Andrzej Zyluk

Andrzej Zyluk
Pomeranian Medical University in Szczecin · Department of General and Hand Surgery

Professor, MD, PhD

About

269
Publications
26,096
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1,700
Citations
Citations since 2016
99 Research Items
835 Citations
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150

Publications

Publications (269)
Article
Deep soft tissue injuries and defects in the digits such as pulp amputation and degloving injuries are relatively frequent in hand surgical practice. Injuries around the thumb constitute a specific subtype, because their fitting requires the use of techniques that are different from standard. Many different surgical options have been described for...
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The article presents outcome of treatment of 31 patients, 28 men and 3 women, at a mean age of 37 years with excessive soft tissue defects within the hand, which were fitted with groin flaps. Long-term outcomes were assessed at a mean of 3,7 years following surgery (range 3-10) in 18 patients (58%) in a form of phone interview. Results. All flaps e...
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Purpose The objective of this case-series study was an assessment of outcomes of surgery for intramuscular haemangiomas in the extremities. Patients and Methods Three women and one man with a mean age of 28 (23 – 34) years were operated on for intramuscular haemangiomas in the extremities, 3 in the forearms, and 1 in the calf. Three of them, 2 afte...
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Bite wounds occur as a result of bite by an animal or a human. They occur relatively frequently what arises from growing number of pets living together with people and from inadequate interactions betwen the human and the animal. The knowledge about management of these injuries showed by most surgeons is relatively outdated, whereas current literat...
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Gouty tophi occur in appr. 50-60% of patients suffering from gout. Their occurrence is related to severity of the disease and effectiveness of its treatment. They develop more frequently in patients with long lasting and poorly controlled disease. The results of surgical treatment of gouty tophi in the extremities in 14 patients, 13 men and one wom...
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Metastases of malignant neoplasms to the hand are very rare, constituting approximately 0,01% of whole distant metastases. They usually indicate generalized neoplasmatic disease, although sometimes can be a first manifestation of dissemination. The study presesnts 4 cases of metastatic tumours to the hands in patients with diagnosis of renal (2) an...
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Background: Lipomas are benign neoplasms arising from fat tissue, with an incidence in the upper extremity of 1%-3,8%. There is scarce literature on the outcomes of the treatment of lipomas in this region. The objective of this study was to assess clinical manifestations and outcomes of surgery for upper extremity lipomas. Material and methods:...
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Introduction: Schwannoma is a nerve tumor originating from Schwann-cells of the nerve sheath. It is found in all body regions, the most frequent in the head, neck and in the extremities. Aim: The objective of this study was analysis of outcomes of surgery for these lesions in the authors' institution. Materials and methods: Results of the treatment...
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Background: Enchondromas are the most common benign bone tumours found in the hand. They are usually accidentally diagnosed on an X-ray, because they grow asymptomatically. In some cases, a pathological fracture of the involved phalanx may be the first sign. The objective of this study was to assess the results of operative treatment of enchondrom...
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Replantation of amputated hands is now considered a routine procedure in countries representing high standards of medical care. However, organization of care for patients with hand amputations is not uniform and varies from country to country, even in the European Union. This article presents organization of the Replantation Service for hand amputa...
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Background Microsurgery is a specific surgical expertise that involves operating on very small structures, and requires the assistance of a magnifying device: a microscope or loupes. Several factors have been identified that could affect the quality of microsurgical performance in training or surgical procedures. Objective The objective of this stu...
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Introduction: Hand and forearm injuries are relatively rare in polytrauma patients; their incidence is estimated at 2-5%. Hand and forearm injuries are usually not life threatening, and, therefore are considered of secondary importance, replaced by serious injuries of other body parts. However, they should be treated immediately after stabilization...
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This article summarises activity of the Replantation Service for hand amputations in Poland in years 2017-2019. Over this period a total of 551 cases of total and subtotal amputations as well as other complex injuries to the hand were referred to the referenced centres. Of these, 330 referrals were accepted and 221 rejected, for various reasons. Am...
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Hand and forearm injuries are relatively rare in polytrauma patients; their incidence is estimated at 2-5%. Hand and forearm injuries are usually not life threatening, and, therefore are considered of secondary importance, replaced by serious injuries of other body parts. However, they should be treated immediately after stabilization of the genera...
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Phlegmon is a purulent infection which spreads in loose connective tissue. It occurs most commonly in the limbs as a complication of other local infections. Untreated or inadequately treated infections in the skin of the fingers or hands are susceptible to phlegmon. In most cases, the infecting organism is Staphylococcus aureus . This article repor...
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The incidence of recurrence Dupuytren’s disease after surgery is estimated up to 50% in relation to progression of the disease, treatment modality and time of the follow-up. The objective of this study was an analysis of the causes and frequency of recurrences among 67 patients following surgery for recurrent Dupuytren’s disease in the author’s ins...
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Introduction: Endoscopic measures have continued to be the primary procedures in the management of ulcer bleeding. Nevertheless, in cases of failed endoscopic hemostasis and re-bleedings, endovascular techniques have gradually gained increased acceptance as an alternative to surgery, allowing to avoid surgical intervention in some cases. Case rep...
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Introduction: Giant cell tumor of the tendon sheath is the most common benign proliferative lesion involving the upper limb, characterized by relatively high recurrence rate after surgery. Aim: The objective of the study was a retrospective analysis of outcomes of the operative treatment of these tumors, in a longterm (a mean of 4,2 year) follow-u...
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This study covers updated information on the methods of the repair of flexor tendon injuries, postoperative rehabilitation protocols and their effect on treatment outcomes. Contemporary techniques of flexor tendon repair are based on combinations of various types of core sutures and circumferential epitenon sutures. Literature shows a tendency of r...
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Spontaneous colonic necrosis is very uncommon in a patient without predisposed disorders such as end-stage renal failure in dialysed patients, serious cardiac failure, sepsis, post-traumatic shock, and vascular surgery within an abdominal aorta. This paper presents the case of an elderly patient in whom necrosis of almost the whole colon had occurr...
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Background: Carpal tunnel syndrome (CTS) is often (60-90%) a bilateral condition. It has been suggested that patients with bilateral disease may benefit in the non-operated hand after unilateral surgery. Objectives: To investigate the effect of unilateral carpal tunnel release on the non-operated contralateral hand. Material and methods: In 18...
Article
Three cases of giant, nonparasitic splenic cysts in young patients are presented. The cysts were poorly-symptomatic and manifested with mild upper-abdominal pain and discrete change of abdominal contour. The diagnosis was made based on USG and abdominal CT. Upon operation, the cysts were successfully excised, sparing almost the whole spleen, using...
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Local infiltration anaesthesia with a bloodless operation field (WALANT) allows for performing hand surgery without a tourniquet. This effect is obtained through an injection of greater than standard volume of the anaesthetic solution composed of lignocaine and adrenaline. The addition of adrenaline induces spasm of small arteries within the infilt...
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In amputations of an upper extremity, an adequate preservation of the amputated part during its transport to a replantation centre is very important: it needs to be maintained at about 4°C. Providing adequate haemostasis of the extremity stump is also important for the patient’s safety, to avoid bleeding on the journey. The article presents the cas...
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Introduction : Modifications to teaching medicine introduced 5 years ago consisted of abolishing the internship, changing the surgical curriculum in the last year of studies by introduction of a so called “practical year”. The objective of this study was investigating how the practical year was undertaken at the Pomeranian Medical University in Szc...
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Regenerative medicine based on transplants obtained from donors or foetal and new-born mesenchymal stem cells, encounter important obstacles such as limited availability of organs, ethical issues and immune rejection. The growing demand for therapeutic methods for patients being treated after serious accidents, severe organ dysfunction and an incre...
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The direct causes of idiopathic carpal tunnel syndrome (CTS) still remain obscure. It has been suggested that the pathology of tendons and other connective tissue structures within the carpal tunnel may be involved in its etiology. The objective of this study was to review the literature about the potential role of genetic factors in the etiology o...
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The Levine questionnaire is commonly used to assess the treatment outcomes of carpal tunnel syndrome (CTS). However, specific items in this questionnaire do not address symptoms or impairment in each hand separately. One concern is that patients with unilateral disease would experience greater improvement as a result of surgery than those with bila...
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Introduction: The pattern of traumatic death is a subject of great interest in the worldwide literature. Most studies have aimed to improve trauma care and raise awareness of avoidable fatal complications. Aim: The objective of the present study was an epidemiological and clinical analysis of causes of traumatic death of patients treated at the Mu...
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Introduction : The objective of this study was assessment of the course, quality and accomplishment of 4th year surgical curriculum in Pomeranian Medical University in Szczecin (in Poland) for the academic year 2016/2017. Materials and methods : A questionnaire-survey was carried out in a group of 97 Polish students in the 5th year of the Medical F...
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Two cases of paediatric radial and ulnar nerve injuries occurring at operative treatment of distal humeral epiphyseal fractures. In one case, the nerve laceration was associated with a defect, requiring reconstruction by nerve grafting. In a 2nd case, the nerve was compressed and partially damaged by implanting, followed by entrapment in the scar;...
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Purpose Outcomes of surgery for carpal tunnel syndrome may differ in relation to certain factors like age, duration of symptoms, clinical and electrophysiological severity. The objective of this study was an investigation into the hypothesis that several factors are predictive of results of surgical treatment of the condition. Methods The pre- and...
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Background Currently, extracorporal shock wave therapy (ESWT) has been widely used in tendinopathies, including trigger fingers. Purpose The objective of this study was evaluation of effectiveness of ESWT for trigger digits in a short and mid-term follow-up. Patients and methods Thirty-two patients, 28 women and 4 men, in a mean age of 60 years, wi...
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Background: Currently available smartphones are equipped with optic systems allowing even 10x magnifi-ca-tion, which makes it possible to use them as magnifying devices for microsurgery training. The objective of this study was to assess the usefulness of smartphones for basic microsurgery training. Material and methods: Two students began exper...
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Introduction: Teaching medicine is a specific task consisting of transferring current medical knowledge and rules of medical practice to students. Teaching surgery traditionally includes acquiring manual skills. This article touches several issues concerning surgical education (curriculum) in the course of medical studies. Attention was paid to the...
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Introduction : Paresthesia (numbness, tingling, “pins and needles” sensation) and pain in the hand comprise a typical set of symptoms of carpal tunnel syndrome. Most authors consider a typical occurrence of these features within the palmar surface of digits I–IV, innervated by a compressed median nerve. Observations of patients by various authors s...
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Microsurgical training is organised almost exclusively in a post-graduate setting, usually for residents of various surgical specialities. The aim of this study was to present an undergraduate microsurgical training model directed toward medicine students of clinical years. Curriculum design and results. Two six-participant groups of students inter...
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Degloving injury consists in tearing out the soft-tissue integument from skeleton of the hand, with accompanied nerves and vessels. The whole hand degloving has bad reputation and one of worst prognosis, even worse than total hand amputation. The range of possible salvage procedures in these cases is limited and their outcomes are unsatisfactory. O...
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Necrosis and perforation of the small intestine of non-vascular origin are uncommon. Single cases have been described occurring in patients with blood and lymphatic malignant neoplasms. We present the case of necrosis and massive perforation of part of the small intestine in a patient diagnosed with diffuse large B-cell lymphoma (DLBCL), prior to c...
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This study presents the case of a 52-year-old man with a 15-year history of insulin-dependent diabetes, who developed phlegmon of his right foot following an attempt to remove a corn. On admission, the patient presented symptoms of incipient sepsis. The treatment – wide incisions on the foot, evacuation of collected pus and necrotic debris, as well...
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Meckel’s diverticulum is the most common congenital malformation of the gastrointestinal tract, with the incidence approximately 1-4% in general population. In most persons Meckel’s diverticulum is an occult, asymptomatic anomaly, but in some may cause complications: bowel obstruction, bleeding and inflammation. The literature presents no precise r...
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Introduction: Multitrauma is defined as injury involving two or more different body parts, with a condition that at least one of these injuries is life-threatening. They represent serious traumas, requiring treatment in the intensive care units and frequently surgical intervention. Aim: The objective of this study was epidemiological and clinica...
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The article presents a case of isolated, non-occlusive necrosis of the distal duodenum and proximal jejunum in an elderly patient, burdened with chronic obstructive lung disease, but without concomitant vascular or gastrointestinal disease. Diagnostic investigations included endoscopy and angio-CT. Surgery was peformed and treatment comprised resec...
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Clinical presentation of carpal tunnel syndrome may differ in relation to certain factors like sex, age, duration of symptoms and severity of compression. The objective of this study was an investigation into the hypothesis that several distinct factors are predictive of the clinical profile for the condition. The records of 1,117 patients: 909 wom...
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Background Complex Regional Pain Syndrome is a painful and disabling post‐traumatic primary pain disorder. Acute and chronic CRPS are major clinical challenges. In Europe progress is hampered by significant heterogeneity in clinical practice. We sought to establish standards for the diagnosis and management of CPRS. Methods The European Pain Feder...
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The objective of this study was to investigate the incidence of familial carpal tunnel syndrome in patients admitted to the authors' institution for carpal tunnel release. Questionnaires completed by 120 patients: 92 women (77%) and 28 men (23%) at a mean age of 56 years at their baseline clinical examination were reviewed. Familial occurrence of t...
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The objective of the study was a comparison of outcomes of K-wire vs plate fixation for distal radial fractures with regard to patients' quality of life. One hundred and two patients, 79 women and 23 men with displaced distal radial fractures, were non-randomly allocated for either K-wire (n=72) or palmar plate (n=30) fixation. In general, simpler...
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Background: Persistent, long-lasting pseudoarthrosis of the scaphoid or scapholunate dissociation results in arthrosis of the radio-scaphoid joint termed scaphoid non-union advanced collapse (SNAC) or scapholunate advanced collapse (SLAC), which causes pain, reduction in wrist movements and weakness of the hand grip. Scaphoid resection followed by...
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ABSTRAKT Wstęp: Celem pracy była ocena wyników czynnościowych u pacjentów, którym wykonano replantacje rąk w Klinice Chirurgii Ogólnej i Chirurgii Ręki Pomorskiego Uniwersytetu Medycznego w Szczecinie, co najmniej przed 5 laty. Materiały i metody: Zebrano dane 54 pacjentów, którym w latach 2009–2012 wykonano udaną replantację amputowanych rąk lub p...
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ABSTRAKT Opisano przypadek martwiczego zapalenia tkanek miękkich okołoodbytowych (zgorzel Fourniera) u nieobciążonej dodatkowymi chorobami 64-letniej pacjentki. Choroba rozwinęła się w ciągu 5 dni, powodując rozległą martwicę tkanek miękkich i posocznicę. W leczeniu zastosowano wyłonienie kolostomii pętlowej, wycinanie zmian martwiczych i celowaną...
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STRESZCZENIEAnomalie anatomiczne przebiegu zewnątrzwątrobowych dróg żółciowych należą do stosunkowo częstych, występując u ok. 16% pacjentów. Najczęściej zdarza się nietypowy przebieg przewodu pęcherzykowego i jego połączenia z przewodem wątrobowym wspólnym. Anomalie budowy pęcherzyka żółciowego są znacznie rzadsze i nieczęsto opisywane ze względu...
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The case of a patient suffering from Alzheimer's disease who sustained epiphyseal, severely dislocated fractures of the distal radius and ulna is reported. As the patient was incapacitated and attempts to contact her curator failed, the decision was made on a conservative treatment of the fractures. This treatment eventually failed and resulted in...
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CRPS occurs in children less frequently than in adults, but in the last two decades it has become a well-established entity in children and adolescents. The symptomatology, course, responsiveness to treatment and prognosis of the paediatric disease is also different from the "adult" form. The paper presents the successful treatment of two cases of...
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The objective of the study was a comparison of the outcomes of K-wire vs plate fixation for distal radial fractures used according to the proposed institutional algorithm. Fracture configurations A2, A3, B1, B2, C1 and some C2 were operated on with K-wire pinning, whereas B3 and some B2, C3 and some C2 were with locking palmar-plate fixation. Patie...
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ABSTRAKTPourazowe ubytki tkanek miękkich dołu pachowego są bardzo rzadkie. W pracy przedstawiono przypadek 41-letniego mężczyzny, u którego taki ubytek powstał w następstwie wypadku komunikacyjnego. Do pokrycia ubytku zastosowano skórno-powięziowy płat zrotowany z bocznej strony klatki piersiowej i przeszczepy skóry pośredniej grubości w miejscach,...
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We report on the outcomes of treatment for severe pain associated with long-standing, refractory CRPS in 10 female patients by continuous brachial plexus analgesia. The duration of the disease prior to treatment was 3.5 years on average, and mean baseline pain intensity was 8.3 on a numeric analogue scale (NRS). All patients met the Budapest criter...
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The paper summarizes 32 months (January 2014 - August 2016) of activity of the Replantation Service for hand amputation in Poland. Over this period a total of 568 cases of total and subtotal amputations as well as other complex injuries to the hand were referred. Of these, 354 referrals (62%) were accepted and 214 (38%) rejected. Among accepted, th...
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The objective of this study was assessment of quality of the surgical curriculum in Pomeranian Medical University in years 2015-2017. Material and methods: A questionnaire-survey has been conducted in a group of 100 of Polish students from the Medical Faculty just before the final test-exam in subject surgery. Main topics of the questionnaire ite...
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ABSTRAKTOpisano przypadek martwiczego zapalenia tkanek miękkich okołoodbytowych imitującego ropień okołoodbytowy, którego rozległość i przebieg kliniczny mogły odpowiadać łagodnej formie zgorzeli Fourniera. U nieobciążonej dodatkowymi chorobami 65-letniej pacjentki choroba rozwinęła się w ciągu 5 dni, powodując martwicę okołoodbytowych tkanek miękk...
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Results: The review of randomized controlled trials showed that only bisphosphonates were found to give uniformly positive effects, statistically significantly better than placebo. Improvement has been reported with topical dimethyl sulfoxide, systemic steroids, spinal cord stimulation and graded motor imagery/mirror therapy programmes. The availa...
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Background: Complex Regional Pain Syndrome (CRPS) symptoms can significantly differ between patients, fluctuate over time, disappear or persist. This leads to problems in defining recovery and in evaluating the efficacy of therapeutic interventions. Objectives: To define recovery from the patients' perspective and better understand their priorit...
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Carpal tunnel syndrome (CTS) is the most common upper extremity compressive neuropathy, with a prevalence of 3%-5% in the general population, and 6% in the group of females over the age of 40. It occurs about five times more common in females, with 2 peaks observed, in the 6th and 8th decades of life. Bilateral manifestation is more common than uni...
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Records were analysed from the institutional database, including 943 patients (1089 hands) with CTS who were operated on in the authors' department over a period of four years (2012 to 2015). The diagnosis of CTS was made solely on the basis of clinical findings in 551 patients (58 %); 392 patients (42 %) also had electrodiagnostic tests performed,...
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Opisano przypadek ropnia zaotrzewnowego, który wytworzył się w ciągu 2 tyg. od epizodu ostrego zapalenia wyrostka robaczkowego położonego zakątniczo. Ropień przebił się do jamy otrzewnej, dając kliniczne i radiologiczne objawy przedziurawienia przewodu pokarmowego, co było powodem interwencji chirurgicznej. W trakcje operacji rozpoznano właściwie p...
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Metastases to the hand and wrist are rare. The lung, breast and kidneys are the most common sites of primary lesions that metastasize in the hand. Phalanges are more commonly involved than metacarpals and wrist. We report the case of a neglected, large metastatic tumour involving a patient’s left wrist and metacarpus originating form renal adenocar...
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Wstęp: Ropnie przestrzeni zaotrzewnowej stanowią stosunkowo rzadkie powikłanie schorzeń różnych narządów jamy brzusznej, m.in. ostrego zapalenia wyrostka robaczkowego, szczególnie położonego zakątniczo, i choroby Leśniowskiego–Crohna.Opis przypadku: W pracy przedstawiono przypadek 37-letniego pacjenta chorującego na chorobę Leśniowskiego–Crohna, u...
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W pracy opisano przypadek 31-letniej kobiety, u której niedroż- ność jelit rozpoczęła się 2 dni po porodzie drogą naturalną. Pacjentka w II trymestrze ciąży miała wykonaną laparotomię z powodu niedrożności mechanicznej dwunastnicy i jelita cienkiego wywołanej połkniętymi ciałami obcymi. Przebieg ciąży od operacji do porodu był niepowikłany. Przedop...
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Przedstawiono przypadek olbrzymiej, niepasożytniczej torbieli śledziony, manifestującej się bardzo dyskretnymi objawami (zmianą obrysu brzucha), którą wykryto przypadkowo u młodej kobiety. Rozpoznanie ustalono na podstawie badania ultrasonograficznego i tomografii komputerowej jamy brzusznej. Pacjentkę operowano, a torbiel zawierającą 2,5 L płynu s...
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Urazy wielonarządowe są częste w dobie powszechniej motoryzacji, a obrażenia brzucha występują u ok. 30–40% takich przypadków. Krwawienie do jamy otrzewnowej z pękniętych narządów wewnętrznych: śledziony, wątroby i krezki jelita cienkiego stanowi potencjalne zagrożenie życia i – w większości przypadków – wymaga pilnej interwencji chirurgicznej.W pr...
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W pracy przedstawiono przypadek 84-etniego mężczyzny, który w wyniku eksplozji zaraz po II wojnie światowej stracił ͘ palce ręki niedominującej (w tym kciuk). Pomimo znacznego okaleczenia ukończył szkołę, zdał maturę i podjął pracę w zakładach mechanicznych. Z upływem czasu przystosował się doskonale do swojej niepełnej sprawności, wykonując prace...
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Ropnie przestrzeni zaotrzewnowej to stosunkowo rzadko występujące powikłanie schorzeń różnych narządów jamy brzusznej, najczęściej ostrego zapalenia wyrostka robaczkowego, szczególnie położonego zakątniczo. W pracy przedstawiono przypadek dotychczas zdrowego pacjenta, u którego rozległy ropień powstał w lewej przestrzeni zaotrzewnowej, przebił się...
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Results: We identified two specific patterns of CTS course: progressive and preservative/mild. Patients with short-lasting disease suffer first of all from symptoms, but the longer the duration, the more pronounced the functional impairment. In a proportion of patients with longer-lasting disease, spontaneous resolution may occur, for up to a year...
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Przerzuty nowotworowe do ręki występują bardzo rzadko. Najczęstszym źródłem takich przerzutów są raki płuca, sutka i nerek, a najczęstszą lokalizacją – paliczki dalsze palców, kości śródręcza i nadgarstka. W pracy przedstawiono przypadek zaniedbanego, znacznych rozmiarów przerzutu raka nerki do lewej ręki, obejmującego nadgarstek i śródręcze, który...
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Ziel der vorliegenden Arbeit war es, unter Berücksichtigung der in Pubmed und Medline veröffentlichten Ergebnisse nach Eingriffen am Karpalkanal zu ermitteln, inwieweit ausgewählte Faktoren wie das Patientenalter, die Dauer der Symptome, die Ausprägung der klinischen und elektrophysiologischen Befunde, das Vorliegen von Begleiterkrankungen und medi...
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Wstęp: Celem pracy była ocena występowania zmian pourazowych w obrębie kości czaszki i mózgu u osób z lekkimi urazami głowy, u których w badaniu neurologicznym nie stwierdzono odchyleń od stanu prawidłowego. Analizie poddano dokumentację medyczną 171 pacjentów, 89 mężczyzn (52%) i 82 kobiet (48%) o średniej wieku 48 lat.Wyniki: U 58 (34%) spośród 1...
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W pracy przedstawiono przypadek 25-letniej chorej, u której zaraz po endoskopowej cholangiopankreatografii wstecznej połączonej ze sfinkterotomią w celu ewakuacji złogów z przewodu żółciowego wspólnego rozwinęły się kliniczne i radiologiczne objawy wskazujące na jatrogenną, zaotrzewnową perforację dwunastnicy. Jednocześnie u chorej rozwinęło się os...
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Przedstawiono przypadek pacjenta, u którego obraz kliniczny i przeglądowe zdjęcie RTG klatki piersiowej wskazywały na przedziurawienie przewodu pokarmowego. Prawdziwą przyczyną dolegliwości okazało się jednak wodonercze spowodowane prawdopodobnie guzem połączenia miedniczkowo-moczowodowego. W pracy omówiono przebieg diagnostyki oraz wskazano przycz...
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Introduction: The objective of the study was the analysis of the indications for, and assessment of the outcomes of secondary interventions after primary repair of injuries within the upper limb in the authors’ institution – Department of General and Hand Surgery of the Pomeranian Medical University in Szczecin (a tertiary care unit).Material and m...
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Introduction: Total or partial upper limb amputation significantly reduces ability of normal functioning in the society. Development of microsurgical skills enabled to replantation of the amputated limb (or part) and to regain its partial or sometimes full function.Material and methods: The study analyses the causes of refusal of admission to 55 of...
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Chronic, refractory complex regional pain syndrome remains very difficult to treat. A sub-anaesthetic low-dose ketamine has shown promise in advanced CRPS. We investigated the efficacy of ketamine in anaesthetic dosage in chronic, refractory CRPS patients that had failed available standard therapies. 5 female patients, aged a mean of 34 years with...
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Dupuytren’s disease is typically observed in adults, in children and adolescents being rarely diagnosed. Only several cases were reported in children under the age of 10 years, including two infants under one year. There were no such reports in Polish literature. We presented a case of Dupuytren’s disease in a 17 year-old adolescent, in whom the fi...
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Non-traumatic perforation of the digestive tract occurs most often in the duodenum and stomach (peptic ulcer), as well as the colon (diverticulitis, cancer or ischemic lesions). Perforation of the small bowel is very rare. The Authors of the study presented a case of proximal jejunum perforation, which occurred in a patient with a history of duoden...
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Retroperitoneal abscesses present a relatively uncommon complication of diseases of various abdominal organs, although most commonly they are related to acute appendicitis of retrocoecal location. The paper presents the case of a healthy patient in whom an excessive left retroperitoneal abscess developed, perforated into the peritoneal cavity, and...
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The case of a giant, nonparasitic splenic cyst, accidentally diagnosed in a young woman, is reported. The cyst was poorly-symptomatic, with only a discrete change of abdominal contour. The diagnosis was confirmed by USG and abdominal computed tomography scanning. The patient was operated on, and the cyst, containing 2.5 L of serosal fluid, was succ...
Article
The article reports the case of a 31-year-old patient, in whom bowel ileus developed 2 days after natural delivery, and who in the second trimester underwent laparotomy due to mechanical obstruction involving the duodenum and small bowel and caused by swallowed foreign bodies. The course of pregnancy from the operation to delivery was uneventful. P...

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