Search results

1

Patient Reoperations for Late Complications of Surgical Treatment of Parastomal Hernias – Own Experience

100%

Szczepkowski M., Gil G.

Polish Journal of Surgery

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2012

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vol. 84

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issue 10

495-501

EN

Parastomal hernias continue to be a significant clinical problem. Use of a synthetic material results in the best results of treatment of this pathology. However, treatment results are still unsatisfactory. is to present 6 cases of late complications of treatment of parastomal hernia using synthetic material, with successful surgical treatment. Material and methods. Among 52 surgical procedures of parastomal hernia repair using a synthetic material, 6 patients underwent late reoperation, including 4 women. Six reoperations were performed due to complications of parastomal hernia repair. Results. All cases of reoperation are presented and discussed in the study in order in which parastomal hernia repair procedures were performed. Conclusions. Presentation of 6 cases of patients treated for complications of the parastomal hernia repair procedure indicates that surgical technique of repair of this pathology is far from being perfect, although there has been a significant progress in this area over the past 20 years.

2

Physiotherapy Based on PNF Concept for Elderly People After Conventional Colon Surgery

81%

Czyżewski P., Szczepkowski M., Domaniecki J., Dąbek A.

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vol. 85

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issue 9

475-482

EN

Aging population, increases the number of major abdominal surgery (MAS) performed in the elderly. Main goal of physiotherapy after that surgery is prevention postoperative complications and reduction of functional limitation. The aim of the study was to asses functional status elderly people after MAS during early postoperative physiotherapy. Material and methods. In a prospective randomized study involved 34 patients scheduled for elective MAS, aged 65+. Patients were randomly assigned to receive PNF or conventional physiotherapy. The study included forced spirometry (FVC, FEV1, PEF) and functional tests (gait speed, up&go). Measurements were performed before surgery and the fourth day after surgery. Also analyzed age, sex, BMI and the level of postoperative independence (postoperative independence scale SAP). Kolmogorow- Smirnow test was used to check normal distribution, t-Student was used to check whether two sets of data differ significantly, and r-Pearsons for correlations testing. p values <0.05 were considered significant. Results. After surgery the time of gait speed test and up and go test was significant longer in comparison to preoperative value. FVC%, FEV1%, PEF% values was decrease. In the PNF group was found significantly higher postoperative independence(SAP) and shorter length of stay in hospital compared to conventional physiotherapy group. Results of SAP and functional tests were significantly positive correlated. Conclusions. Major abdominal surgery decrees efficiency of walking and lung ventilation after 65 year old in early postoperative period. Some techniques of the PNF concept used in improving older patients after the MAS may favourably affect the postoperative increase independence and reduce the time of hospitalization.

3

Effect of Kinesiology Taping method on pain reduction after rib broken – initial report

71%

Czyżewski P., Hałas I., Kopytiuk R., Domaniecki J., Szczepkowski M.

Advances in Rehabilitation

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2012

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vol. 26

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issue 1

29-35

EN

Introduction: The rib broken are most frequent damages of chest. They cause strong pain, and make difficulties in breathing and changing position of body. Uncomplicated breakdowns are cured by analgesics drugs. One of physical methods for pain decreasing in musculoskeletal dysfunctions is kinesiotaping. The aim of this study was assessment of effectiveness Kinesiology Taping method after rib broken and their influence on pain reduction and breathing parameters. Material and methods : In this study take part 14 patients after broken one or few ribs from General and Colorectal Surgery Clinic Bielanski Hospital in Warsaw. Breathing parameters was controlled by forced vital capacity(FVC), forced expiratory voluntary in first second(FEV1) and peak expiratory flow (PEF). Pain was asses by visual analogue scale (VAS) separately for three situations: deep breathing, provoked coughing and changing body position from supine to seating. Next K-Active Tape® apply on skin over the broken rib. After 15 minutes breathing parameters and pain level assessing was repeated. Results: There were difference between pain level before and after K-Active Tape® apply in three different situations. It shown difference in value of average points VAS in changing body position from supine to seating (p= 0,015), provoked coughing (p= 0,022) and deep breathing (p= 0,023). It means that pain was significantly decrees. Analysis of average value breathing parameters indicate upward trend FVC, FEV1 and PEF after Kinesiology Taping application, but it wasn’t statistically significant. Conclusions: Kinesiology Taping is safety, supplementary method for heeling posttraumatic ribs condition. Apply lymphatic and ligament techniques using K-Active Tape® could be effectiveness method of reduction pain after ribs broken. It’s necessary to continue research on effectiveness Kinesiology Taping after ribs broken with extend methodology.

4

Polish interdisciplinary consensus on diagnostics and treatment of colonic diverticulosis (2015)

61%

Pietrzak A., Bartnik W., Szczepkowski M., Krokowicz P., Dziki A., Reguła J., Wallner G.

Polish Journal of Surgery

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2015

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vol. 87

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issue 4

203-220

5

Polish guidelines for treatment of patients with parastomal hernia

42%

Śmietański M., Bury K., Matyja A., Dziki A., Wallner G., Studniarek M., Fridiger J., Szczepkowski M., Świerblewski M., Wróblewski T., Tarnowski W., Solecki R., Mitura K.

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vol. 85

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issue 3

152-180

6

Development of a new, simple and cost-effective diagnostic tool for genetic screening of hereditary colorectal cancer - the DNA microarray assay

42%

Stojcev Z., Banasiewicz T., Kaszuba M., Sikorski A., Szczepkowski M., Bobkiewicz A., Paszkowski J., Krokowicz Ł., Biczysko M., Szmeja J., Jurkowska M., Majewski P., Mackiewicz A., Lamperska K., Drews M., Wojciechowski J.

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EN

Detection of mutations in families with a hereditary predisposition to colon cancer gives an opportunity to precisely define the high-risk group. 36 patients operated on for colon cancer, with familiar prevalence of this malignancy, were investigated using the DNA microarrays method with the potential detection of 170 mutations in MLH1, MSH2, MSH6, CHEK2, and NOD2 genes. In microarrays analysis of DNA in 9 patients (25% of the investigated group), 6 different mutations were found. The effectiveness of genetic screening using the microarray method is comparable to the effectiveness of other, much more expensive and time-consuming methods.

7

Polish Consensus Statement On The Protective Stoma

32%

Szczepkowski M., Banasiewicz T., Krokowicz P., Dziki A., Wallner G., Drews M., Herman R., Lorenc Z., Richter P., Bielecki K., Tarnowski W., Kruszewski J., Kładny J., Głuszek S., Zegarski W., Kielan W., Paśnik K., Jackowski M., Wyleżoł M., Stojcev Z., Przywózka A.

Polish Journal of Surgery

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2015

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vol. 86

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issue 8

391-404

Refine search results

Patient Reoperations for Late Complications of Surgical Treatment of Parastomal Hernias – Own Experience

Physiotherapy Based on PNF Concept for Elderly People After Conventional Colon Surgery

Effect of Kinesiology Taping method on pain reduction after rib broken – initial report

Polish interdisciplinary consensus on diagnostics and treatment of colonic diverticulosis (2015)

Polish guidelines for treatment of patients with parastomal hernia

Development of a new, simple and cost-effective diagnostic tool for genetic screening of hereditary colorectal cancer - the DNA microarray assay

Polish Consensus Statement On The Protective Stoma