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Article ; Online: What are the surgical options for recurrent rectal prolapse - a retrospective single-center experience.

Kościński, Tomasz / Szmyt, Krzysztof

2023 Volume 95, Issue 4, Page(s) 1–5

Abstract: Objectives: Most authors highlight the absence of international guidelines in the treatment of recurrent rectal prolapse (RRP), even among coloproctologists. However, it is clearly indicated that Delormes or Thierschs surgeries are reserved for older ... ...

Abstract	Objectives: Most authors highlight the absence of international guidelines in the treatment of recurrent rectal prolapse (RRP), even among coloproctologists. However, it is clearly indicated that Delormes or Thierschs surgeries are reserved for older and fragile patients, so on the other hand, transabdominal surgeries are dedicated to generally fitter patients. The aim of the study is evaluation of surgical treatment effects for recurrent rectal prolapse (RRP)Methods: The study group comprised of 20 female and 2 male patients aged from 37 to 92 years (subjected to treatment last 20 years). Initial treatment consisted of abdominal mesh rectopexy (n=4), perineal sigmorectal resection (n=9), Delormes technique (n=3), Thierschs anal banding (n=3), colpoperineoplasty (n=2), anterior sigmorectal resection (n=1). The relapses occured between 2 to 30 months. Results: Reoperations consisted of abdominal without (n=8) or with resection rectopexy (n=3), perineal sigmorectal resection (n=5), Delormes technique (n=1), total pelvic floor repair (n=4), perineoplasty (n=1). 11 patients (50%) were completely cured. 6 patients developed subsequent RRP. They were successfully reoperated (2 rectopexies, 2 perineocolporectopexies, 2 perineal sigmorectal resections). Conclusions: Abdominal mesh rectopexy is the most effective method for RP and RRP treatment. Total pelvic floor repair may prevent RRP. Perineal rectosigmoid resection results of less permament effects of RRP repair.
MeSH term(s)	Humans ; Male ; Female ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Rectal Prolapse/surgery ; Retrospective Studies ; Rectum/surgery ; Abdomen/surgery ; Proctocolectomy, Restorative ; Treatment Outcome ; Surgical Mesh
Language	English
Publishing date	2023-02-17
Publishing country	Poland
Document type	Journal Article
ZDB-ID	128732-1
ISSN	2299-2847 ; 0032-373X
ISSN (online)	2299-2847
ISSN	0032-373X
DOI	10.5604/01.3001.0016.2727
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Article ; Online: Ileal pouch adenocarcinoma after restorative proctocolectomy for familial adenomatous polyposis.

Krokowicz, Łukasz / Szmyt, Krzysztof / Borejsza-Wysocki, Maciej / Paszkowski, Jacek / Banasiewicz, Tomasz / Bobkiewicz, Adam

Polish archives of internal medicine

2024

Language	English
Publishing date	2024-04-04
Publishing country	Poland
Document type	Journal Article
ZDB-ID	123500-x
ISSN	1897-9483 ; 0032-3772
ISSN (online)	1897-9483
ISSN	0032-3772
DOI	10.20452/pamw.16722
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Article ; Online: Adrenocortical carcinoma with tumor thrombus extension into the right atrium.

Szmyt, Krzysztof / Wierzbicki, Tomasz / Borejsza-Wysocki, Maciej / Jemielity, Marek / Sławek-Szmyt, Sylwia / Krokowicz, Łukasz

Polish archives of internal medicine

2023 Volume 133, Issue 3

MeSH term(s)	Humans ; Adrenocortical Carcinoma/diagnostic imaging ; Adrenocortical Carcinoma/surgery ; Adrenal Cortex Neoplasms/complications ; Adrenal Cortex Neoplasms/diagnostic imaging ; Adrenal Cortex Neoplasms/surgery ; Heart Atria/diagnostic imaging ; Thrombosis/diagnostic imaging
Language	English
Publishing date	2023-02-15
Publishing country	Poland
Document type	Journal Article
ZDB-ID	123500-x
ISSN	1897-9483 ; 0032-3772
ISSN (online)	1897-9483
ISSN	0032-3772
DOI	10.20452/pamw.16434
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Article ; Online: Challenges in restoring bowel continuity: An analysis of 91 patients undergoing a reversal procedure

Borejsza-Wysocki, Maciej / Bobkiewicz, Adam / Ledwosiński, Witold / Szmyt, Krzysztof / Banasiewicz, Tomasz / Krokowicz, Łukasz

Polski przeglad chirurgiczny

2023 Volume 95, Issue 6, Page(s) 39–45

MeSH term(s)	Male ; Humans ; Female ; Postoperative Complications/etiology ; Diverticulitis/surgery ; Colostomy ; Anastomosis, Surgical/methods ; Morbidity ; Retrospective Studies
Language	English
Publishing date	2023-02-21
Publishing country	Poland
Document type	Journal Article
ZDB-ID	128732-1
ISSN	2299-2847 ; 0032-373X
ISSN (online)	2299-2847
ISSN	0032-373X
DOI	10.5604/01.3001.0016.2733
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Article ; Online: Stoma close to the abdominal wound: a real technical problem. A description of a novel care strategy.

Borejsza-Wysocki, Maciej / Bobkiewicz, Adam / Ledwosiński, Witold / Szmyt, Krzysztof / Banasiewicz, Tomasz / Krokowicz, Łukasz

Polski przeglad chirurgiczny

2023 Volume 95, Issue 4, Page(s) 1–5

Abstract: 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 ... ...

Abstract	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 novel wound care strategy was conducted. Application of NPWT within wound bed, around stoma site and skin between allows for: 1) separating wound from stoma site, 2) maintaining the optimal environment for wound healing, 3) protecting peristomal skin and 4) facilitating application of ostomy appliances.ResultsThe study group comprised of twelve female (70,6 %) and five male (29,4%) with the mean age of 49.1 18.4 years The most common underlying pathology was Crohn s disease (n-5; 29,4%). Since NPWT was implemented, patients had undergone from 1 to 13 surgeries. Thirteen patients (76,5%) required intensive care unit admission. The mean time of hospital stay was 65,3 28,6 days (range: 36 134). The mean session of NPWT was 10.8 5.2 (range: 5 - 24) per patient. The range of the level of negative pressure was from -80 to 125 mmHg. In all patients, progress in wound healing was achieved resulting in granulation tissue formation, minimizing wound retraction and thus reduction of the wound area. As a result of NPWT, wound was granulated entirely, tertiary intension closure were achieved or patients were qualified for reconstructive surgery.DiscussionNPWT is safe and useful therapy for complicated abdominal wounds with the presence of stoma close to wounds edges. A novel care strategy allows for simultaneous technical opportunity to separate stoma from wound bed and facilitate wound healing.
MeSH term(s)	Humans ; Male ; Female ; Middle Aged ; Negative-Pressure Wound Therapy/methods ; Abdominal Injuries ; Wound Healing ; Abdomen ; Surgical Stomas
Language	English
Publishing date	2023-02-08
Publishing country	Poland
Document type	Journal Article
ZDB-ID	128732-1
ISSN	2299-2847 ; 0032-373X
ISSN (online)	2299-2847
ISSN	0032-373X
DOI	10.5604/01.3001.0016.2731
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Article: Analysis of risk factors for conversion in laparoscopic adrenalectomy: a single-institution series of 256 patients.

Krokowicz, Lukasz / Biczysko, Mateusz / Szmyt, Krzysztof / Borejsza-Wysocki, Maciej / Banasiewicz, Tomasz / Ledwosinski, Witold / Bobkiewicz, Adam

Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques

2023 Volume 18, Issue 3, Page(s) 453–459

Abstract: Introduction: Although introduction of the laparoscopic approach for adrenal gland surgery revolutionized the strategy in management of adrenal gland tumors, open surgery is still a method of choice in some clinical scenarios. Moreover, laparoscopy may ... ...

Abstract	Introduction: Although introduction of the laparoscopic approach for adrenal gland surgery revolutionized the strategy in management of adrenal gland tumors, open surgery is still a method of choice in some clinical scenarios. Moreover, laparoscopy may have limitations resulting in conversion. Aim: To assess risk factors predisposing for conversion based on our own material, including 256 laparoscopic adrenalectomies performed in 2009-2016. Material and methods: A retrospective analysis of patients who underwent adrenalectomies between 2009 and 2016 was conducted. Patients were analyzed for sex, body mass index (BMI), size of the adrenal gland lesion, final histopathological diagnosis and operated side of the adrenal gland, its impact on conversion rate. Results: A total of 256 patients underwent laparoscopic adrenalectomy. The reported study comprised of 94 (36.7%) men and 162 (63.3%) women. The most common indication for adrenalectomy were adrenal cortex adenoma (n = 149; 58.2%) and pheochromocytoma (n = 48; 18.75%). The conversion rate was 3.91% (n = 10 patients). Mean BMI of patients without conversion was 27.6 kg/m Conclusions: The laparoscopic approach remains an efficient and safe procedure for adrenal gland tumors. Based on our study, obese patients and those with pheochromocytoma are associated with a higher risk of conversion but without any statistical significance. There was no difference in the conversion rate when analyzing the size of the adrenal gland tumor. No difference was also revealed in the conversion rate when comparing both sides of laparoscopic adrenalectomy.
Language	English
Publishing date	2023-04-06
Publishing country	Poland
Document type	Journal Article
ZDB-ID	2596147-0
ISSN	2299-0054 ; 1895-4588
ISSN (online)	2299-0054
ISSN	1895-4588
DOI	10.5114/wiitm.2023.126446
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Article ; Online: The importance of autopsy studies in elucidating coronary venous diseases: Authors' reply.

Sławek-Szmyt, Sylwia / Szmyt, Krzysztof / Żaba, Czesław / Grygier, Marek / Lesiak, Maciej / Araszkiewicz, Aleksander

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

2021 Volume 23, Issue 11, Page(s) 1867–1868

MeSH term(s)	Autopsy ; Coronary Disease ; Humans ; Veins
Language	English
Publishing date	2021-08-31
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	1449879-0
ISSN	1532-2092 ; 1099-5129
ISSN (online)	1532-2092
ISSN	1099-5129
DOI	10.1093/europace/euab206
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Article ; Online: Peculiarities in coronary sinus anatomy: implications for successful cannulation from an autoptic study.

Sławek-Szmyt, Sylwia / Szmyt, Krzysztof / Żaba, Czesław / Grygier, Marek / Lesiak, Maciej / Araszkiewicz, Aleksander

2021 Volume 23, Issue 11, Page(s) 1787–1794

Abstract: Aims: The number of cardiovascular procedures using the coronary sinus (CS) as a gateway is constantly increasing. The present study aimed to define specific structures within CS, which could potentially complicate CS cannulation and to develop a new ... ...

Abstract	Aims: The number of cardiovascular procedures using the coronary sinus (CS) as a gateway is constantly increasing. The present study aimed to define specific structures within CS, which could potentially complicate CS cannulation and to develop a new Thebesian valve (TV) classification system. Methods and results: The study was performed on 560 consecutive unfixed cadaveric hearts during routine autopsy examination (1-3 days post-mortem). Basic CS dimensions were measured and the presence and dimensions of the TV and the Vieussens valve (VV) were assessed. Thebesian valves were classified according to their morphology into six main types: remnant fold, semilunar, fenestrated, chord, fused strands, and mixed shaped. The median age of hearts was 48 years (range 16-95 years), and 38.9% were female. Thebesian valve was present in 79.5%. The most common TV type was semilunar (54%) followed by fenestrated (8.2%), remnant fold (5.5%), fused strands (4.8%), chord (4.0%), and mixed shaped (3.0%). In 1.1% of hearts, TV totally covered the coronary sinus ostium (CSO). The VV was detected in 67.9%. Potentially occlusive VV was found in 1.1% hearts and in all of which it coexisted with obstructive TV. The median CSO area was 87.9 mm2 [interquartile range (IQR): 56.5-127.1 mm2] and median CS length was 38 mm (IQR: 29.5-45 mm). The CSO area and CS length correlated with each other and with the right atrium's dimensions. Conclusion: We identified six types of TVs, among which only 1.1% TVs caused total occlusion of CSO. The obstructive TV co-existed with potentially occlusive VV what might hinder CS cannulation.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Autopsy ; Catheterization ; Coronary Sinus/anatomy & histology ; Female ; Heart Valves/anatomy & histology ; Humans ; Middle Aged ; Vascular Diseases ; Young Adult
Language	English
Publishing date	2021-04-16
Publishing country	England
Document type	Journal Article
ZDB-ID	1449879-0
ISSN	1532-2092 ; 1099-5129
ISSN (online)	1532-2092
ISSN	1099-5129
DOI	10.1093/europace/euab108
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Article ; Online: The Application of Negative Pressure Wound Therapy with Installation in Diabetic Foot Associated with Phlegmon

Wachal Krzysztof / Szmyt Krzysztof / Wachal Magda / Stanisic Michał

Polish Journal of Surgery, Vol 87, Iss 3, Pp 143-

2015 Volume 147

Abstract: The negative pressure wound therapy in the treatment of diabetic foot ulcers was used successfully for many years. In the case of complications associated with infection by this type of wound treatment to give very good results. From many years of ... ...

Abstract	The negative pressure wound therapy in the treatment of diabetic foot ulcers was used successfully for many years. In the case of complications associated with infection by this type of wound treatment to give very good results. From many years of sustained research on a device that could combine the advantages of the negative pressure wound therapy and drainage flow. Finally, in the last year, the first V.A.C. Ulta (KCI, USA) devices were included to the Polish hospital departments.
Keywords	negative pressure wound therapy with installation ; V.A.C. Ulta ; diabetic foot ; phlegmon of the foot ; insulin ; Medicine (General) ; R5-920 ; Medicine ; R
Language	English
Publishing date	2015-03-01T00:00:00Z
Publisher	Versita
Document type	Article ; Online
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Article ; Online: The Application of Negative Pressure Wound Therapy with Installation in Diabetic Foot Associated with Phlegmon.

Wachal, Krzysztof / Szmyt, Krzysztof / Wachal, Magda / Stanisic, Michał

Polski przeglad chirurgiczny

2015 Volume 87, Issue 3, Page(s) 143–147

Abstract	The negative pressure wound therapy in the treatment of diabetic foot ulcers was used successfully for many years. In the case of complications associated with infection by this type of wound treatment to give very good results. From many years of sustained research on a device that could combine the advantages of the negative pressure wound therapy and drainage flow. Finally, in the last year, the first V.A.C. Ulta (KCI, USA) devices were included to the Polish hospital departments. In this paper we present a case of a patient of successfully using a negative pressure wound therapy with installation via a set of V.A.C. Ulta in the ischemic diabetic foot syndrome complicated by phlegmon and tissue necrosis. The patient was treated in stages. In first stage was performed angioplasty of critically stenosis of the superficial femoral artery segment. Secondly, the resection of the necrotic bone revised fingers and forefoot was conducted, and in the third step the negative pressure wound therapy with installation was used. Finally, the wound was closed by the intermediate thickness skin graft. The total duration of treatment was 21 days. The patient in good general condition with a completely healed wound was discharged. Currently, after the supply with orthopedic equipment, patient regained full mobility.
MeSH term(s)	Aged ; Cellulitis/etiology ; Cellulitis/therapy ; Diabetic Foot/complications ; Diabetic Foot/therapy ; Humans ; Male ; Pressure Ulcer/therapy ; Skin Care/methods ; Treatment Outcome ; Wound Healing/physiology
Language	English
Publishing date	2015-03
Publishing country	Poland
Document type	Case Reports ; Journal Article
ZDB-ID	128732-1
ISSN	2299-2847 ; 0032-373X
ISSN (online)	2299-2847
ISSN	0032-373X
DOI	10.1515/pjs-2015-0035
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