Pub Date : 2023-10-13DOI: 10.5604/01.3001.0053.9305
Przemysław Czarnecki, Jakub Kopeć, Przemyslaw Przewratil
Purpose: The purpose of this retrospective study was to evaluate our combinatorytreatment using ultrasonography, minimally invasive pit-picking, and Nd:YAG lasertherapy against pilonidal disease in adolescent patients.Methods: From June 2017 to December 2020, 147 patients were treated. Thetreatment cycle lasted 6-12 months. In this time, patients underwent pit-pickingprocedures and 6 to 10 Nd:YAG treatments. The remnants of the cyst were removedby laser therapy, which provided easy epilation. Each patient underwent multipleultrasound examinations during the therapy to discover any possible newly formedasymptomatic sinuses. When those sinuses were located, the pit-picking procedurewas repeated. The mean follow-up time for the program was 6 months.Results: Of the total 147 patients who were treated, the first 52 were included in thisstudy with a one-year follow-up post procedure. There were 49 symptom-free patients(96%). One patient underwent surgery in another hospital because of a recurrence andone had a pilonidal disease relapse (4%). Asymptomatic cysts were found in two otherpatients by ultrasound examination. They were all treated in the outpatient departmentwith pit-picking method with good results.Conclusions: Performing sequentially repeated pit-picking procedures combined withthe Nd:YAG laser therapy is an effective treatment method for adolescent pilonidaldisease. Repeatable ultrasonography examinations allow for early diagnosis ofpilonidal sinus relapse. Simultaneous Nd:YAG laser therapy enables efficaciousepilation of the intergluteal cleft and prevents recurrences.Level of evidence - IV
{"title":"Sequential, ultrasound-guided, minimally invasive pit-picking procedure with Nd:YAGlaser epilation treatment for pilonidal disease","authors":"Przemysław Czarnecki, Jakub Kopeć, Przemyslaw Przewratil","doi":"10.5604/01.3001.0053.9305","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9305","url":null,"abstract":"Purpose: The purpose of this retrospective study was to evaluate our combinatorytreatment using ultrasonography, minimally invasive pit-picking, and Nd:YAG lasertherapy against pilonidal disease in adolescent patients.Methods: From June 2017 to December 2020, 147 patients were treated. Thetreatment cycle lasted 6-12 months. In this time, patients underwent pit-pickingprocedures and 6 to 10 Nd:YAG treatments. The remnants of the cyst were removedby laser therapy, which provided easy epilation. Each patient underwent multipleultrasound examinations during the therapy to discover any possible newly formedasymptomatic sinuses. When those sinuses were located, the pit-picking procedurewas repeated. The mean follow-up time for the program was 6 months.Results: Of the total 147 patients who were treated, the first 52 were included in thisstudy with a one-year follow-up post procedure. There were 49 symptom-free patients(96%). One patient underwent surgery in another hospital because of a recurrence andone had a pilonidal disease relapse (4%). Asymptomatic cysts were found in two otherpatients by ultrasound examination. They were all treated in the outpatient departmentwith pit-picking method with good results.Conclusions: Performing sequentially repeated pit-picking procedures combined withthe Nd:YAG laser therapy is an effective treatment method for adolescent pilonidaldisease. Repeatable ultrasonography examinations allow for early diagnosis ofpilonidal sinus relapse. Simultaneous Nd:YAG laser therapy enables efficaciousepilation of the intergluteal cleft and prevents recurrences.Level of evidence - IV","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"157 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135857360","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}
Pub Date : 2023-10-13DOI: 10.5604/01.3001.0053.5995
Sergii Savoliuk, Andrii Dembitskyi
Introduction: Chronic venous insufficiency (CVI) occurs in 25-40% of the adult population with the severe forms of CEAP C3–C6 in 17-20% of cases. Study aimed to compare the standard treatment of CVI and the use of endovenous methods, cellular technologies.Materials and methods: I group - 28 patients were treated using modern wound coverings, cell technologies and performing minimally invasive operations. II group - 42 patients underwent crossectomy with stripping of the trunk of the target vein and local treatment with "standard" ointments. Treatment results were evaluated using Venous Clinical Severity Score (VCSS), Numeric Pain Rating Scale (NPRS) and ulcer healing time.Results: After 1 month VCSS score was 13.82.3 and 16.43.3 points in I and II groups; after 3 months, 10.22.1 and 13.62.4 points. VLU was healed in 20 (71.43%) and 16 patients (38%) after 3 months in I and II groups, in 26 (92.86%) and 30 patients (71.43%) after 6 months; 28 (100%) and 40 patients (95.24%) after 12 months. After 1, 3 and 6 months occlusion of the target segment was achieved in 14 (100%) patients of the I group. NPRS scale was significantly lower in patients of I group. In patients of the I group, the hospital stay was 8.22.4 days, II group - 14.53.8 days.Conclusions: The use of modern wound coverings, Platelet Rich Plasma (PRP) and Negative-pressure wound therapy (NPWT) therapy, reduce the period of preoperative preparation, speed up the stage of cleaning and healing of VLU compared to conventional wound coverings.
{"title":"Experience in the use of endovenous methods and cell technologies in the treatment of trophic defects in patients with chronic venous insufficiency C6","authors":"Sergii Savoliuk, Andrii Dembitskyi","doi":"10.5604/01.3001.0053.5995","DOIUrl":"https://doi.org/10.5604/01.3001.0053.5995","url":null,"abstract":"Introduction: Chronic venous insufficiency (CVI) occurs in 25-40% of the adult population with the severe forms of CEAP C3–C6 in 17-20% of cases. Study aimed to compare the standard treatment of CVI and the use of endovenous methods, cellular technologies.Materials and methods: I group - 28 patients were treated using modern wound coverings, cell technologies and performing minimally invasive operations. II group - 42 patients underwent crossectomy with stripping of the trunk of the target vein and local treatment with \"standard\" ointments. Treatment results were evaluated using Venous Clinical Severity Score (VCSS), Numeric Pain Rating Scale (NPRS) and ulcer healing time.Results: After 1 month VCSS score was 13.82.3 and 16.43.3 points in I and II groups; after 3 months, 10.22.1 and 13.62.4 points. VLU was healed in 20 (71.43%) and 16 patients (38%) after 3 months in I and II groups, in 26 (92.86%) and 30 patients (71.43%) after 6 months; 28 (100%) and 40 patients (95.24%) after 12 months. After 1, 3 and 6 months occlusion of the target segment was achieved in 14 (100%) patients of the I group. NPRS scale was significantly lower in patients of I group. In patients of the I group, the hospital stay was 8.22.4 days, II group - 14.53.8 days.Conclusions: The use of modern wound coverings, Platelet Rich Plasma (PRP) and Negative-pressure wound therapy (NPWT) therapy, reduce the period of preoperative preparation, speed up the stage of cleaning and healing of VLU compared to conventional wound coverings.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135857078","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}
Pub Date : 2023-10-13DOI: 10.5604/01.3001.0053.8845
Wojciech Ciesielski, Tomasz Klimczak, Adam Durczyński, Piotr Hogendorf, Janusz Strzelczyk
IntroductionEndoscopic resection of gastrointestinal tract lesions, originating from Japan, is becoming more frequently used in European countries. Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) ensure minimally invasive removal of benign, premalignant and early neoplastic tumours of esophageus, stomach and intestine in selected group of patients.AimAim of this study was to determine the outcomes, radical resection rate (R0) and complication rate of ESD procedures performed in our department. Material and methodsThe data from 100 ESD procedures of esophageal, gastric, duodenal and colorectal lesions performed in out unit between 02.01.2020 and 30.06.2023 was collected and analysed retrospectively. Results42 male and 58 female patients in the median age of 64 years old (ranging 31 – 89 yo) underwent ESD. Mean duration of the procedure was 66 minutes (ranging 25 – 185 minutes). Tumours were located in oesophagus in 8 cases (8%), stomach in 25 cases (25%), duodenum in 1 case (1%) and colon in 66 cases (66%). Radical resection was achieved in 98 cases (98%) - 2 patients were qualified for surgical treatment Average size of dissection lesions was 26 x 19 mm. The biggest one was 60 x 60 mm (sigmoid adenoma) and smallest one was 5 x 5 mm (GNET). Complication occurred in 10 patients (10%) – 9 perforations of the wall of intestine (9%) and 1 hamorrhage, which required endoscopic intervention (1%). ConclusionsWith proper qualification, ESD is effective and safe method of treatment for benign, premalignant and early neoplastic lesions of gastrointestinal tract in hands of experienced endoscopists. Following current guidelines satisfying outcomes, comparable with leading center, can be achieved.
{"title":"Application of Endoscopic Submucosal Dissection (ESD) in treatment of gastrointestinal lesions- single center experience.","authors":"Wojciech Ciesielski, Tomasz Klimczak, Adam Durczyński, Piotr Hogendorf, Janusz Strzelczyk","doi":"10.5604/01.3001.0053.8845","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8845","url":null,"abstract":"IntroductionEndoscopic resection of gastrointestinal tract lesions, originating from Japan, is becoming more frequently used in European countries. Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) ensure minimally invasive removal of benign, premalignant and early neoplastic tumours of esophageus, stomach and intestine in selected group of patients.AimAim of this study was to determine the outcomes, radical resection rate (R0) and complication rate of ESD procedures performed in our department. Material and methodsThe data from 100 ESD procedures of esophageal, gastric, duodenal and colorectal lesions performed in out unit between 02.01.2020 and 30.06.2023 was collected and analysed retrospectively. Results42 male and 58 female patients in the median age of 64 years old (ranging 31 – 89 yo) underwent ESD. Mean duration of the procedure was 66 minutes (ranging 25 – 185 minutes). Tumours were located in oesophagus in 8 cases (8%), stomach in 25 cases (25%), duodenum in 1 case (1%) and colon in 66 cases (66%). Radical resection was achieved in 98 cases (98%) - 2 patients were qualified for surgical treatment Average size of dissection lesions was 26 x 19 mm. The biggest one was 60 x 60 mm (sigmoid adenoma) and smallest one was 5 x 5 mm (GNET). Complication occurred in 10 patients (10%) – 9 perforations of the wall of intestine (9%) and 1 hamorrhage, which required endoscopic intervention (1%). ConclusionsWith proper qualification, ESD is effective and safe method of treatment for benign, premalignant and early neoplastic lesions of gastrointestinal tract in hands of experienced endoscopists. Following current guidelines satisfying outcomes, comparable with leading center, can be achieved.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135857359","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}
Pub Date : 2023-10-13DOI: 10.5604/01.3001.0053.5994
AHMET TARIK HARMANTEPE, Enis Dikicier, emre gönüllü, Kayhan Ozdemir, Muhammet Burak Kamburoğlu, Merve Yigit
BackgroundMachine learning is a branch of artificial intelligence based on the idea that systems can learn from data, identify patterns and make decisions with minimal human intervention.. Our aim is to predict acute appendicitis, which is the most common emergency surgery indication, using machine learning algorithms with an easy and inexpensive method.Materials and Methods:Patients who were treated surgically with a prediagnosis of acute appendicitis in a single-center between 2011 and 2021 were analyzed. Patients with right lower quadrant pain were selected. 189 positive and 156 negative appendectomies were found. Gender and hemogram were used as features. Machine learning algorithms and data analysis were made in Python (3.7) programming language.ResultsNegative appendectomies were 62%(n=97) female and 38%(n=59) male. Positive appendectomies were 38% (n=72) female and 62% (n=117) male. The accuracy in the test data was 82.7% in logistic regression, 68.9% in support vector machines, 78.1% in k-nearest neighbors, 83.9% in neural networks, The accuracy in the voiting classier created with logistic regression, k-nearest neighbor, support vector machines and artificial neural networks was 86.2%. In Voting classifier, sensitivity was 83.7% and specificity was 88.6%.ConclusionThe results of our study showed that ML is an effective method in diagnosing acute appendicitis. This study presents a practical, easy, fast and inexpensive method to predict the diagnosis of acute appendicitis.
{"title":"A DIFFERENT WAY TO DIAGNOSIS ACUTE APPENDICITIS: MACHINE LEARNING","authors":"AHMET TARIK HARMANTEPE, Enis Dikicier, emre gönüllü, Kayhan Ozdemir, Muhammet Burak Kamburoğlu, Merve Yigit","doi":"10.5604/01.3001.0053.5994","DOIUrl":"https://doi.org/10.5604/01.3001.0053.5994","url":null,"abstract":"BackgroundMachine learning is a branch of artificial intelligence based on the idea that systems can learn from data, identify patterns and make decisions with minimal human intervention.. Our aim is to predict acute appendicitis, which is the most common emergency surgery indication, using machine learning algorithms with an easy and inexpensive method.Materials and Methods:Patients who were treated surgically with a prediagnosis of acute appendicitis in a single-center between 2011 and 2021 were analyzed. Patients with right lower quadrant pain were selected. 189 positive and 156 negative appendectomies were found. Gender and hemogram were used as features. Machine learning algorithms and data analysis were made in Python (3.7) programming language.ResultsNegative appendectomies were 62%(n=97) female and 38%(n=59) male. Positive appendectomies were 38% (n=72) female and 62% (n=117) male. The accuracy in the test data was 82.7% in logistic regression, 68.9% in support vector machines, 78.1% in k-nearest neighbors, 83.9% in neural networks, The accuracy in the voiting classier created with logistic regression, k-nearest neighbor, support vector machines and artificial neural networks was 86.2%. In Voting classifier, sensitivity was 83.7% and specificity was 88.6%.ConclusionThe results of our study showed that ML is an effective method in diagnosing acute appendicitis. This study presents a practical, easy, fast and inexpensive method to predict the diagnosis of acute appendicitis.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"2012 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135857368","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}
Pub Date : 2023-10-13DOI: 10.5604/01.3001.0053.5996
Mahmoud Mohammed, Hesham Hamza, Mohamed I Omar, Mohammed Hussein, Moaaz Tohamy, Basma Farouk, Khalid Rezk
Background: Post-mastectomy seroma formation is a challenging sequel which has a negative impact on patient recovery and quality of life. We aim to evaluate the efficacy of clavipectoral fascia re-closure technique in reducing the incidence of seroma formation.Methods: This is a prospective randomized controlled trial, conducted in #### #### Cancer institute, #### University, ####. It included 84 breast cancer patients who were randomly divided into two groups: control group (n = 44) and fascia suture group (n = 40). Patients were followed up until drain removal and then to 3 months after surgery.Results: The fascia suture group showed significantly shorter duration of drain removal with significant reduction in the total amount of drained fluid and the amount of drained fluid after one week postoperatively. One case in fascia suture group developed Grade 2-3 seroma as compared to seven in the control group (P<0.05).Conclusions: Clavipectoral fascia suture technique is simple and effective method for reducing seroma formation after mastectomy in breast cancer patients and is advisable in patients with high-risk for seroma formation.
{"title":"Effect of Clavipectoral Fascia Suturing on Postmastectomy Seroma Formation","authors":"Mahmoud Mohammed, Hesham Hamza, Mohamed I Omar, Mohammed Hussein, Moaaz Tohamy, Basma Farouk, Khalid Rezk","doi":"10.5604/01.3001.0053.5996","DOIUrl":"https://doi.org/10.5604/01.3001.0053.5996","url":null,"abstract":"Background: Post-mastectomy seroma formation is a challenging sequel which has a negative impact on patient recovery and quality of life. We aim to evaluate the efficacy of clavipectoral fascia re-closure technique in reducing the incidence of seroma formation.Methods: This is a prospective randomized controlled trial, conducted in #### #### Cancer institute, #### University, ####. It included 84 breast cancer patients who were randomly divided into two groups: control group (n = 44) and fascia suture group (n = 40). Patients were followed up until drain removal and then to 3 months after surgery.Results: The fascia suture group showed significantly shorter duration of drain removal with significant reduction in the total amount of drained fluid and the amount of drained fluid after one week postoperatively. One case in fascia suture group developed Grade 2-3 seroma as compared to seven in the control group (P<0.05).Conclusions: Clavipectoral fascia suture technique is simple and effective method for reducing seroma formation after mastectomy in breast cancer patients and is advisable in patients with high-risk for seroma formation.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135857369","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}
Pub Date : 2023-10-13DOI: 10.5604/01.3001.0053.5997
Weronika Frąk, Oliwia Gocel, Karol Sieniawski, Joanna Sieniawska, Marcin Włodarczyk, Lukasz Dziki
Madelung’s disease is a rare condition characterised by the symmetric growth of fatty tumours (lipomas) around the neck, shoulders, upper arms, and trunk.We present a description of a male patient with extensive adipose tissue overgrowth around the neck. Once the possibility of malignancy was excluded, patient’s history, clinical and radiological findings suggest the diagnosis of MD. The two-stage surgery was established and the patient underwent the lipectomy of the lipomas around the neck. This article analyzed the clinical data with Madelung’s disease, discussed its aetiology, clinical manifestations, diagnosis, and treatment methods, and provided help for clinical diagnosis and treatment.
{"title":"Multiple symmetrical lipomatosis - patient with the Madelung’s disease: a case report and literature review.","authors":"Weronika Frąk, Oliwia Gocel, Karol Sieniawski, Joanna Sieniawska, Marcin Włodarczyk, Lukasz Dziki","doi":"10.5604/01.3001.0053.5997","DOIUrl":"https://doi.org/10.5604/01.3001.0053.5997","url":null,"abstract":"Madelung’s disease is a rare condition characterised by the symmetric growth of fatty tumours (lipomas) around the neck, shoulders, upper arms, and trunk.We present a description of a male patient with extensive adipose tissue overgrowth around the neck. Once the possibility of malignancy was excluded, patient’s history, clinical and radiological findings suggest the diagnosis of MD. The two-stage surgery was established and the patient underwent the lipectomy of the lipomas around the neck. This article analyzed the clinical data with Madelung’s disease, discussed its aetiology, clinical manifestations, diagnosis, and treatment methods, and provided help for clinical diagnosis and treatment.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135857362","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}
Pub Date : 2023-10-13DOI: 10.5604/01.3001.0053.3999
MICHAŁ CHALCARZ, Piotr Krokowicz, Jakub Żurawski
AbstractIntroductionAquafilling, a widely used soft-tissue filler since 2005, shows multiple adverse effects, necessitating the development of effective methods for its removal. We present a surgical method for removal of Aquafilling present in the breasts, breasts with migration to the chest and/or the abdomen, and the buttocks, and elaborate and discuss the advantages of this method.AimThe aim of this study was to present a surgical method for removal of Aquafilling (soft-tissue filler) present in the breasts, breasts with migration to the chest and/or the abdomen, and the buttocks, and to elaborate the advantages of this proposed technique.MethodsThe surgical Aquafilling removal method described here was used in 25 patients (age, 21-53 years). The technique was used to remove Aquafilling present in the breasts (14 patients), breasts with migration to the chest and/or the abdomen (7 patients), and the buttocks (3 patients). The detailed course of Aquafilling removal surgery and postoperative treatment for these three types of cases is described. ResultsSurgical removal of Aquafilling with the described method did not cause any of the previously described ailments in each patient, excluding one patient who only showed significant pain reduction in both breasts preceding each menstruation cycle.ConclusionsThe method described herein can be recommended for removal of Aquafilling present in the breasts, breasts with migration to the chest and/or the abdomen, and buttocks, since it allowed thorough Aquafilling removal and decreased the local inflammatory state and the risk of potential carcinogenesis. Keywords: Aquafilling removal, surgical treatment, Aquafilling, polyamide, polyacrylamide, breast, buttocks, complications.
{"title":"Surgical removal of Aquafilling localized to different sites","authors":"MICHAŁ CHALCARZ, Piotr Krokowicz, Jakub Żurawski","doi":"10.5604/01.3001.0053.3999","DOIUrl":"https://doi.org/10.5604/01.3001.0053.3999","url":null,"abstract":"AbstractIntroductionAquafilling, a widely used soft-tissue filler since 2005, shows multiple adverse effects, necessitating the development of effective methods for its removal. We present a surgical method for removal of Aquafilling present in the breasts, breasts with migration to the chest and/or the abdomen, and the buttocks, and elaborate and discuss the advantages of this method.AimThe aim of this study was to present a surgical method for removal of Aquafilling (soft-tissue filler) present in the breasts, breasts with migration to the chest and/or the abdomen, and the buttocks, and to elaborate the advantages of this proposed technique.MethodsThe surgical Aquafilling removal method described here was used in 25 patients (age, 21-53 years). The technique was used to remove Aquafilling present in the breasts (14 patients), breasts with migration to the chest and/or the abdomen (7 patients), and the buttocks (3 patients). The detailed course of Aquafilling removal surgery and postoperative treatment for these three types of cases is described. ResultsSurgical removal of Aquafilling with the described method did not cause any of the previously described ailments in each patient, excluding one patient who only showed significant pain reduction in both breasts preceding each menstruation cycle.ConclusionsThe method described herein can be recommended for removal of Aquafilling present in the breasts, breasts with migration to the chest and/or the abdomen, and buttocks, since it allowed thorough Aquafilling removal and decreased the local inflammatory state and the risk of potential carcinogenesis. Keywords: Aquafilling removal, surgical treatment, Aquafilling, polyamide, polyacrylamide, breast, buttocks, complications.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135855617","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}
Pub Date : 2023-10-13DOI: 10.5604/01.3001.0016.3171
Krzysztof Kowalik, Anna Gruszczyńska, Karolina Knychalska, Konrad Kaźmierczak, Andrzej Modrzejewski
<b>Introduction:</b> The management of wounds with possible presence of a foreign body can pose major problems, especially for bodies that cannot be seen in X-ray scans. The most common materials of this type include wood and glass. The size of the foreign body is also important. If overlooked and left behind, even the smallest foreign body may result in permanent damage to local tissues or contribute to a systemic infection such as sepsis. The presence of a foreign body is not detected upon primary wound management in one-third of patients. Presented herein are the cases of four patients in whom foreign bodies in the form of splintered wood or glass shards were left in the wound following trauma, leading to significant difficulties in the diagnostics and removal of these foreign bodies.<b>Aim:</b> The aim of this study was to present four cases of patients presenting with non-metallic foreign bodies causing diagnostic difficulties due to the absence of shading components, and leading to complications such as purulent inflammation.<b>Materials and methods:</b> The study material was collected from the records of the Department of Forensic Medicine of the Pomeranian Medical University in Szczecin. Forensic medical opinions and medical records of the patients were analyzed.<b>Results:</b> Ultrasound and computed tomography (CT) scanning are promising methods for pinpointing the presence of foreign bodies such as splinters of wood and shards of glass within wounds. When left behind, a foreign body may lead to generalized inflammation and/or sepsis. Incomplete removal of the foreign body can result in chronic inflammatory reactions and consequent limb dysfunction.<b>Discussion:</b> The management of non-metallic foreign bodies in daily medical practice is discussed, and the reader is familiarized with the possible complications of a foreign body being left behind within the wounded tissue.
{"title":"Non-metallic foreign bodies - diagnostic and therapeutic difficulties.","authors":"Krzysztof Kowalik, Anna Gruszczyńska, Karolina Knychalska, Konrad Kaźmierczak, Andrzej Modrzejewski","doi":"10.5604/01.3001.0016.3171","DOIUrl":"10.5604/01.3001.0016.3171","url":null,"abstract":"<p><p><b>Introduction:</b> The management of wounds with possible presence of a foreign body can pose major problems, especially for bodies that cannot be seen in X-ray scans. The most common materials of this type include wood and glass. The size of the foreign body is also important. If overlooked and left behind, even the smallest foreign body may result in permanent damage to local tissues or contribute to a systemic infection such as sepsis. The presence of a foreign body is not detected upon primary wound management in one-third of patients. Presented herein are the cases of four patients in whom foreign bodies in the form of splintered wood or glass shards were left in the wound following trauma, leading to significant difficulties in the diagnostics and removal of these foreign bodies.<b>Aim:</b> The aim of this study was to present four cases of patients presenting with non-metallic foreign bodies causing diagnostic difficulties due to the absence of shading components, and leading to complications such as purulent inflammation.<b>Materials and methods:</b> The study material was collected from the records of the Department of Forensic Medicine of the Pomeranian Medical University in Szczecin. Forensic medical opinions and medical records of the patients were analyzed.<b>Results:</b> Ultrasound and computed tomography (CT) scanning are promising methods for pinpointing the presence of foreign bodies such as splinters of wood and shards of glass within wounds. When left behind, a foreign body may lead to generalized inflammation and/or sepsis. Incomplete removal of the foreign body can result in chronic inflammatory reactions and consequent limb dysfunction.<b>Discussion:</b> The management of non-metallic foreign bodies in daily medical practice is discussed, and the reader is familiarized with the possible complications of a foreign body being left behind within the wounded tissue.</p>","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"1 1","pages":"47-51"},"PeriodicalIF":0.6,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71287593","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}
Pub Date : 2023-10-12DOI: 10.5604/01.3001.0016.3172
Aleksander Grous, Slawomir Mazur, Paweł Winter, Krzysztof Kozak, Agnieszka Jagiello-Gruszfeld, Marcin Napierala, Zbigniew Nowecki
PurposeThe use of meshes in mastectomies with immediate breast reconstruction (IBR) has become a gold standard. The purpose of the study was to analyze the complications and own experience with the use of Serasynth fully absorbable and SeragynBR partialy absorbable synthetic meshes. MethodsIn the period from December 2017 to July 2020, 118 IBR were performed in the Author’s Department with the use of SeragynBR and Serasynth meshes in 93 patients operated for breast cancer. 78 Serasynth meshes (Group1) and 40 SeragynBR meshes (Group1I) were implanted. ResultsThe most common complication was persistent seroma collection, which was reported in 17.9% of cases in Group1 and 25% in Group2. Skin inflammation was reported in 7.6% and 17.5%, while infections in 2.5% and 5% of the operated breasts in Group1 and Group2. Reoperation was required in 5.1% and 5% of the patients in Group1 and Group2. The percentage of complications was lower when Serasynth rather than Seragyn BR meshes were implanted. The frequent incidence of the seroma collection did not contribute in any significant way to serious complications such as removal of mesh/implant or infection. The complications, which developed following the implantation of both mesh types, were similar to those presented in other publications concerning mastectomy with IBR with the use of synthetic meshes. The percentage of implant losses/explanations in the discussed groups was lower than that reported in literature.ConclusionDespite the complications, both types of meshes can be considered as safe additions to reconstructive breast surgeries.
{"title":"Immediate breast reconstructions after mastectomy due to breast cancers with the use of Serasynth and SeragynBR synthetic meshes. Single-oncological center experience, analysis of complications","authors":"Aleksander Grous, Slawomir Mazur, Paweł Winter, Krzysztof Kozak, Agnieszka Jagiello-Gruszfeld, Marcin Napierala, Zbigniew Nowecki","doi":"10.5604/01.3001.0016.3172","DOIUrl":"https://doi.org/10.5604/01.3001.0016.3172","url":null,"abstract":"PurposeThe use of meshes in mastectomies with immediate breast reconstruction (IBR) has become a gold standard. The purpose of the study was to analyze the complications and own experience with the use of Serasynth fully absorbable and SeragynBR partialy absorbable synthetic meshes. MethodsIn the period from December 2017 to July 2020, 118 IBR were performed in the Author’s Department with the use of SeragynBR and Serasynth meshes in 93 patients operated for breast cancer. 78 Serasynth meshes (Group1) and 40 SeragynBR meshes (Group1I) were implanted. ResultsThe most common complication was persistent seroma collection, which was reported in 17.9% of cases in Group1 and 25% in Group2. Skin inflammation was reported in 7.6% and 17.5%, while infections in 2.5% and 5% of the operated breasts in Group1 and Group2. Reoperation was required in 5.1% and 5% of the patients in Group1 and Group2. The percentage of complications was lower when Serasynth rather than Seragyn BR meshes were implanted. The frequent incidence of the seroma collection did not contribute in any significant way to serious complications such as removal of mesh/implant or infection. The complications, which developed following the implantation of both mesh types, were similar to those presented in other publications concerning mastectomy with IBR with the use of synthetic meshes. The percentage of implant losses/explanations in the discussed groups was lower than that reported in literature.ConclusionDespite the complications, both types of meshes can be considered as safe additions to reconstructive breast surgeries.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136014464","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}
Pub Date : 2023-10-12DOI: 10.5604/01.3001.0053.9293
Tomasz Maroszczuk, Julia Lewandowska, Jan Maciej Kapała, Paweł Lech, Natalia Dowgiałło-Gornowicz
Introduction: The rate of revisional surgeries following sleeve gastrectomy (SG) has increased. One-anastomosis gastric bypass (OAGB) appears to have multiple advantages as a primary bariatric procedure. As revisional surgery is still being investigated.Aim: Evaluation of the efficacy and safety of OAGB performed as a post-SG revisional surgery.Material and methods: A single-center, retrospective cohort study was conducted using a routinely collected database of adults undergoing revisional OAGB after SG. A survey of patients was conducted, obtaining information on changes in body weight and improvement in gastroesophageal reflux disease (GERD) and obesity-related diseases.Results: The study group included 74 patients: 59 women (80%) and 15 men, mean age of 41.619.21 years. The most common indication for OAGB was weight regain. The follow-up was up to 7 years, the mean time was 3.581.21 years. The mean preoperative body mass index (BMI) was 40.386.15. All patients experienced significant weight loss, reaching a BMI of 33.61 (27.28-37.13) at the last observation. After surgery, 35% of patients achieved successful weight loss and 48% of patients achieved remission or improvement of GERD.Conclusion: Revisional OAGB seems to be a good alternative after a failed SG in terms of obesity-related diseases recurrence, not of weight regain. Long-term follow-up revealed that only a third of patients achieved successful weight loss. When proposing revisional OAGB, the risk of complications - mainly anemia and the possibility of de novo GERD should be considered.Keywords: one-anastomosis gastric bypass (OAGB), revisional surgery, obesity, gastroesophageal reflux disease (GERD)
{"title":"Is one-anastomosis gastric bypass a good revisional bariatric surgery? A single center retrospective cohort study","authors":"Tomasz Maroszczuk, Julia Lewandowska, Jan Maciej Kapała, Paweł Lech, Natalia Dowgiałło-Gornowicz","doi":"10.5604/01.3001.0053.9293","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9293","url":null,"abstract":"Introduction: The rate of revisional surgeries following sleeve gastrectomy (SG) has increased. One-anastomosis gastric bypass (OAGB) appears to have multiple advantages as a primary bariatric procedure. As revisional surgery is still being investigated.Aim: Evaluation of the efficacy and safety of OAGB performed as a post-SG revisional surgery.Material and methods: A single-center, retrospective cohort study was conducted using a routinely collected database of adults undergoing revisional OAGB after SG. A survey of patients was conducted, obtaining information on changes in body weight and improvement in gastroesophageal reflux disease (GERD) and obesity-related diseases.Results: The study group included 74 patients: 59 women (80%) and 15 men, mean age of 41.619.21 years. The most common indication for OAGB was weight regain. The follow-up was up to 7 years, the mean time was 3.581.21 years. The mean preoperative body mass index (BMI) was 40.386.15. All patients experienced significant weight loss, reaching a BMI of 33.61 (27.28-37.13) at the last observation. After surgery, 35% of patients achieved successful weight loss and 48% of patients achieved remission or improvement of GERD.Conclusion: Revisional OAGB seems to be a good alternative after a failed SG in terms of obesity-related diseases recurrence, not of weight regain. Long-term follow-up revealed that only a third of patients achieved successful weight loss. When proposing revisional OAGB, the risk of complications - mainly anemia and the possibility of de novo GERD should be considered.Keywords: one-anastomosis gastric bypass (OAGB), revisional surgery, obesity, gastroesophageal reflux disease (GERD)","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136014466","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：