The Initial Function Of Transplanted Kidney As A Factor Affecting The Long-term Outcome

The initial graft function is a prognostic indicator for the results of renal transplants. Cold ischemia time and older age of donors have been already well-determinated as risk factors of delayed graft function (DGF), following both deceased- and living-donor kidney transplants. Diagnosis of DGF is closely associated with an inferior long-term outcome. It has been evidenced that graft function and survival rate are significantly worse in transplants with DGF than in those with IGF. Read full text »

International Conference of Natural and Medical Sciences: Young Scientists, PhD Students and Students

Abstracts Supplement for the 31th December Issue 4/2017

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Preperitoneal Permanent Anesthesia for Postoperative Pain Management After Laparoscopic Surgery.

The preperitoneal permanent anesthesia (PPA) is a novel player for postoperative pain management after laparoscopic surgery. A multi-holed catheter is implanted in the preperitoneal space at the end of the surgical procedure. Local anesthetics can be applied through this catheter and easily spread by gravity to subcostal and diaphragm areas. Based on the results of this feasibility project a reduction of opiates after surgical injury can be observed. Read full text »

Surgical – Site Infections in Gynecologic Surgery. Risk Factors and Prevention.

Surgical – site infections (SSIs) are well-known complications of gynecologic and obstetric surgeries. Despite not being very common, they can significantly increase the cost of hospitalization and lead to further serious complications as well as poor clinical outcome. SSIs are a result of multiple risk factors, both modifiable and unmodifiable, but a thorough analysis of these factors can help prevent infections. This review focuses on definition, pathophysiology, epidemiology and prevention of SSIs. Read full text »

Is Kidney Retransplantation Connected to More Frequent Occurrence of Surgical Complications?

About 25% of patients on the waiting lists have renal allograft failure. It is important to find out whether the subsequent kidney transplantation is connected to the higher risk of surgical complications. 406 kidney recipients that received a kidney graft between 2013 and 2015 in a single transplant centre were taken to the analysis. We asked whether the subsequent kidney transplantation is connected to more frequent surgical complications. In the retransplant group there were 3 patients who had lost their kidney graft during follow-up period because of surgical complications. All complications occurred within the first 6 days after transplantation. Read full text »

Acute Rejection in Retransplant Patients Versus Primary Transplant Patients From Paired Donors.

An acute rejection is believed to occure more frequently in the retransplant patients group. Antibody-mediated rejection may have an adverse effect on graft outcome. Kidney retransplant is a best approach to treat patients with renal allograft failure that allows them to avoid the risk of morbidity and mortality, connected with a return to dialysis and it is now reported that 1-year graft survival rated for second kidney transplants approach those of primary transplantations. In order to eliminate the influence of donor type on the kidney transplantation results, only pairs of patients with common donor were included in the analysis which resulted in 33 pairs of patients, in which the control group stated primary graft recipients. The frequency of acute rejection during the follow-up period (2 years) was analysed. Read full text »

Trends in prescribing anticoagulation therapy for patients with atrial fibrillation among Warsaw population. Do the up-to-date guidelines influence the choice of treatment?

The most relevant complications of atrial fibrillation (AF) are thromboembolic events. Probability of the above could be reduced with an anticoagulant therapy. Since 1954, a group of vitamin K antagonists (VKA) has been administered including warfarin and acenocoumarol. In 2011 novel oral anticoagulants (NOAC) like dabigatran, rivaroxaban and apixaban were introduced. The purpose of this study was to analyse the type of anticoagulant therapy used among patients with AF. It was a cross-sectional survey study which included 268 randomly selected patients treated in inpatient and out-patient cardiac clinics in the left-bank Warsaw district. The study inclusion criteria were confirmed nonvalvular atrium fibrillation (NVAF) and the use of anticoagulant therapy. Read full text »

Vascular Complications in Renal Transplant Recipients – The Experience of One Transplant Centre.

Despite the progress of transplantology, vascular complications in renal transplant recipients remain a serious problem and their frequency in retrospective studies is estimated at 2.1-2.7%. Vascular complications after renal transplantation are classified into three main categories: renal artery or vein stenosis, renal artery or vein thrombosis and arterial damage. Transplant renal artery stenosis (TRAS) occurs in 1-23% of cases and accounts for almost 75% of all post-transplant vascular complications. The frequency of renal artery thrombosis (RAT) depends on the time that has elapsed since transplantation procedure and it is estimated between 0.9% and 3.5%. Renal vein thrombosis (RVT) is one of the most dangerous vascular complications that can occur after transplantation, because it leads to the loss of graft in almost all cases. It occurs with a frequency of 0.5% to 6%. Read full text »

Case Report: Titanium Allergy After Tendon Refixation With Suture Anchor in a Patient With Supraspinatus Calcifying Tendonitis.

Calcific tendonitis is a degenerative joint disease characterized by calcific deposit formation accompanied by joint pain. Diagnosis is based on imaging techniques. Surgical calcinate excision is required for those resistant to conservative treatment. Titanium is being widely used as an implant material due to its biocompatibility and resistance to corrosion. Several studies show that titanium may cause type I and IV hypersensitivity in some individuals and lead to delayed diagnosis and implant removal. Patient is a 42-year-old female known to have calcifying tendonitis in right supraspinatus muscle with history of shoulder pain for 6 years. Arthroscopic calcinate excision followed by tendon refixation with a single titanium alloy suture anchor was performed. 2 weeks after surgery localized urticaria developed. Read full text »

Current Approach to Autologous Breast Reconstruction. What Is New?

Autologous breast reconstruction methods provide stable satisfaction and improvement of the quality of life for postmastectomy breast reconstruction patients. The number of reconstructive procedures utilising these methods is falling, despite the fact that in some aspects they surpass implant-based techniques. The author of this article attempts to analyse reconstructive trends worldwide and refers to Polish conditions. The currently popular elective contralateral prophylactic mastectomy in women with unilateral breast cancer often leads to implant-based solutions. Free tissue transfer is a demanding procedure and poor reimbursement can lead to a decrease in the popularity of this method. Read full text »