Search results

1

Usefulness of ultrasonography in the diagnosis of hematoma after primary hip arthroplasty

100%

Białecki J., Bartosz P., Marczyński W., Zając J.

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issue 70

149-153

EN

Introduction: To date, suction drainage has been routinely used after hip joint replacement. Currently, the validity of this practice is questioned in the literature. Hematoma is a risk factor of periprosthetic infection. Post-operative ultrasonography enables precise assessment of hip joint hematoma. Aim: The aim of the study was to evaluate the usefulness of hip joint ultrasonography with respect to the validity of using suction drainage after primary hip arthroplasty. Material: Inclusion criteria: coxarthrosis. Exclusion criteria: primary and secondary coagulopathy, renal or hepatic failure and history of venous or arterial thrombosis. In total, 90 patients were enrolled. Methods: The study was prospective. The patients were assigned into groups in accordance with simple randomization. On the third day postsurgery, an ultrasound examination was conducted in all patients. Results: Deep infection was found in two patients with suction drainage. Hematoma was almost twice bigger in the drainage group. There were no statistically significant differences in the Harris Hip Score between the groups. No statistically significant differences were found between the groups in: complete blood count parameters and C-reactive protein values in the first and third day after surgery, the amount of transfused packed red blood cells, duration of hospital stay, cost of hospital stay and the relationship between osteophyte removal and hematoma size. Conclusions: Ultrasonography performed after hip replacement surgeries is useful in the assessment of hematoma. The randomized study did not reveal statistically significant differences between the group with and without drainage, thus suggesting that this practice can be abandoned, except for selected cases. Due to a short hospital stay, it is recommended to conduct an ultrasound scan in addition to routine radiography and laboratory tests in order to reduce the risk of complications.

PL

Wstęp: Dotychczas rutynowo po endoprotezoplastyce biodra stosowano drenaż ssący. Obecnie w piśmiennictwie podważana jest zasadność stosowania pooperacyjnego drenażu ssącego. Krwiak pooperacyjny stanowi czynnik ryzyka infekcji okołoprotezowej. Zastosowanie badania ultrasonograficznego w diagnostyce pooperacyjnej pozwala na precyzyjną ocenę krwiaka stawu biodrowego. Cel: Celem pracy jest analiza wartości badania ultrasonograficznego stawu biodrowego w odniesieniu do zasadności stosowania drenażu ssącego po pierwotnej endoprotezoplastyce biodra. Materiał: Kryteria włączenia: koksartroza. Kryteria wyłączenia: pierwotna i wtórna koagulopatia, niewydolność wątroby lub nerek, przebyta zakrzepica tętnicza lub żylna. Do badania włączono 90 chorych. Metody: Badanie zaplanowano jako prospektywne. Chorych przydzielano do dwóch grup zgodnie z zasadami randomizacji prostej. W trzeciej dobie po operacji wykonywano badanie ultrasonograficzne u wszystkich chorych. Wyniki: U dwóch chorych w grupie z drenem stwierdzono infekcję głęboką. W grupie z drenem zaobserwowano średnio prawie dwukrotnie większy krwiak w stawie. W obu grupach w ocenie w skali Harris Hip Score nie odnotowano istotnych statystycznie różnic. Nie stwierdzono istotnej statystycznie różnicy między grupami w ocenie: morfologii i białka ostrej fazy w pierwszej oraz trzeciej dobie po operacji, ilości przetaczanego koncentratu krwinek czerwonych, długości hospitalizacji, pod względem kosztu pobytu, jak również między usunięciem osteofitów a wielkością krwiaka. Wnioski: Badanie ultrasonograficzne wykonywane po endoprotezoplastyce biodra jest przydatne w ocenie krwiaka. W przeprowadzonym randomizowanym badaniu nie stwierdzono istotności statystycznej pomiędzy grupami z drenem i bez drenu, co sugeruje odstąpienie od drenażu ssącego, poza szczególnymi przypadkami. Ze względu na krótki okres pobytu chorych w szpitalu zalecamy, oprócz rutynowo wykonywanych zdjęć rentgenowskich i badań laboratoryjnych, diagnostykę ultrasonograficzną w celu zmniejszenia ryzyka powikłań. Artykuł w wersji polskojęzycznej jest dostępny na stronie http://jultrason.pl/index.php/wydawnictwa/volume-17-no-70

2

The evaluation of the effectiveness of Tachosil in the treatment of lymphorrhea of the postoperative wound in the selected group of patients, after vascular reconstructive surgeries – preliminary report

100%

Iłżecki M., Zubilewicz T., Przywara S., Terlecki P.

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vol. 85

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issue 12

687-692

EN

Lymphorrhea of a postoperative wound after vascular reconstructive surgeries does not occur frequently but it accounts for a major complication. It should be brought to attention that during the intraoperative period it is impossible to diagnose any damages within the lymphatic system of the operated area. Additionally, the treatment of lymphorrheawith thermal abrasion does not usually bring the desired outcome. Therefore, the extended time of the postoperative wound treatment with the lymphatic drainage constitutes a standard method in such cases. The aim of the study was to evaluate the effectiveness of Tachosil surgical patch in the treatment of lymphorrhea of the postoperative wound in a selected group of patients who have undergone vascular reconstructive surgeries. Additionally, the aim of the study was to analyze the results and draw conclusions pertaining to the validity and effectiveness of the treatment with the use of Tachosil surgical patch. Material and methods. The observed group included 10 patients with lymphorrhea developed during the postoperative period. 6 of the observed patients have undergone the vascular reconstructive surgery with the implantation of the vascular prosthesis (distal femoropopliteal reconstruction bridge - 3 patients; iliofemoral reconstruction bridge - 1 patient; angioplasty of the common femoral artery (CFA) with the use of the prosthetic patch - 1 patient; the implantation of the bifurcated (type Y) aortofemoral prosthesis - 1 patient). The remaining patients in the observed group have undergone the restoration of patency of the CFA. Additionally, 1 patient has undergone the resection of the pseudo aneurysm in the distal part of the iliofemoral prosthesis. The vascular reconstructive surgery required the denudation and isolation of the common femoral artery from the surrounding tissue as a step 1. The persisting lymphorrhea of the postoperative wound, in the volume of more than 200 ml per day during the first 3 postoperative days, indicated the necessity for the inguinal wound revision. In addition, Tachosil surgical patch was applied at that time. The drain was placed over Tachosil patch. Results. Complete stop of lymphorrhea was shorter by 4.87 days in patients treated with the use of Tachosil in comparison to control group. These patients also had an average hospitalization time shorter by 3.88 days than patients in the control group. Conclusions. Early intervention in the cases of lymphorrhea of the postoperative wound allows planning and conducting successful treatment. The use of Tachosil surgical patch in the treatment of lymphorrhea of the postoperative wound shortens the treatment and hospitalization periods. The use of Tachosil in the treatment of postoperative lymphorrhea appeared to be significantly more effective than the standard drainage method of treatment. Results obtained through this study pave the way for the research on other possible applications of Tachosil in the cases of lymphorrhea after vascular reconstructive surgeries.

3

Gravity Drainage Kinetics of Papermaking Fibrous Suspensions

100%

Przybysz P., Kuncewicz C., Rieger F.

Chemical and Process Engineering

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2014

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issue 4

4

Gravity Drainage Kinetics of Papermaking Fibrous Suspensions

100%

Przybysz P., Kuncewicz C., Rieger F.

Chemical and Process Engineering

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2014

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vol. 35

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issue 4

421-434

EN

The study analyses application possibilities of filtration and thickening models in evaluation of papermaking suspension drainage rate. The authors proposed their own method to estimate the drainage rate on the basis of an existing Ergun capillary model of liquid flow through a granular material. The proposed model was less sensitive to porosity changes than the Ergun model. An empirical verification proved robustness of the proposed approach. Taking into account discrepancies in the published data concerning how the drainage velocity of papermaking suspension is defined, this study examines which of the commonly applied models matches experimental results the best.

5

A New Device for Characterisation of the Drainage Kinetics of Fibrous Suspensions Under Gravity

100%

Przybysz P., Kuncewicz C., Rieger F.

Chemical and Process Engineering

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2014

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vol. 35

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issue 4

409-420

EN

Gravity dewatering of fibrous suspension is one of basic technological operations in paper production process. Although there are numerous methods to determine dewatering of such suspensions, none of them can measure undisturbed flow of removed water. In the paper the idea and design of a new apparatus for the determination of drainage rate of fibrous suspensions is presented. The apparatus differs from other known devices by minimisation of filtrate flow resistance in the outlet part of the equipment. In the second part of the paper measurements of the drainage rate have been presented. The flow resistance of the fluid through the bottom wire screen in the device was determined. The calculated flow resistance will be used in the developed model of dynamic drainage of fibrous suspensions, which will be discussed in our following paper (Przybysz et al., 2014).

6

A New Device for Characterisation of the Drainage Kinetics of Fibrous Suspensions Under Gravity

100%

Przybysz P., Kuncewicz C., Rieger F.

Chemical and Process Engineering

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2014

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issue 4

7

Prophylactic intra-abdominal drainage following kidney transplantation: a systematic review and meta-analysis

88%

Zawistowski M., Nowaczyk J., Domagała P.

Polish Journal of Surgery

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2021

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vol. 93

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issue 4

1-10

EN

Introduction: An ongoing debate concerns the need for routine placement of prophylactic intra-abdominal drains following kidney transplantation. Aim: We conducted a systematic review and meta-analysis to determine whether such an approach brings any advantages in the prevention of perirenal transplant fluid collection, surgical site infection, lymphocele, hematoma, urinoma, wound dehiscence, graft loss, and need for reoperation. Methods: We conducted a random-effects meta-analysis of non-randomized studies of intervention comparing drained and drain-free adult renal graft recipients regarding perirenal transplant fluid collection and other wound complications. ROBINS-I tool and funnel plot asymmetry analysis were used to assess the risk of bias. Results: Five studies at moderate to critical risk of bias were included. A total of 2094 renal graft recipients were evaluated. Our analysis revealed no significant differences between drained and drain-free patients regarding perirenal transplant fluid collection (pooled odds ratio [OR], 0.77; 95% confidence interval [CI], 0.28–2.17; I 2 = 72%), surgical site infection (OR, 1.64; 95% CI, 0.11–24.88; I 2 = 80%), lymphocele (OR, 0.61; 95% CI, 0.02–15.27; I 2 = 0%), hematoma (OR, 0.71; 95% CI, 0.12–3.99; I 2 = 71%), and wound dehiscence (OR, 0.75; 95% CI, 0.21–2.70; I 2 = 0%). There was insufficient data concerning urinoma, graft loss, and need for reoperation. Conclusions: The available evidence is weak. Our findings show that the use of intra-abdominal drains after kidney transplantation seems to have neither beneficial nor harmful effects on perirenal transplant fluid collection and other wound complications. The present study does not support the routine placement of surgical drains after kidney transplantation. In this systematic review and meta-analysis we summarize the most up-to-date evidence for and against the routine use of intra-abdominal drain following renal transplantation.

8

Splenic Absces - Diagnostics and Treatment

88%

Bilski R., Szczepanik A., Wiszniewski A., Meissner A., Ratajczak J.

Polish Journal of Surgery

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2009

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vol. 81

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issue 9

392-399

EN

Splenic abscess is a rare condition often difficult to diagnose and always fatal, if untreated. It is frequently concomitant with immunodeficiency, especially in hematological disorders.The aim of the study was to share our own experience in the treatment of splenic abscess and to present the review of current literature on the subject.Material and methods. In the period January-June 1997, 8 patients were treated for splenic abscess at the Department of General and Hematological Surgery of the Institute of Hematology and Transfusion Medicine in Warsaw; (6 men and 2 women; mean age 51.3 years). Six patients reported immunodeficiency disorders in medical interview (immunoglobulin deficiency, alcoholism, leukopenia, agranulocytosis, lymphoproliferative disorders).Prior to operation, chest X-rays as well as US and CT imaging were performed for all patients; all were qualified for splenectomy.Results. In all cases, imaging studies revealed splenomegaly and characteristics suggestive of splenic abscess, in chest X-ray of 6 patients typical abscess changes were also found. Classic splenectomy was performed in all 6 cases. The total mass of spleen removed was 365 g-1560 g, mean of 962 g. Procedure duration was 72 to 135 min, mean of 88,3 min. Patients were transfused 1 to 4 units of red blood cell concentrate, mean of 2.1 units. In patients with perisplenitis, priooperative blood loss was greater and the procedure was extended. In the postoperative period, such complications as deep vein thrombosis of lower extremities, portal vein thrombosis, aggrevation of chronic renal insufficiency and circulatory insufficiency evoked by paroxysmal atrial fibrillation were observed in 4 patients. No deaths were reported. Six patients were discharged in a satisfactory state; 2 were transferred to the hematological department for further treatment due to persisting septic state.Conclusion. Despite a high incidence rate of periooperative complications, classic splenectomy still remains the procedure of choice for splenic abscess treatment.

9

Use of modelling for the renovation of drainage channels – The case of the Bouteldja plain in northeastern Algeria

75%

Sennaoui F., Benabdesselam T., Saihia A.

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issue 43

10

Evaluation of the utility value of percutaneous drainage of symptomatic hepatic cysts combined with an obliteration attempt

75%

Ćwik G., Wyroślak-Najs J., Solecki M., Wallner G.

Journal of Ultrasonography

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2016

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vol. 16

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issue 66

260-272

EN

Aim: The goal of the paper was to evaluate the procedure of percutaneous drainage of symptomatic hepatic cysts under the transabdominal ultrasound control combined with obliteration. Material and method: Within the period from 2005 to 2015, 70 patients diagnosed with a simple hepatic cyst of symptomatic nature were subject to hospitalization and treated at the 2nd General, Gastroenterological and Cancer Surgery of the Alimentary System Center and Clinics of the Medical University of Lublin. All the patients subject to evaluation were qualified to percutaneous drainage under an ultrasound control. The drainage utilized typical sets of drains with the diameter of at least 9 F, most often of pigtail type. The fluid aspirated form the cyst was dispatched for complex laboratory testing. Further, a 10% sodium chloride solution was administered to the cyst through the drain, in the volume depending on the previous size of the cyst and the patient’s reaction. Results: Patients reported for a re-visit within the period from 3 to 9 months following the procedure. Complete obliteration of the cyst was confirmed only in 8 patients (11%). Cyst recurrence was reported in cases when during the ultrasound evaluation, the diameter of the cyst following aspiration and obliteration enlarged to over 75% of the initial dimension. In this group, in 10 out of 12 examined (83%) there was a relapse of the previously observed ailments. Among patients, who has a cyst imaged within the period of observation, which had the diameter from 50% to 75% of the previous size, only in 6 cases (37.5%) the initial symptoms relapsed. Conclusions: The utilization of a drainage and obliteration enables one to achieve the acceptable result of the therapy as well as significant decrease in the number of previously reported ailments and symptoms described.

PL

Cel pracy: Celem niniejszej pracy była ocena procedury przezskórnego drenażu objawowych torbieli wątroby pod kontrolą ultrasonografii przezbrzusznej w powiązaniu z obliteracją. Materiał i metoda: W okresie od 2005 do 2015 roku 70 pacjentów z rozpoznaniem prostej torbieli wątroby o objawowym charakterze było hospitalizowanych i leczonych w II Klinice Chirurgii Ogólnej, Gastroenterologicznej i Nowotworów Układu Pokarmowego Uniwersytetu Medycznego w Lublinie. Wszystkich ocenianych pacjentów tyzakwalifikowano do drenażu przezskórnego pod kontrolą USG. Do drenażu wykorzystywano typowe zestawy drenów o średnicy co najmniej 9 F, najczęściej typu pigtail, czyli „świński ogonek”. Aspirowany płyn z torbieli był wysyłany do kompleksowego badania laboratoryjnego. W dalszej kolejności poprzez założony dren podawano do jamy torbieli 10-procentowy roztwór chlorku sodu w objętości zależnej od wcześniejszej wielkości torbieli oraz od reakcji pacjenta. Wyniki: Pacjenci zgłaszali się na kontrolę w okresie od 3 do 9 miesięcy po zabiegu. Całkowite zarośnięcie jamy torbieli potwierdzono jedynie u 8 leczonych (11%). Za nawrót torbieli uznano przypadki, gdy w ocenie ultrasonograficznej średnica torbieli po aspiracji i obliteracji powiększyła się do ponad 75% początkowego wymiaru. W tej grupie u 10 z 12 badanych (83%) doszło do nawrotu wcześniej stwierdzanych dolegliwości. U pacjentów, u których w okresie obserwacji zobrazowano torbiel o średnicy od 50% do 75% wcześniejszej wielkości, tylko w 6 przypadkach (37,5%) ponowiły się pierwotne objawy. Wnioski: Zastosowanie drenażu oraz obliteracji pozwala na osiągnięcie akceptowalnego wyniku terapii, a także znacznego spadku wcześniej zgłaszanych dolegliwości i opisywanych objawów.

11

Measures for soil water control in Poland

75%

Pierzgalski E., Jeznach J., Pierzgalski E., Jeznach J.

Journal of Water and Land Development

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2006

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issue 10

12

Impact of the WFD on agriculture in the Netherlands and possible effect-specific hydrological measures: the Dutch approach

75%

van Bakel J., van Bakel J.

Journal of Water and Land Development

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2006

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issue 10

13

Water management in Milan and Lombardy in medieval times: an outline

63%

Fantoni G., Fantoni G.

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Refine search results

Usefulness of ultrasonography in the diagnosis of hematoma after primary hip arthroplasty

The evaluation of the effectiveness of Tachosil in the treatment of lymphorrhea of the postoperative wound in the selected group of patients, after vascular reconstructive surgeries – preliminary report

Gravity Drainage Kinetics of Papermaking Fibrous Suspensions

Gravity Drainage Kinetics of Papermaking Fibrous Suspensions

A New Device for Characterisation of the Drainage Kinetics of Fibrous Suspensions Under Gravity

A New Device for Characterisation of the Drainage Kinetics of Fibrous Suspensions Under Gravity

Prophylactic intra-abdominal drainage following kidney transplantation: a systematic review and meta-analysis

Splenic Absces - Diagnostics and Treatment

Use of modelling for the renovation of drainage channels – The case of the Bouteldja plain in northeastern Algeria

Evaluation of the utility value of percutaneous drainage of symptomatic hepatic cysts combined with an obliteration attempt

Measures for soil water control in Poland

Impact of the WFD on agriculture in the Netherlands and possible effect-specific hydrological measures: the Dutch approach

Water management in Milan and Lombardy in medieval times: an outline