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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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 : 2023-10-12DOI: 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":null,"pages":null},"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":null,"pages":null},"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}
Pub Date : 2023-10-12DOI: 10.5604/01.3001.0053.6868
Jose Caballero-Alvarado, Victor Lau Torres, KATHERINE LOZANO, Carlos Zavaleta-Corvera
Introduction: Acute appendicitis is one of the most frequent emergencies in hospitals around the world; it requires early surgical treatment in complicated cases. One of the challenges that the surgeon faces during appendectomy is when the base of the appendix is compromised by either a perforation or gangrene. To show the surgical strategies that have been reported, as well as the complications associated with a compromised appendicular base in a complicated acute appendicitis.Methods: A bibliographic search was carried out in the databases of Pubmed, Embase, Web of Science, and Google Scholar. The search expression (“appendiceal stump closure” OR “Closure of the appendiceal stump” OR “Management of appendiceal stump”) was used to search for articles. The inclusion criteria were observational studies (case reports, case series, or cross-sectional, case-control, or cohort studies).Discussion: Different techniques have been reported for the treatment of a compromised appendicular base. Among the most used are primary closure, partial resection of the cecum, cecostomy tube, ileocecectomy, and right hemicolectomy. The most frequent complications are surgical site infection, intra-abdominal abscess, postoperative ileus, intestinal obstruction, and others.Conclusions: The appendicular base, compromised by necrosis or perforation, requires adequate treatment in order to prevent dehiscence of the appendicular stump sutures and fecal peritonitis. A number of surgical options have been reported
简介:急性阑尾炎是世界各地医院最常见的急诊之一;复杂病例需早期手术治疗。在阑尾切除术中，外科医生面临的挑战之一是阑尾底部是否因穿孔或坏疽而受损。显示已报道的手术策略，以及与复杂急性阑尾炎阑尾基底受损相关的并发症。方法:在Pubmed、Embase、Web of Science、Google Scholar等数据库中进行文献检索。搜索表达式(“阑尾残端闭合”或“阑尾残端闭合”或“阑尾残端管理”)用于搜索文章。纳入标准为观察性研究(病例报告、病例系列或横断面、病例对照或队列研究)。讨论:不同的技术已被报道用于治疗阑尾基底受损。其中最常用的是初级关闭，盲肠部分切除，结肠造口管，回肠切除术和右半结肠切除术。最常见的并发症是手术部位感染、腹内脓肿、术后肠梗阻、肠梗阻等。结论:阑尾底部坏死或穿孔，需要适当的治疗，以防止阑尾残端缝合线破裂和粪便性腹膜炎。已经报道了许多手术选择
{"title":"Complicated acute appendicitis with compromised appendiceal base: A review of surgical strategies","authors":"Jose Caballero-Alvarado, Victor Lau Torres, KATHERINE LOZANO, Carlos Zavaleta-Corvera","doi":"10.5604/01.3001.0053.6868","DOIUrl":"https://doi.org/10.5604/01.3001.0053.6868","url":null,"abstract":"Introduction: Acute appendicitis is one of the most frequent emergencies in hospitals around the world; it requires early surgical treatment in complicated cases. One of the challenges that the surgeon faces during appendectomy is when the base of the appendix is compromised by either a perforation or gangrene. To show the surgical strategies that have been reported, as well as the complications associated with a compromised appendicular base in a complicated acute appendicitis.Methods: A bibliographic search was carried out in the databases of Pubmed, Embase, Web of Science, and Google Scholar. The search expression (“appendiceal stump closure” OR “Closure of the appendiceal stump” OR “Management of appendiceal stump”) was used to search for articles. The inclusion criteria were observational studies (case reports, case series, or cross-sectional, case-control, or cohort studies).Discussion: Different techniques have been reported for the treatment of a compromised appendicular base. Among the most used are primary closure, partial resection of the cecum, cecostomy tube, ileocecectomy, and right hemicolectomy. The most frequent complications are surgical site infection, intra-abdominal abscess, postoperative ileus, intestinal obstruction, and others.Conclusions: The appendicular base, compromised by necrosis or perforation, requires adequate treatment in order to prevent dehiscence of the appendicular stump sutures and fecal peritonitis. A number of surgical options have been reported","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136014467","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: 10.5604/01.3001.0053.3998
Joanna Żurkowska, Paweł Jaworski, Artur Binda, Krzysztof Barski, Wiesław Tarnowski
The problem of gastroesophageal reflux disease among bariatric patients is constantly growing. While bariatric surgery is the most effective method of treating obesity and related diseases, not all surgical procedures lead to improvement or resolution of gastroesophageal reflux disease. The search for the "ideal" surgical procedure for this group of patients is ongoing. The relatively recently introduced SASI procedure seems to have a beneficial effect on GERD symptoms and may be an alternative anti-reflux procedure in obese patients. The presented paper is a review of the latest literature on the impact of SASI procedure on the symptoms of gastroesophageal reflux disease.
{"title":"Effect of SASI procedure (single ileal sleeve anastomosis) on the symptoms of gastroesophageal reflux disease in bariatric patients - a review of the literature","authors":"Joanna Żurkowska, Paweł Jaworski, Artur Binda, Krzysztof Barski, Wiesław Tarnowski","doi":"10.5604/01.3001.0053.3998","DOIUrl":"https://doi.org/10.5604/01.3001.0053.3998","url":null,"abstract":"The problem of gastroesophageal reflux disease among bariatric patients is constantly growing. While bariatric surgery is the most effective method of treating obesity and related diseases, not all surgical procedures lead to improvement or resolution of gastroesophageal reflux disease. The search for the \"ideal\" surgical procedure for this group of patients is ongoing. The relatively recently introduced SASI procedure seems to have a beneficial effect on GERD symptoms and may be an alternative anti-reflux procedure in obese patients. The presented paper is a review of the latest literature on the impact of SASI procedure on the symptoms of gastroesophageal reflux disease.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136014465","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: 10.5604/01.3001.0053.9182
Paweł Siwiński, Łukasz Dziki, Michał Mik, Adam Dziki
IntroductionRecurrence of rectal cancer affects from 4% to even 50% of patients after surgical treatment. The incidence may be influenced by numerous factors depending on the patient, the characteristics of the tumor and the type and quality of the surgical technique used.AimsThe aim of this study was to assess the clinical characteristics of rectal cancer recurrence, identify potential risk factors and role of patient surveillance after primary resection of rectal cancer.Materials and methodsThe study comprised patients operated on due to recurrence of rectal cancer at the Department of General and Colorectal Surgery of Medical University of Lodz between 2014 and 2020, who were in the follow-up program at the hospital's outpatient clinic after the primary surgery. Risk factors for disease recurrence were sought by analyzing the characteristics of the primary tumor, treatment history and postoperative care.Results29 patients were included in the study, the majority (51.7%) of the patients were men. The largest group was represented by patients with stage II and III disease. The most frequently performed primary surgery was low anterior resection (LAR) (62.8%). 35% of patients received neoadjuvant treatment prior to primary surgery. We demonstrated that the lack of neoadjuvant treatment before primary surgery increases the risk of cancer recurrence nine times. Higher stage of disease at the point of primary surgery is associated with nearly seven times the risk of recurrence compared to stage I disease.ConclusionsOptimal preoperative staging, reasonable neoadjuvant treatment, proper surgical technique and precise follow-up regimen are essential for further improvement of rectal cancer outcomes.
{"title":"Risk factors and clinical characteristics of rectal cancer recurrence after radical surgical treatment","authors":"Paweł Siwiński, Łukasz Dziki, Michał Mik, Adam Dziki","doi":"10.5604/01.3001.0053.9182","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9182","url":null,"abstract":"IntroductionRecurrence of rectal cancer affects from 4% to even 50% of patients after surgical treatment. The incidence may be influenced by numerous factors depending on the patient, the characteristics of the tumor and the type and quality of the surgical technique used.AimsThe aim of this study was to assess the clinical characteristics of rectal cancer recurrence, identify potential risk factors and role of patient surveillance after primary resection of rectal cancer.Materials and methodsThe study comprised patients operated on due to recurrence of rectal cancer at the Department of General and Colorectal Surgery of Medical University of Lodz between 2014 and 2020, who were in the follow-up program at the hospital's outpatient clinic after the primary surgery. Risk factors for disease recurrence were sought by analyzing the characteristics of the primary tumor, treatment history and postoperative care.Results29 patients were included in the study, the majority (51.7%) of the patients were men. The largest group was represented by patients with stage II and III disease. The most frequently performed primary surgery was low anterior resection (LAR) (62.8%). 35% of patients received neoadjuvant treatment prior to primary surgery. We demonstrated that the lack of neoadjuvant treatment before primary surgery increases the risk of cancer recurrence nine times. Higher stage of disease at the point of primary surgery is associated with nearly seven times the risk of recurrence compared to stage I disease.ConclusionsOptimal preoperative staging, reasonable neoadjuvant treatment, proper surgical technique and precise follow-up regimen are essential for further improvement of rectal cancer outcomes.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136014328","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: 10.5604/01.3001.0053.9174
Łukasz Łaziński, Mateusz Koziej, Bogusław Antoszewski, Marta Fijałkowska
Skin cancers constitute a group of medical disorders remaining a field of interest of surgeons and dermatologists. Currently, this group is typically divided into malignant melanoma (MM) and keratinocyte cancers (KC).The aim of this study is to analyse the cases of skin cancers treated in the Department of Plastic, Reconstructive and Aesthetic Surgery in Lodz (Poland) during the COVID-19 pandemic (from 2020 to 2022) and then compare the results with the ones from pre-pandemic period (from 2017 to 2019).An analysis of histopathological files from the period between 2020 and 2022 was performed. It was based on the following criteria: sex, age, type of skin cancer, subtype of basal cell carcinoma (BCC), localization and dimensions of the tumor.The study sample consisted of 225 patients presenting 241 cases of skin cancers. There were 74 men and 151 women, the mean age was 71.7. The most common skin cancer was BCC (175 cases, 72.6%) followed by SCC (59 cases, 24.5%), melanoma (5 cases, 2.1%) and other (2 cases, 0.8% - angiosarcoma and sweat gland carcinoma).A marked reduction in the number of skins cancers detected during the pandemic period has been reported. Delay in the surgical treatment of skin tumors does not seem to affect the size of the removed lesion. Some models predicting that tumors would be larger after the confinement period are not applicable in reality. However further investigations with larger samples from multiple centres are needed to confirm these findings and to work out standards how to deal with healthcare crises in the future.
{"title":"Skin cancers occurrence: single-centre experiences from period 2020-2022","authors":"Łukasz Łaziński, Mateusz Koziej, Bogusław Antoszewski, Marta Fijałkowska","doi":"10.5604/01.3001.0053.9174","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9174","url":null,"abstract":"Skin cancers constitute a group of medical disorders remaining a field of interest of surgeons and dermatologists. Currently, this group is typically divided into malignant melanoma (MM) and keratinocyte cancers (KC).The aim of this study is to analyse the cases of skin cancers treated in the Department of Plastic, Reconstructive and Aesthetic Surgery in Lodz (Poland) during the COVID-19 pandemic (from 2020 to 2022) and then compare the results with the ones from pre-pandemic period (from 2017 to 2019).An analysis of histopathological files from the period between 2020 and 2022 was performed. It was based on the following criteria: sex, age, type of skin cancer, subtype of basal cell carcinoma (BCC), localization and dimensions of the tumor.The study sample consisted of 225 patients presenting 241 cases of skin cancers. There were 74 men and 151 women, the mean age was 71.7. The most common skin cancer was BCC (175 cases, 72.6%) followed by SCC (59 cases, 24.5%), melanoma (5 cases, 2.1%) and other (2 cases, 0.8% - angiosarcoma and sweat gland carcinoma).A marked reduction in the number of skins cancers detected during the pandemic period has been reported. Delay in the surgical treatment of skin tumors does not seem to affect the size of the removed lesion. Some models predicting that tumors would be larger after the confinement period are not applicable in reality. However further investigations with larger samples from multiple centres are needed to confirm these findings and to work out standards how to deal with healthcare crises in the future.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136014329","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: 10.5604/01.3001.0053.9252
Andrzej Żyluk, Paulina Żyluk-Gadowska, Massimo Ceruso
Results of some studies showed that predictors of less favourable outcomes of surgery for carpal tunnel syndrome might include presence of comorbidities, such as diabetes and thyroid gland diseases. However, the role of these factors is not clearly determined.The objective of this study was an investigation of the effect of concomitant diseases on clinical profile and outcomes of surgery for carpal tunnel syndrome.Material and Methods. The study group consisted of 1117 patients, 909 women (81%) and 208 men (19%) at a mean age of 63 years. A total of 972 patients (87%) declared at least one comorbidity, whereas 145 patients (13%) declared no comorbidities The measurements were performed preoperatively and at 6 months post-operatively and included pain intensity, total grip and key-pinch strength, digital sensibility and hand function with the Levine questionnaire. Results. At baseline, the patients with comorbidities had significantly worse digital sensiblility, weaker total grip strength and grater functional impairment of the hand, but only difference in grip strength reached minimal clinical importance. Surgery resulted in significant improvement for all patients, although outcomes at 6 months were less favourable for those with comorbidities with regard to digital sensiblility, total grip and pinch strength and function of the hand. These differences were statistically significant, but only grip strength reached minimal clinical importance. Cnclusion. Presence of comorbidities had statistically and clinically significant negative effect only on the total grip strength pre- and postoperatively, but had no significant effect on outcomes of surgery which was satisfactory in all patients.
{"title":"The effect of comorbidities on a clinical profile and outcomes of surgery for carpal tunel syndrome","authors":"Andrzej Żyluk, Paulina Żyluk-Gadowska, Massimo Ceruso","doi":"10.5604/01.3001.0053.9252","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9252","url":null,"abstract":"Results of some studies showed that predictors of less favourable outcomes of surgery for carpal tunnel syndrome might include presence of comorbidities, such as diabetes and thyroid gland diseases. However, the role of these factors is not clearly determined.The objective of this study was an investigation of the effect of concomitant diseases on clinical profile and outcomes of surgery for carpal tunnel syndrome.Material and Methods. The study group consisted of 1117 patients, 909 women (81%) and 208 men (19%) at a mean age of 63 years. A total of 972 patients (87%) declared at least one comorbidity, whereas 145 patients (13%) declared no comorbidities The measurements were performed preoperatively and at 6 months post-operatively and included pain intensity, total grip and key-pinch strength, digital sensibility and hand function with the Levine questionnaire. Results. At baseline, the patients with comorbidities had significantly worse digital sensiblility, weaker total grip strength and grater functional impairment of the hand, but only difference in grip strength reached minimal clinical importance. Surgery resulted in significant improvement for all patients, although outcomes at 6 months were less favourable for those with comorbidities with regard to digital sensiblility, total grip and pinch strength and function of the hand. These differences were statistically significant, but only grip strength reached minimal clinical importance. Cnclusion. Presence of comorbidities had statistically and clinically significant negative effect only on the total grip strength pre- and postoperatively, but had no significant effect on outcomes of surgery which was satisfactory in all patients.","PeriodicalId":43422,"journal":{"name":"Polish Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136014469","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}
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