Ewa Horzelska

ORCID: 0000-0002-0748-738X
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About
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Research Areas
  • Spinal Dysraphism and Malformations
  • Cerebrospinal fluid and hydrocephalus
  • Fetal and Pediatric Neurological Disorders
  • Assisted Reproductive Technology and Twin Pregnancy
  • Congenital Anomalies and Fetal Surgery
  • Teratomas and Epidermoid Cysts
  • Congenital Diaphragmatic Hernia Studies
  • Diagnosis and Treatment of Venous Diseases
  • Congenital Heart Disease Studies
  • Cardiovascular Issues in Pregnancy
  • Cardiac Structural Anomalies and Repair
  • Blood Coagulation and Thrombosis Mechanisms
  • Pregnancy and Medication Impact
  • Family and Disability Support Research
  • Venous Thromboembolism Diagnosis and Management
  • Hernia repair and management
  • Pregnancy and preeclampsia studies
  • Grief, Bereavement, and Mental Health
  • Reproductive System and Pregnancy

Medical University of Silesia
2013-2024

University of Silesia in Katowice
2013-2020

Wojewódzki Szpital Specjalistyczny nr 4 w Bytomiu
2015

The aim of this study was a comparison the outcomes intrauterine myelomeningocele (MMC) repairs (IUMR) in type II Chiari malformation (II CM) fetuses with clinical data newborns and infants operated on postnatally.The group (SG) comprised 46 pregnant women whose CM children underwent IUMR, while 47 were postnatally constituted control (CG). A total 24 SG 20 CG patients reached endpoint study.High incidence prelabor rupture membranes (24 (52.2%), CI: 3.74 (1.69-8.26) (p < 0.001) noted...

10.3109/14767058.2013.858689 article EN The Journal of Maternal-Fetal & Neonatal Medicine 2013-10-25

Objectives: We aimed to show how increased experience of a surgery team in fMMC repair influences maternal and fetal/neonatal outcomes. Material methods: compare perinatal results our Fetal Surgery Center (FSC) cohort groups for the early period (2005–2011 year; previous — PFSC, n = 46) current (2012–2015 CFSC, 74) randomized Management Myelomeningocele Study (MOMS, 78 patients). Results: The morbidity due was low there no difference comparing CFSC PFSC MOMS. frequency iatrogenic preterm...

10.5603/gp.2020.0028 article EN cc-by-nc-nd Ginekologia Polska 2020-03-31

Myelomeningocele (MMC) constitutes the most common congenital defect of central nervous system, with no satisfactory alternative to postnatal treatment. Prenatal repair MMC is aimed at protecting from a Chiari type II malformation. The main goal fetal improve development and quality life in children Management Study (MOMS), which was published 2011, confirmed effectiveness prenatal surgery. In this paper, we compared MOMS results our own clinical experience. Owing high significant...

10.5603/gp.a2017.0006 article EN cc-by-nc-nd Ginekologia Polska 2017-01-31

Objective: Chemical and mechanical injury in myelomeningocele (MMC) during the fetal life results functional disorders of multiple organs. Prenatal MMC repair reduces sequelae spinal cord injury.Design: Histopathological evaluation dura mater skin specimens to assess severity inflammatory changes.Setting: laboratory operated patients.Participants: 45 cases (Group I)-intrauterine surgery due 42 II)-postnatal surgery.Outcome measures: Specimens adjacent directly uncovered section were...

10.1080/10790268.2020.1736434 article EN Journal of Spinal Cord Medicine 2020-03-30

&lt;b&gt;&lt;i&gt;Introduction:&lt;/i&gt;&lt;/b&gt; The main aim of the fetal surgery myelomeningocele (MMC) is improvement in prognosis for children with this defect and at same time high safety procedure mother fetus. &lt;b&gt;&lt;i&gt;Objective:&lt;/i&gt;&lt;/b&gt; study was to determine effectiveness alternative hysterotomy technique MMC prevention essential perinatal complications. &lt;b&gt;&lt;i&gt;Methods:&lt;/i&gt;&lt;/b&gt; Forty-nine pregnant women diagnosed (fMMC) who underwent...

10.1159/000510815 article EN Fetal Diagnosis and Therapy 2020-01-01

&lt;b&gt;&lt;i&gt;Objective:&lt;/i&gt;&lt;/b&gt; This study presented outcomes of classical hysterotomy with modified antiprostaglandin therapy for intrauterine repair foetal myelomeningocele (fMMC) performed in a single perinatal centre. &lt;b&gt;&lt;i&gt;Study Design:&lt;/i&gt;&lt;/b&gt; Forty-nine pregnant women diagnosed fMMC underwent classic anti-prostaglandin management, complete amniotic fluid replacement and high dose indomethacin application....

10.1159/000496811 article EN Fetal Diagnosis and Therapy 2019-01-01

Fetal and maternal risks associated with open fetal surgery (OFS) in the management of meningomyelocele (MMC) are considerable necessitate improvement. A modified technique hysterotomy (without a uterine stapler) magnesium-free tocolysis (with Sevoflurane as only muscle relaxant) was implemented our new classical (MgFTCH) protocol. The aim study to assess introduction MgFTCH protocol reducing complications. prospective cohort (SC) included 64 OFS performed at Surgery Centre Bytom (FSCB)...

10.3390/biomedicines11020392 article EN cc-by Biomedicines 2023-01-28

Spina bifida aperta (SBA), with (myelomeningocele) or without (myeloschisis) a hernia sack, is the most common congenital defect of central nervous system. Prenatal surgical closure SBA lowers risk for developing shunt-dependent hydrocephalus, which offers chance at improved motor, urinary, and gastrointestinal function. A total 96 patients who had undergone open surgery prenatal repair were analyzed. The divided into two groups: Group I-12 (12.5%)-without sack II-84 (87.5%)-with...

10.3390/diagnostics13030343 article EN cc-by Diagnostics 2023-01-17

Marfan syndrome is an autosomal dominant disorder of connective tissue with up to 25% cases related a spontaneous mutation.It has been associated perinatal loss, preterm labor, and, potentially, rupture the maternal aortic arch.We present case woman diagnosed after miscarriage her first pregnancy.At time diagnosis she had mild bulb dilation and insufficiency mitral tricuspid valves.She underwent cardiosurgical correction, which two uneventful pregnancies.This suggests that preconceptional...

10.17772/gp/1583 article EN cc-by-nc-nd Ginekologia Polska 2013-01-01

Objectives: The aim of the study was to determine effectiveness an alternative method open fetal surgery prevent severe unfavorable prenatal events, both for mother and fetus. Material methods: In this study, previously published results a cohort 46 patients, who had undergone intrauterine myelomeningocele repair (IUMR) at our Center by 2014, constituted retrospective control group (CG). MOMS protocol been applied hysterotomy, with automatic uterine stapling device. (SG) n = 57 assembled...

10.5603/gp.a2022.0098 article EN cc-by-nc-nd Ginekologia Polska 2022-09-19

Open spina bifida is one of the most common congenital defects central nervous system. fetal surgery, which available therapeutic options, remains gold standard for prenatal repairs. Fetoscopic closure may lower number maternal complications associated with open surgery. Regardless approach, outcome be compromised by development tethered spinal cord (TSC) syndrome. At 24.2 weeks gestation, a primipara was admitted due to myelomeningocele and deemed eligible fetoscopic repair. Fetal surgery...

10.3390/diagnostics12122978 article EN cc-by Diagnostics 2022-11-28

Malignancies are a high and very risk factor for thrombotic complications. The of venous thromboembolism is 4–7...

10.15557/cgo.2015.0029 article EN Ginekologia Onkologiczna/Current Gynecologic Oncology 2015-12-31

Spina bifida (myelomeningocele) is the most prevalent developmental defect of nervous system. In different regions world it affects from 0.3 to 5 per 1000 livingneonates. It known that develops during early fetal life however no explicit cause has been found yet. Recently accepted one major factors contributing spina deficiency folic acid in mother’s body before and pregnancy. The first attempts cure myelomeningocele were taken ancient times. More extensive knowledge aetiology effects...

10.36740/wlek201907127 article EN Wiadomości Lekarskie 2019-01-01
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