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Michał Stanisławski, Stanisław Fabisiewicz and Jacek Pawlak

Use of Modified Animal Collagen Implant (Permacol) for Plastic Surgery of Recurrent Parastomal Hernia

The authors present the usage of new on the Polish market reconstructive material (Permacol) used for plastic surgery of recurrent parastomal hernia. Material and methodology presented below seem to be a valuable alternative for currently recognized methods used in the treatment of parastomal hernias. European and American experience confirms that further studies in Polish centers should be conducted.

Open access

Mirosław Dziekiewicz, Tomasz Markiewicz, Wojciech Kozłowski and Marek Maruszyński

Abstract

The study presented an approach to the morphometric image of atherosclerotic lesions of the final segment of the abdominal aorta, femoral and iliac arteries, considering possible endovascular intervention. The evaluation of these arteries is very important, because they are often used as a point of access for endovascular procedures performed on the peripheral arteries, or within the thoracic and abdominal aorta and its branches, as well as coronary arteries.

The aim of the study was to determine morphometric measurements describing the atherosclerotic lesions, including the methodology of their surgical interpretation.

Material and methods. The study group comprised 128 tomograms of patients qualified for surgery. An algorithm based on the mathematical morphology was designed to track the vessels, starting from the division of the common femoral artery, and ending at the bifurcation of the abdominal aorta. We proposed a set of numerical measurements of the observed arterial changes.

Results and conclusions. We analysed 128 tomograms with a 94.5% efficiency, and with the assessment accuracy of the degree of lumen reduction (MAE- 1.5%). We observed much higher measurement values of local tortuosity of the atherosclerotic arteries (0.3 - 1 radians), as compared to their anatomical course in a healthy subject (0 - 0.2 radians). The presented method can be a very accurate and useful tool in the numerical analysis of the lumen distribution of the arteries and atherosclerosis, dedicated to surgeons elaborating management strategies.

Open access

Lutz Meyer, Frank Meyer, Uwe Schmidt, Ingo Gastinger, Hans Lippert and Oraz Wschodnioniemiecka Grupa Na Rzecz Kontroli Jakości i Rozwoju Regionalnego w Chirurgii

Gastroenterol 1993; 31(12): 719. Bosing N, Schumacher B, Frieling T et al.: Endoscopic ultrasound in routine clinical practice for staging adenocarcinomas of the stomach and distal esophagus. Chirurg 2003; 74(3): 214. Meining A, Dittler HJ, Wolf A et al.: You get what you expect? A critical appraisal of imaging methodology in endosonographic cancer staging. Gut 2002; 50(5): 599. Meining A, Rosch T, Wolf A et al.: High interobserver variability in endosonographic staging of upper

Open access

Grzegorz Wallner, Marek Majewski and Witold Zgodziński

://www.pubmed.com 9. Brooks AD , Karpoff HM , Sulimanoff I et al.: The search for level I evidence in solid-tumor oncology. Ann Surg Oncol 2001; 8: 638-43. 10. Dostępne na: http://www.nccn.org/professionals/physician_gls/f_guidelines.asp 11. McCulloch P, Taylor I, Sasako M et al.: Randomised trials in surgery: problems and possible solutions. BMJ 2002; 324: 1448-51. 12. Hall JC, Mills B, Nguyen H et al.: Methodologic standards in surgical trials. Surgery 1996; 119: 466-72. 13. Horton R : Surgical research

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Andrzej Rafał Hellmann, Stanisław Hać, Justyna Kostro, Marcin Hellmann and Zbigniew śledziński

blood flow in early stage after standard superficial temporal artery-middle cerebral artery bypass surgery for moyamoya disease. Chin Med J (Engl). 2009 Oct 20; 122(20): 2412-18. 20. Roustit M, Cracowski JL : Non-invasive assessment of skin microvascular function in humans: an insight into methods. Microcirculation 2012; 19: 47-64. 21. Cracowski JL, Minson CT, Salvat-Melis M, Halliwill JR : Methodological issues in the assessment of skin microvascular endothelial function in humans. Trends Pharmacolo Sci 2006; 27: 503- 08. 22. Maniewski R, Liebert A : Metoda

Open access

Stanisław Przywara, Grzegorz Wallner, Andrzej Dąbrowski, Tomasz Skoczylas, Jacek Wroński, Krzysztof Michalak and Robert Zymon

References Nilsson GE, Tenland T, Oberg PA: Evaluation of laser Doppler flowmeter for measurement of tissue blood flow. IEE Trans Biomed Eng 1980; 27 : 12-19. Przywara S: Laserowa dopplerowska przepływometria. Acta Bio-optica et Informatica Medica 1997; 2,3,4 (3): 111-14. Lunde OC, Kvernebo K, Larsen S: Evaluation of endoscopic laser Doppler flowmetry for measurement of human gastric blood flow. Methodologic aspects. Scand J Gastroenterol 1988; 23 (9): 1072

Open access

Wojciech Łabuś, Marek Kawecki and Mariusz Nowak

dermal matrix as a dermal substitute, Burns 1996; 22: 182-90. Pelletier M, Perreault C, Landry D et al.: Ontogeny of human epidermal Langerhans cells. Transplantation 1984; 38: 544-46. Ghosh MM, Boyce S, Layton C et al.: A comparison of methodologies for preparation of human epidermal - dermal composites. Ann Plast Surg 1997; 39: 390-404. Wu Q, Yao M, Pan Y et al.: Experimental study on the inflammatory.and immune response of xenogenic acellular dermal matrix transplantation combined

Open access

Grzegorz Wallner, Michał Solecki, Andrzej Dąbrowski, Grzegorz Ćwik, Andrzej Dąbrowski, Andrzej Matyja, Paweł Lampe and Adam Dziki

-44. 8. Merkel C, Marin R, Angeli P et al.: A placebocontrolled clinical trial of nadolol in the prophylaxis of growth of small esophageal varices in cirrhosis. Gastroenterology 2004 Aug; Vol. 127 (2): 476-84. 9. de Franchis R: BavenoV Faculty. Revising consensus in portal hypertension: report of the BavenoV consensus workshop on methodology of diagnosis and therapy in portal hypertension. J Hepatol 2010 Oct; Vol. 53 (4): 762-68. 10. D’Amico G, Pagliaro L, Bosch J: Pharmacological treatment of portal hypertension: an evidence- based

Open access

Goce Spasovski, Pierre Cochat, Frans Hj Claas, Uwe Heemann, Julio Pascual, Chris Dudley, Paul Harden, Marivonne Hourmant, Umberto Maggiore, Maurizio Salvadori, Jean-Paul Squifflet, Jurg Steiger, Armando Torres, Ondrej Viklicky, Martin Zeier, Raymond Vanholder, Wim Van Biesen, Evi Nagler and Daniel Abramowicz

Abstract

The Clinical Practice Guideline on evaluation of the kidney donor and transplant recipient was developed following a rigorous methodological approach aiming to provide information and aid decision-making to the transplant professionals. Thus, this document should help caregivers to improve the quality of care they deliver to patients with no intention it is defined as a standard of care.

In this short version of the guidelines we present 112 statements about the evaluation of the kidney transplant candidate as well as the potential deceased and living donor, the immunological work-up of kidney donors and recipients and the perioperative recipient care.

The extended version of the guidelines with methods, rationale and references is published in Nephrol Dial Transplant (2013) 28: i1-i71; doi: 10.1093/ndt/gft218 and can be downloaded freely from http://www.oxfordjournals.org/our_journals/ndt/era_edta.html.

Open access

Maria Bermudez Lopez

Abstract

Postoperative shivering is a common complication of anaesthesia. Shivering is believed to increase oxygen consumption, increase the risk of hypoxemia, induce lactic acidosis, and catecholamine release. Therefore, it might increase the postoperative complications especially in high-risk patients. Moreover, shivering is one of the leading causes of discomfort for postsurgical patients. Shivering is usually triggered by hypothermia. However, it occurs even in normothermic patients during the perioperative period. The aetiology of shivering has been understood insufficiently. Another potential mechanism is pain and acute opioid withdrawal (especially with the use of short-acting narcotics). Besides that shivering is poorly understood, the gold standard for the treatment and prevention has not been defined yet. Perioperative hypothermia prevention is the first method to avoid shivering. Many therapeutic strategies for treating shivering exist and most are empiric. Unfortunately, the overall quality of the antishivering guidelines is low. Two main strategies are available: pharmacological and non-pharmacological antishivering methods. The combination of forced-air warming devices and intravenous meperidine is the most validated method. We also analysed different medications but final conclusion about the optimal antishivering medication is difficult to be drawn due to the lack of high-quality evidence. Nevertheless, control of PS is possible and clinically effective with simple pharmacological interventions combined with non pharmacological methods. However, to be consistent with the most up-to-date, evidence-based practice, future antishivering treatment protocols should optimize methodological rigor and transparency.