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Dermatoscopy as a helpful tool in plastic surgeon’s practice – a preliminary study

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Antoszewski B., Fijałkowska M., Stabryła P., Kasielska-Trojan A.
Polish Journal of Surgery
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2015
|
vol. 87(12)
609-613
EN
The aim of the study was to examine the utility of dermatoscopy in plastic surgeons’ practice in pigmented and non-pigmented skin lesions management. Material and methods. The examined group consisted of 68 patients with 132 lesions (50 women and 18 men) aged from 12 to 75 years (the mean: 47.2 years ± 16.9 years), who underwent dermatoscopy. Dermatoscopic photographs were analysed according to the ABCD and 7-point scales and then, a further treatment (surgical excision, electro resection or regular follow-up and observations) was planned. Results. The mean score of all lesions according to ABCD scale was 2.34 while in 7-point scale it was 0.62. In male and female groups the number of lesions and their ABCD and 7-point scale scores were similar (p>0.05). Histopathological examination revealed that all excised lesions were benign (compound melanocytic nevi) which corresponded with dermatoscopic evaluation. Conclusions. Dermatoscopy seems to be helpful in surgeons’ dealing with skin lesions practise and in many cases it enables to choose less invasive technique of lesions’ removal (electro resection), which gives better aesthetic results.
2
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Dermatoscopy as a Helpful Tool in Plastic Surgeon’s Practice – A Preliminary Study

100%
Antoszewski B., Fijałkowska M., Stabryła P., Kasielska-Trojan A.
Polish Journal of Surgery
|
2015
|
vol. 87
|
issue 12
609-613
EN
The aim of the study was to examine the utility of dermatoscopy in plastic surgeons’ practice in pigmented and non-pigmented skin lesions management. Material and methods. The examined group consisted of 68 patients with 132 lesions (50 women and 18 men) aged from 12 to 75 years (the mean: 47.2 years ± 16.9 years), who underwent dermatoscopy. Dermatoscopic photographs were analysed according to the ABCD and 7-point scales and then, a further treatment (surgical excision, electro resection or regular follow-up and observations) was planned. Results. The mean score of all lesions according to ABCD scale was 2.34 while in 7-point scale it was 0.62. In male and female groups the number of lesions and their ABCD and 7-point scale scores were similar (p>0.05). Histopathological examination revealed that all excised lesions were benign (compound melanocytic nevi) which corresponded with dermatoscopic evaluation. Conclusions. Dermatoscopy seems to be helpful in surgeons’ dealing with skin lesions practise and in many cases it enables to choose less invasive technique of lesions’ removal (electro resection), which gives better aesthetic results.
3
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The effects of a 4-week vibrotherapy programme on the reduction of adipose tissue in young women with cellulite - a pilot study

63%
Pilch W., Nastałek M., Piotrowska A., Czerwińska-Ledwig O., Zuziak R., Maciorowska A., Golec J.
Medical Rehabilitation
|
2018
|
vol. 22(4)
18-24
PL
Wprowadzenie: Lipodystrofia jest problemem o dużym nasileniu u współczesnych kobiet. Do tej pory nie opracowano w pełni skutecznych metod terapeutycznych całkowicie niwelujących tego typu zmiany. Mało poznaną i jak do tej pory nie badaną metodą w profilaktyce i niwelowaniu objawów lipodystrofii może być masaż wibracyjny. Cel pracy: Celem pracy była ocena skuteczności wibroterapii na zmiany lipodystroficzne. Materiał i metoda: W badaniach uczestniczyło 10 wolontariuszek ze zmianami cellulitowymi w wieku 21-23 lata o określonej aktywności fizycznej mierzonej międzynarodowym kwestionariuszem IPAQ. U wszystkich osób włączonych do badania dokonano oceny żywienia na podstawie 5-dniowej analizy żywienia, wykonano pomiar obwodów talii, bioder i ud, oszacowano skład ciała za pomocą bioimpedancji oraz wykonano zdjęcia z dermatoskopu. Zastosowano 4 tygodniową wibroterapię oscylacyjno-cykloidalną z zastosowaniem Rehabilitacyjnego Aparatu Masującego Vitberg+ (Nowy Sącz). Badania wykonano 2-krotnie, przed i po zastosowanej 4 tygodniowej wibroterapii. Wyniki: Po 4 tygodniowej serii zabiegów wibracyjnych zaobserwowano średnie zmniejszenie obwodów ud (Δ1,55 cm, p=0,002 dla uda prawego, Δ1,50 cm, p=0,000 dla lewego), bioder (Δ1,25 cm, p=0,006) oraz talii (Δ2,30cm, p=0,002). Zaproponowana seria zabiegowa wywołała redukcję masy tkanki tłuszczowej całego ciała (Δ0,42 kg, p=0,009) bez wpływu na zawartość wody w organizmie, a analiza wyników obrazowania dermatoskopowego ujawniła poprawę ukrwienia skóry. Wniosek: Wibroterapia oscylacyjno-cykloidalna może być skutecznym narzędziem niwelowania zmian lipodystroficznych.
EN
Introduction: Lipodystrophy is a common problem for modern women. So far, no fully effective therapeutic methods have been developed to eliminate this type of change. Vibration massage is a method that has not yet been studied in the prevention and elimination of lipodystrophy symptoms. Aim of the study: The aim of this study was to evaluate the effectiveness of vibrotherapy on the reduction in lipodystrophic changes. Material and method: 10 volunteers with cellulite changes at the age of 21-23 with physical activity levels described by the international IPAQ questionnaire participated in the study. All women included in the study were evaluated on the basis of 5-day nutrition analysis. Before and after 4 weeks of vibrotherapy, waist, hip and thigh circumferences were measured, and body composition was assessed using bioimpedance and dermatoscope photos were taken. Oscillating cycloidal vibration was generated by the Vitberg+ Rehabilitation Device (Nowy Sącz). Results: After the 4-week series of vibrations, the following average reduction in thigh circumference was observed (Δ1.55 cm, p = 0.002 for right thigh, Δ1.50 cm, p = 0.000 for left), hips (Δ1.25 cm, p = 0.006) and waist (Δ2.30 cm, p = 0.002). The proposed treatment series caused a reduction in body fat mass (Δ0.42 kg, p = 0.009) without affecting the body’s water content, and the analysis of dermatoscopic imaging results revealed improvement in skin perfusion. Conclusion: Oscillating-cycloidal vibration therapy can be an effective tool to alleviate lipodystrophic changes
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