performed on a group of 55 patients. Group 1 consisted of 44 patients with PC, group 2 (CG) consisted of 11 individuals who were recruited among patients operated on for non-inflammatory cholelithiasis. Group 1 was divided into 2 subgroups group 1a, 19 patients with resectable pancreatic tumors, and group 1b, 25 patients with unresectable pancreatic tumors. The saliva samples were taken from patients twice, before surgery and 10 days after surgery, and the expression of genes &lt;i&gt;KRAS, DPM1, ACRV1&lt;/i&gt;, and &lt;i&gt;MBD3L2&lt;/i&gt; in the saliva was evaluated. Gene expression at the transcriptional level was analyzed by assessing the number of mRNA copies using the reverse transcriptase reaction and polymerase chain reaction (RT-PCR).&lt;b&gt;Results:&lt;/b&gt; The revealed expression of genetic cancer biomarkers (CB) (&lt;i&gt;KRAS, DPM1, ACRV1, MBD3L2&lt;/i&gt;) in saliva was statistically significantly higher in the PC group in comparison to CG. There was a statistically significant decrease in the &lt;i&gt;KRAS&lt;/i&gt; gene expression and a statistically significant increase in the &lt;i&gt;MBD3L2&lt;/i&gt; expression in patients in subgroup 1a, 10 days after resection procedures. The revealed serum concentration of CA 19-9 was significantly higher in subgroup 1b in comparison to subgroup 1a. Although higher gene expression of &lt;i&gt;KRAS, DPM1&lt;/i&gt;, and &lt;i&gt;MBD3L2 &lt;/i&gt;was observed in subgroup 1b, no statistical significance was obtained. A statistically significant correlation between &lt;i&gt;DPM1&lt;/i&gt; expression and serum CA 19-9 level in the PC group was observed. There were statistically significant differences in &lt;i&gt;KRAS &lt;/i&gt;and &lt;i&gt;DPM1&lt;/i&gt; expression depending on the tumor stage in the TNM/UICC classification regarding to T and N category. A significant difference in &lt;i&gt;MBD3L2&lt;/i&gt; expression was observed in N category. A statistically significant increase in the expression of &lt;i&gt;KRAS, DPM1&lt;/i&gt;, and &lt;i&gt;MBD3L2 &lt;/i&gt;was observed in the case of neoplastic infiltration of blood vessels, and a significant increase in the expression of &lt;i&gt;KRAS&lt;/i&gt; and &lt;i&gt;MBD3L2 &lt;i/&gt;in the case of neoplastic infiltration of nerve fibers.&lt;b&gt;Conclusions:&lt;/b&gt; Presented findings","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"97 6","pages":"33-47"},"PeriodicalIF":0.7,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971379","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}

{"title":"Current diagnosis and treatment of pancreatic cancer.","authors":"Jarosław Matykiewicz, Robert Dziura, Stanisław Głuszek","doi":"10.5604/01.3001.0055.4391","DOIUrl":"10.5604/01.3001.0055.4391","url":null,"abstract":"<p><p>Pancreatic ductal adenocarcinoma (PDAC) is a tumor characterized by a very poor prognosis and increasing global incidence. Environmental factors have been identified among the various causes of pancreatic cancer, while about 10-15% of presenting patients show a genetic predisposition towards the disease. This paper presents the current insight into the etiology and pathogenesis of cancer, as well as the principles of diagnosis and treatment of the disease. Neoadjuvant and complementary systemic treatment, as well as the principles of palliative treatment, are widely discussed. Advances in the radicalization of surgical treatment, the new options to treat post-operative complications, as well as advances in chemotherapy for pancreatic cancer have hitherto failed to dramatically improve the prognosis, even at the local stage. A breakthrough in pancreatic cancer research is still awaited.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 1","pages":"51-59"},"PeriodicalIF":0.7,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215448","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}

{"title":"Assessment of Resting Energy Expenditure Using Indirect Calorimetry in Surgical Patients Receiving Parenteral Nutrition.","authors":"Kseniya Stupakova, Anna Ukleja, Włodzimierz Cebulski, Anastasiya Zabarouskaya, Maciej Słodkowski","doi":"10.5604/01.3001.0055.4320","DOIUrl":"10.5604/01.3001.0055.4320","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; The assessment of energy expenditure plays an extremely important role in the planning of nutritional treatment, especially in patients with special nutritional requirements.&lt;b&gt;Aim:&lt;/b&gt; The aim of this study was to evaluate the resting energy expenditure (REE) by means of indirect calorimetry (IC) ina selected group of surgical patients receiving complete parenteral nutrition (PN) and to compare the measured REE values tothose estimated from the Harris-Benedict formula.&lt;b&gt;Materials and methods:&lt;/b&gt; The study group consisted of 30 patients; the assessments as carried out on the day of initiation of PN and on the seventh day of its duration, included the measurement of REE by IC, estimation of REE using the Harris-Benedict formula, and body composition analysis by bioelectrical impedance.&lt;b&gt;Results:&lt;/b&gt; The average REE in the first measurement by IC was 1488.8 451.4 kcal/day as compared to 1397.6 376 kcal/day in thesecond measurement. The mean value of REE as estimated uisng the Harris-Benedict formula was 1502.4 295.1 kcal/day (min:1028.7 kcal/day, max: 2200.76 kcal/day) on the day of initiation of PN and 1480.1 278.6 kcal/day (min: 1028.7 kcal/day, max:2046.76 kcal/day) after seven days of PN.&lt;b&gt;Discussion:&lt;/b&gt; According to studies comparing REE values obtained from IC vs. those estimated from various predictive formulas in critically ill patients with special nutritional requirements, IC remains the gold standard for determining resting energy requirements.&lt;b&gt;Conclusions:&lt;/b&gt; The observed difference in the measurements of resting metabolism on the day of initiation of PN and on theseventh day of PN may be suggestive of the effect of the ongoing PN on energy expenditure. REE as measured by IC was notin agreement with that estimated using the Harris-Benedict formula, which may suggest that IC is the \"gold standard\" for theassessment of resting metabolic rate in clinical settings.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 1","pages":"1-9"},"PeriodicalIF":0.7,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215453","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}

{"title":"Nutritional status and dietary needs of patients before the initiation of treatment for gastrointestinal cancers.","authors":"Dominika Grońska, Bartosz Dobies, Andrzej Budzyński, Agnieszka Pac","doi":"10.5604/01.3001.0055.3288","DOIUrl":"10.5604/01.3001.0055.3288","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Gastrointestinal cancers are among the most commonly diagnosed malignancies and are associated with poor prognosis. An accurate assessment of nutritional status prior to the initiation of cancer treatment significantly influences both treatment effectiveness and patient tolerance.&lt;b&gt;Aim:&lt;/b&gt; To evaluate the nutritional status and dietary needs of patients with gastrointestinal cancers before the start of oncological therapy.&lt;b&gt;Material and methods:&lt;/b&gt; A retrospective analysis was conducted on data from 361 patients diagnosed with gastric, pancreatic, or colorectal cancer, who received dietary consultations prior to the initiation of cancer therapy in outpatient clinics in the Lesser Poland (2022-2024). The evaluation included body mass index (BMI), the Nutritional Risk Screening scale (NRS 2002), selectively available biochemical parameters, and the dietary interventions recommended.&lt;b&gt;Results:&lt;/b&gt; A high risk of malnutrition (NRS ≥ 3) was identified in 62% of patients, most commonly among those with pancreatic cancer (77%) and gastric cancer (72%). There was no evident dependence between BMI and the risk of malnutrition. High-calorie diets were recommended for the majority of high-risk patients (85%), often in combination with immunonutrition in cases of planned surgical treatment.&lt;b&gt;Conclusions:&lt;/b&gt; The findings confirm the need for routine nutritional screening at the diagnostic stage and the implementation of personalized dietary interventions as part of oncological prehabilitation. Moreover, the results highlight the necessity for physicians to more frequently order biochemical tests, such as albumin, prealbumin, and transferrin, which are essential for a reliable assessment of nutritional status prior to cancer treatment. The absence of these data in many cases impedes early detection of malnutrition and the initiation of appropriate therapeutic measures.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 1","pages":"1-9"},"PeriodicalIF":0.7,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215304","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}

{"title":"The Association of CT-Assessed Sarcopenia and Nutritional Status with Postoperative Outcomes in Pediatric Surgical Oncology.","authors":"Apolonia Miążek, Zoja Goti, Maria Klimeczek Chrapusta, Ignacy Jastrzębski, Zofia Łubniewska, Matylda Kluska, Wojciech Górecki","doi":"10.5604/01.3001.0055.3300","DOIUrl":"10.5604/01.3001.0055.3300","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Sarcopenia is traditionally associated with aging. However, it has been more frequently discussed in pediatric oncology. Yet, the research on sarcopenia and surgical outcomes in pediatric oncologic patients is quite limited.&lt;b&gt;Aim:&lt;/b&gt; Our study aimed to assess the correlation between muscle mass and postoperative outcomes in this population.&lt;b&gt;Materials and methods:&lt;/b&gt; We performed a retrospective data analysis of 39 pediatric oncologic patients aged 3 months to 16 years who underwent abdominal and/or pelvic surgery in our facility between 2017 and 2024. We measured the total Psoas Muscle Area (tPMA) on axial CT images and calculated the percentile of tPMA at L3/4 and L4/5 levels of the available benchmark.&lt;b&gt;Results:&lt;/b&gt; The number and severity of surgical complications were similar between the sarcopenia and no-sarcopenia groups. However, the length of postoperative stay was significantly higher in the former group. Preoperative parameters best correlating with the number of postoperative adverse events were the percentile of tPMA at L4/L5 and the serum total protein concentration.&lt;b&gt;Discussion:&lt;/b&gt; Previous studies on pediatric oncologic patients supported a correlation between sarcopenia and prolonged hospitalization. Moreover, other authors reported an association of sarcopenia with postoperative complications and overall survival.&lt;b&gt;Conclusions:&lt;/b&gt; Our findings suggest that muscle mass and nutritional status influence the postoperative course, especially the length of hospitalization, in pediatric oncologic patients. Therefore, they should be addressed in the preoperative workup.&lt;b&gt;Study Significance:&lt;/b&gt; The novelty of our study lies in its focus on sarcopenia and surgical outcomes in pediatric patients with malignancies, an area with limited research.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 1","pages":"1-10"},"PeriodicalIF":0.7,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215362","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}

{"title":"Prehabilitation of kidney transplant candidates - a narrative review.","authors":"Marta Hreńczuk, Dominika Niewierowska, Tomasz Piątek","doi":"10.5604/01.3001.0055.3299","DOIUrl":"10.5604/01.3001.0055.3299","url":null,"abstract":"<p><p>Patients with end-stage renal failure frequently present with weakened physical and mental conditions and comorbidities. The results of post-organ transplantation treatment depend not only on the surgical procedure itself, but also on the patient's health before surgery. Solutions continue to be sought to improve these results. The aim of this study was to review the current knowledge on prehabilitation in kidney recipients, including the key components of the approach, and to analyze the scientific evidence regarding its effectiveness. Recommendations of the Polish as well as international transplantation societies are also discussed, pointing out the key aspects required for implementation of prehabilitation protocols in clinical practice. A query was conducted to identify the available Polish- and English-language literature, and the returned hits were synthesized and interpreted in a narrative manner. The available studies are fraught with certain limitations, including the small sizes of the study groups, the variety of interventions, and the lack of standardization in the evaluation of outcomes. In addition, no clear guidelines are available with regard to conducting prehabilitation in kidney recipients, which translates into difficulties in comparing the study results. The benefits of prehabilitation are pointed out along with its important limitations, including organizational ones, that may affect its effectiveness. Most evidence relates to physical support, and the relevant results are satisfactory. However, the effectiveness and applicability of prehabilitation in clinical practice are still a matter of dispute. Prehabilitation prior to kidney transplantation is increasingly recognized as an effective method for improving patient outcomes. It is necessary that multimodal prehabilitation programs be developed and implemented into the standard care of patients awaiting kidney transplantation, as pointed out in the ESOT recommendations.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 1","pages":"1-10"},"PeriodicalIF":0.7,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215291","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}

{"title":"[72. Kongres Towarzystwa Chirurgów Polskich].","authors":"Wiesław Tarnowski","doi":"10.5604/01.3001.0055.3176","DOIUrl":"10.5604/01.3001.0055.3176","url":null,"abstract":"<p><p>Z ogromną satysfakcją oddajemy do rąk Czytelników suplement Polskiego Przeglądu Chirurgicznego poświęcony72. Kongresowi Towarzystwa Chirurgów Polskich, który odbywa się w Warszawie w dniach 23-25 października 2025 roku.Jest to jedno z najważniejszych wydarzeń naukowych i integracyjnych środowiska chirurgicznego w Polsce, gromadzącezarówno uznanych ekspertów, jak i młodych badaczy oraz studentów zainteresowanych rozwojem tej dziedziny.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"79 0","pages":"1-84"},"PeriodicalIF":0.7,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145703638","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}

{"title":"The use of thermography in the diagnosis of chronic venous insufficiency - a review of the literature.","authors":"Mirosław Juszczak, Michał Molski, Katarzyna Sierakowska","doi":"10.5604/01.3001.0055.3183","DOIUrl":"10.5604/01.3001.0055.3183","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Chronic venous insufficiency (CVI) is a disease that affects 30 to even 50% of the population in developed countries. The cost of treatment is up to 2% of the funds allocated for health care. Optimization of the diagnostic and treatment process is a key challenge. The solution that may help improve this process is infrared thermography.&lt;b&gt;Aim:&lt;/b&gt; Evaluation of the progress made so far with the use of thermography in the diagnosis and treatment of CVI.&lt;b&gt;Materials and methods:&lt;/b&gt; Analysis of clinical trials evaluating the use of thermography in the diagnosis and treatment of CVI. Articles were searched in the PubMed database.&lt;b&gt;Results:&lt;/b&gt; In the study 14 articles were included. The small number of studies did not allow for more accurate calculations. A comparative assessment was made. A close correlation was shown between the severity of the disease, expressed as the duration of reflux in the vein, and the thermographic image (r = 0.4). Differences in skin temperature on the limb were shown in the place where the veins are pathologically changed. The differences are also visible in the area of vessels not visible in ultrasound. The specificity and sensitivity of the method are about 95%. That confirms the usefulness of this technique in clinical practice. There is still a lack of standardization of the method.&lt;b&gt;Conclusions:&lt;/b&gt; Thermography is a method that can be used to diagnose CVI. It is a complementary method to ultrasound. Further research and standardisation are needed for wider use.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 1","pages":"1-3"},"PeriodicalIF":0.7,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215356","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}