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Lymphatic Angioma of Mesentery of the Small Intestine - A Case Report

100%
Ratajczak A., Szmeja J., Łukaszuk M., Majewski P.
Polish Journal of Surgery
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2011
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vol. 83
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issue 1
48-50
EN
The authors presented a rare case of lymphatic angioma of mesentery of the small intestine. The patient underwent successful surgery. The study presents clinical symptoms, diagnostic and therapeutic problems in patients with lymphatic angiomas.
2
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Sublay Incisional Hernia Repair with Composite Mesh in Patients with Additional Abdominal Disorders

100%
Hermann J., Ratajczak A., Meissner W.
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issue 11
550-553
EN
The authors present two patients operated on for large incisional hernias with additional abdominal disorders requiring surgical treatment. The first patient was scheduled for cholecystectomy whereas the second one for partial resection of the small bowel. Since those hernias did not qualify for classical operations due to extensive destruction of the muscular and fascial layers of the abdominal wall the patients underwent repair with modern composite meshes. Those meshes can be applied directly on the bowel loops. Of the two patients a polyester mesh coated with polyethylene-glycol-glycerol-oxidized bovine atelocollagen was applied in the former whereas a polypropylene monofilament mesh coated with a layer of silicone in the latter. Those biomaterials coating the visceral surface of the meshes prevent them from adherence to the bowel loops. What is more, inflammatory response to the foreign body with following adhesion formation and as a result either bowel obstruction or enterocutaneous fistulas can be reduced. The postoperative course was uneventful in both patients in spite of the operations being performed in the contaminated field.
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Migration of biomaterials used in gastroenterological surgery

76%
Ratajczak A., Kościński T., Banasiewicz T., Lange-Ratajczak M., Hermann J., Bobkiewicz A., Drews M.
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vol. 85
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issue 7
377-380
EN
Mesh biomaterials have become the standard in the treatment of hernias, regardless the location. In addition to the obvious advantages of the methods based on implantable biomaterials, one should be aware of the possible complications, such as their migration to the abdominal organs. Material and methods. The study group comprised patients operated at the Department of General, Gastroenterological Oncology, and Plastic Surgery during the period between 2008 and 2011, due to hernia surgery with mesh implantation. We also analysed the number of patients operated, due to complications of mesh migration during the same period. Results. 368 patients were subject to mesh implantation, due to hernias during the period between 2008 and 2011. Three patients underwent surgery because of symptomatic migration of the mesh (ileus, fistula). Conclusions. The frequency of mesh migration is difficult to determine because of the different criteria of migration, observation period, and other factors. In patients after mesh implantation the potential migration of the biomaterial should be considered in case of unclear or acute abdominal symptoms.
4
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Negative Pressure therapy in the treatment of wounds - review of literature data and multicenter experience

64%
Banasiewicz T., Malinger S., Zieliński M., Mańkowski B., Ratajczak A., Borejsza-Wysocki M., Majewski W., Słowiński K., Drews M.
Polish Journal of Surgery
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2010
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vol. 82
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issue 7
435-446
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