Adam Bobkiewicz's research while affiliated with Uniwersytet Medyczny im.Karola Marcinkowskiego w Poznaniu and other places
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Publications (65)
IntroductionIn some clinical scenarios, stoma site may be located close to the abdominal wound edge impeding optimal wound management and stoma care. We present a novel strategy of utility NPWT for management of simultaneous abdominal wound healing with stoma presence. Material and methodsRetrospective analysis of seventeen patients treated with a...
IntroductionRestoration of bowel continuity is associated with a significant postoperative morbidity. The aim of the study was to report the outcomes of the restoring the intestine continuity in a large patient cohort.Material and methodsRetrospective analysis of 91 patients with terminal stoma qualified for restoring GI tract continuity between Ja...
Introduction:
The stoma reversal (SR) procedure is associated with a relatively high risk of perioperative complications with surgical site infection (SSI) as the most common. Recently closed incision negative pressure wound therapy (ciNPWT) was applied widely to prevent SSI.
Aim:
To investigate the efficiency of ciNPWT in terms of the incidence...
Introduction:
Anastomotic leaks remain the most fearful complications.
Aim:
We present a novel endoscopic salvage therapy known as endoscopic vacuum therapy with instillation (iEVT) as a combination of standard endoscopic vacuum therapy (EVT) and negative pressure wound therapy with instillation (iNPWT).
Material and methods:
A case series of...
Background: Deep neck infection (DNI) is a life-threatening complication associated with significant mortality and morbidity rates. The most common causes of DNI are the tonsilitis, dentitis, salivary glands inflammation, malignancies, and foreign bodies. As a result of neck infection, patients are at high risk of potential secondary complications...
Recent SARS-CoV-2 pandemic leading to a rapidly increasing number of hospitalizations enforced reevaluation of wound management strategies.
The optimal treatment strategy for patients with chronic wounds and those recovering from emergency and urgent oncological surgery should aim to minimize the number of hospital admissions, as well as the numbe...
Aim An ileal pouch anal anastomosis (IPAA) leak is one of the most severe complication after restorative proctocoletomy (RPC). We present a rare case of a successful management of IPAA leak after RPC without defunctionig stoma with the utility of endoscopic vacuum therapy. Methods A 57-year-old male with a ileal pouch anal anastomosis leak after RP...
COMPARISON OF THE EFFECTIVENESS OF THE TREATMENT USING STANDARD METHODS AND NEGATIVE PRESSURE WOUND THERAPY (NPWT) IN PATIENTS TREATED WITH OPEN ABDOMEN TECHNIQUE
The comparison of quality of life in patients with pilonidal sinus disease. Negative pressure wound therapy versus standard wound dressings – a randomized pilot study.
Introduction: Prophylaxis of diverticulitis and associated complications is very important in patients with symptomatic uncomplicated diverticular disease. The standard recommended prevention is based on the cyclical use of rifaximin alfa. Aim: The purpose of this study was to assess the effect of additional supplementation with a prebiotic prepara...
THE COMPARISON OF QUALITY OF LIFE IN PATIENTS WITH PILONIDAL SINUS DISEASE. NEGATIVE PRESSURE WOUND THERAPY VERSUS STANDARD WOUND DRESSINGS – A RANDOMIZED PILOT STUDY.
An increased number of patients developing difficult-to-heal wounds results in billions spending for chronic wound care management. Introduction of TIME conception has been a breakthrough idea for wound healing based on phase-adapted wound therapy that interacts and influence each other and included: T – tissue management, I - infection control, M...
Introduction:
Negative pressure wound therapy (NPWT) in the open abdomen (OA) is recognized as a gold standard management method. Currently minimally invasive procedures are implemented in many clinical scenarios.
Aim:
To demonstrate the feasibility of using negative pressure wound therapy in a laparoscopic approach for OA management in a porcin...
Anal fistula (AF) is a pathological connection between anus and skin in its surroundings. The main reason for the formation of anal fistula is a bacterial infection of the glands within the anal crypts. One of the modern techniques for the treatment of fistulas that do not interfere with the sphincters consists in implantation of a plug made from c...
Background:
Terminal neuromas resulting from severe nerve injuries and traumatic or surgical limb amputations can become a source of pain, and significantly impair patients' quality of life. Recently, the number of patients with peripheral nerve injuries increased due to modern war conflicts, natural disasters, and traffic accidents. This study in...
Purpose:
The purpose of this study was to determine the effect of a conservative regimen for the treatment of constipation in persons living with a colostomy.
Design:
Prospective, noncontrolled, single-center study.
Subjects and setting:
The study sample comprised 35 patients with a colostomy who were diagnosed with constipation. Subjects with...
Diverticulosis, its associated symptoms and complications are one of the most common pathologies of the gastrointestinal tract in more economically developed countries. Presence of diverticuli and their clinical consequences can be divided into four categories: 1) diverticulosis, i.e. an asymptomatic presence of diverticuli that are usually found b...
PurposeBiofragmentable anastomosis ring (BAR) is an alternative to manual and stapled anastomoses performed within the upper and lower gastrointestinal (GI) tract. The aim of this study was to evaluate the effectiveness of BAR utility for bowel anastomoses based on our own material. MethodsA retrospective analysis was performed to a total of 203 pa...
Negative pressure wound therapy in patients with open abdomen – results of treatment and influence on adhesions formation.
This report reviews the most common surgical interventions and complications of chronic peritoneal dialysis (PD) patients. Based on the current knowledge as well as our experience we detail the role of these surgical procedures. We supplement the reported knowledge in the field with our own experience in this area. The areas discussed include early...
Purpose:
Selection of an appropriate model for preclinical assessment of new methods of peripheral nerve injury management is crucial. This report presents anatomic variations within brachial and lumbosacral plexuses in three selected rat strains Sprague Dawley (Hsd:Sprague Dawley SD), Lewis (LEW/SsNHsd), and Athymic Nude (Hsd:RH-Foxn1(rnu) ) rats...
Introduction of negative pressure wound therapy (NPWT) revolutionized the conception of wound healing. Currently, there are an increased number of studies confirmed the high efficiency of this therapy in many clinical scenarios. Moreover, some innovations have been introduced in recent years to improve the management of complex and chronic wound....
The management of enteroatmospheric fistula (EAF) in open abdomen (OA) therapy is challenging and associated with a high mortality rate. The introduction of negative pressure wound therapy (NPWT) in open abdomen management significantly improved the healing process and increased spontaneous fistula closure. Retrospectively, we analysed 16 patients...
The term constipation with regard to patients with a stoma is defined as impaired bowel movements associated with increased stool consistency or long periods without bowel movements that lead to discomfort, flatulence, and abdominal pain. Information about constipation in patients with a stoma is limited. A prospective, descriptive study was conduc...
The incidence rate of the infected and complex wound is established at approximately 40,000/1 million of the world's adult population. The aim of this study was to assess the efficiency of three novel types of wound dressings comprising sodium chloride, metatitanic acid and silicon dioxide nanoparticles. The study design was to prove their antimicr...
Obesity, a major public health issue of the 21st century, is increasingly common in adults and children. No good results of pharmacological treatment of obesity results in rapid development of bariatric surgery, which treats obesity and comorbidities associated. There are many surgical options for treating obesity. Options for surgical management o...
Negative pressure wound therapy (NPWT) has become a standard in the treatment of chronic and difficult healing wounds. Negative pressure wound therapy is applied to the wound via a special vacuum-sealed sponge. Nowadays, the endoscopic vacuum-assisted wound closure system (E-VAC) has been proven to be an important alternative in patients with upper...
Restorative proctocolectomy is a current gold standard procedure for patients who require a colectomy for ulcerative colitis. The incidence of ileal pouch neoplasia is low. The aims of this study were to assess the prevalence of neoplasia in ileal pouch and investigate the risk factors for ileal pouch neoplasia.
A total of 276 patients who underwen...
Stoma is an intestinal fistula created in emergency or by elective indications, and it is done to drain out the digestive tract content. In some patients there is a disturbance passage of gastric contents through the stoma, which may take the form of chronic constipation or even periodic subileus that will sooner or later require surgical treatment...
One of the latest methods for management of pancreaticogastrostomy (PG) leakage after pancreaticoduodenectomy (PD) is endoscopic vacuum therapy.
PD was performed on a 72-year-old man suffering from a nonfunctioning pancreatic neuroendocrine tumor of the head of the pancreas. On postoperative Day 6 after the primary surgery, postoperative pancreatic...
Zenker diverticulum (ZD) is the most common type of diverticula of the esophagus. Most often refers to men with a peak incidence in the seventh and eighth decade of life. In the majority diverticula remains asymptomatic and in patients with symptomatic course of the disease symptoms are often nonspecific. Aim of the study was to present the authors...
Iatrogenic bile duct injuries (BDI) are still a challenging diagnostic and therapeutic problem. With the introduction of the laparoscopic technique for the treatment of cholecystolithiasis, the incidence of iatrogenic BDI increased. The aim of the study was a retrospective analysis of 69 patients treated at the department due to iatrogenic BDI in t...
Open abdomen technique is a surgical treatment in which the fascia and skin are left open in order to reduce the value of the intra-abdominal pressure. According to the World Society of the Abdominal Compartment Syndrome (WSACS) normal values of the intra-abdominal pressure are between 5 and 7 mm Hg. Intra-abdominal hypertension occurs when the pre...
There are several animal models and numerous suturing techniques for microsurgical anastomoses. In this chapter we describe a rat model for microvascular training and research. Common techniques including interrupted suture, continuous suture, locking continuous, continuous horizontal mattress, interrupted horizontal mattress with eversion and slee...
Currently the rate of peripheral nerve injury due to the trauma is high. Moreover there is a constant increase in the amount of trauma among the military personnel and traffic accidents. Thus the potential risk of neuroma formation following abnormal nerve regeneration, as well as due to limb amputation is relatively high. Numerous methods have bee...
PURPOSE: Peripheral nerve injury (PNI) repair is a challenging task, resulting in unsatisfactory outcomes. Rat epineural sheath conduit supported with rat bone marrow-derived stromal cells demonstrated neuroregenerative potential. To bring this approach closer to clinical applications we developed a new biologic construct for nerve regeneration - h...
Introduction of NPWT for clinical practice in the management of complex wounds significantly influences the progress of wound treatment. The excellent long-term results using this method in the field of chronic and com-plicated wounds, has made this technique widely accepted for a number of indications and varying branches of medi-cine. The widespr...
Biliary-cutaneous fistula (BCF) is a rare com-plication of blunt abdominal trauma. Although, many techniques have been developed so far, management of BCF still remains an extremely challenging procedure. Management of biliary-cutaneous fistula requires a com-plex approach and collaboration of varying medical spe-cialists. Poor general condition of...
Unlabelled:
Multiple therapeutic approaches of the treatment of pilonidal sinuses have been described in the literature, but there are still controversies and lack of standardization. Vacuum Assisted Closure (VAC) therapy has potential beneficial effect on the wound healing after the sinus resection.
The aim of the study:
To analyze the results...
Unlabelled:
Mesh biomaterials have become the standard in the treatment of hernias, regardless the location. In addition to the obvious advantages of the methods based on implantable biomaterials, one should be aware of the possible complications, such as their migration to the abdominal organs.
Material and methods:
The study group comprised pa...
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,...
Complications after proctocolectomy with ileal pouch-anal anastomosis may impair pouch function. Loop ileostomy can be performed to allow recovery of function before intestinal continuity is restored. To minimize operative trauma and to form the stoma with as little damage to the abdominal wall as possible, the invasiveness of the procedure should...
Citations
... 15,16,[20][21][22][23][24][25][26] Dressings based on the Technology Lipido-Colloid with silver (Ag+) ions (TLC-Ag dressings) have been commonly used in the management of wounds at risk of or with clinical signs of local infection since 2006, and supported by both in vitro and clinical evidence. [27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] In contact with wound exudate, the hydrocolloid particles of the TLC-Ag healing matrix gel form a lipidocolloid film that maintains a moist environment favourable to the promotion of wound healing. 27 Meanwhile the Ag+ ions confer to the dressing their anti-inflammatory properties and antimicrobial activity, leading to reduction of the bacterial load. ...
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... This update therefore includes 44 intervention studies reported in 58 records, of which 15 studies are newly identified (Bobkiewicz 2018 . Ten of these studies were reported in abstract form only. ...
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... It was pointed out that specialist activities should be implemented and expanded, and also that the therapy should be monitored and supervised through teleconsultation, which shortens the time and number of follow-up appointments at the patient's home. Banasiewicz et al. report that trained nursing staff can, independently or in an interdisciplinary team, conduct therapeutic activities in the patient's home [30]. Almost a decade earlier, research by Moffatt et al. on the experiences of patients treated for complex, difficult-to-heal wounds with NPWT at home revealed a number of positive psychosocial effects of using this therapy in this environment. ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/477178350575618-1490779592754_Q64/Marco-Fraccalvieri.jpg)
... Currently, there are few studies regarding the application of vacuum sponge drainage in the treatment of anastomotic complications, especially complicated cases. Similar to some studies, we used a homemade vacuum sponge system device to treat postoperative anastomotic complications [18,19]. In recent years, EVT has been increasingly used in the treatment of anastomotic complications following CRC surgery. ...
... Irritable bowel syndrome is a chronic condition that was historically held to affect 7-21% of the general population, J Gastrointestin Liver Dis, March 2023 Vol. 32 No 1: [92][93][94][95][96][97][98][99][100][101][102][103][104][105][106][107][108][109] although more recent studies suggest that the prevalence is about 4% [5]. Given its symptoms, IBS negatively impairs quality of life and work productivity [6] and is often found in association with anxiety and depression, which may be due to a dysregulated gut-brain axis [7]. ...
... On the other hand, different dressings may be used in such a clinical situation. 20 Another option, dedicated for this type of wound is polyvinyl alcohol foam (PVA). Unfortunately, in the presented case the purulent exudation was too dense to be effectively suctioned by PVA foam. ...
... La enfermedad fistulosa perianal es una de las patologías anorrectales más frecuentes en nuestro medio 1,2 , motivando que se hayan desarrollado numerosos estudios a su alrededor dada la dificultad de su manejo en los casos complicados [3][4][5] . Los objetivos terapéuticos son tanto la desaparición del trayecto fistuloso como el mantenimiento de la continencia [4][5][6] . En este sentido, han aparecido numerosas técnicas cada vez menos agresivas, entre ellas los tapones biológicos. ...
... A total of 3013 patients had been enrolled: 1568 were assigned to treatment with rifaximin, and 1445 to no treatment or mesalamine. There were five studies for preventing the first episode of diverticulitis (primary prevention, PP) (36)(37)(38)(39)43) and three for preventing diverticulitis recurrence (secondary prevention, SP) (40)(41)(42). ...
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... El incremento en el consumo de fibra y líquidos es una de las medidas más utilizadas en los pacientes con estomas que sufren estreñimiento crónico y logra aliviar a la mayoría 169 . Los suplementos con fibra soluble se usan frecuentemente si las medidas dietéticas no son suficientes, pero su empleo es empírico, ya que no existen estudios aleatorizados y comparativos al respecto 170 . La interacción entre la fibra dietaria y la microbiota en pacientes con ileostomía y colostomía no ha sido estudiada en forma específica. ...
... Autologous tissue, such as vein or epineurium, is promising as it would not provoke an immune response and can be harvested from an amputated limb at no additional cost or morbidity to the patient. Nerve capping with epineurium has been well studied in rats, demonstrating decreased neuroma formation in transected sciatic nerves with reduced fibrosis and less abnormal nerve architecture (53,54). Epineurial capping ( Figure 1A) has also been trialed in humans and has proven effective, resulting in significantly decreased nerve pain post-amputation when compared to epineurial ligature or flaps ( Figure 1B) (55). ...
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