The aim of the study was to present our own experience in treatment anal fistulas by means VAAFT (Video-Assisted Anal Fistula Treatment).Twenty patients were qualified for procedure. All subjected diagnostics. Two after diagnostic stage underwent classical fistula surgery. remaining 18 full procedure (diagnostic fistuloscopy, supply internal ostium, and coagulation canal). mean observation period 10 months.In most cases trans-sphincter observed during phase, including three with additional...

The aim of this study is to present results the implantation autologous myoblasts into external anal sphincter (EAS) in ten patients with fecal incontinence.After anatomical and functional assessment patients' EAS, a vastus lateralis muscle open biopsy was performed. Stem cells were extracted from specimens cultured vitro. Cell suspensions then administered EAS. Patients scheduled for follow-up visits 6-week intervals. Total 12 months.All cell procedures performed without complications. Nine...

Abstract Aim To present the results of a prospective, nonrandomized comparative study on treatment complicated pilonidal sinus by endoscopic (EPSiT) compared with Limberg flap surgery, based experience single surgical centre. Method A study. Long‐term follow‐up 62 patients disease was analysed (36 operated using technique and 26 EPSiT method). The median 27 months (12–44). Results operating time in group 60 min (25–80 min) 67 (35–95 min). In group, primary healing achieved 22 out (84.6%) 42...

Objective: To evaluate the efficacy of non-fixation versus fixation meshes in laparoendoscopic repair M3 inguinal hernias terms recurrence, postoperative pain, and surgical complications. Summary Background Data: International guidelines recommend mesh for large during repairs due to high recurrence rates. However, emerging experimental registry data suggest that anatomically shaped, rigid three-dimensional may maintain stability without fixation. This study aimed address this knowledge gap...

Abstract Objective A modification of Doppler guided haemorrhoidal artery ligation (DGHAL) to include the addition recto‐anal repair is reported. Preliminary results function and safety third fourth degree haemorrhoidals are given. Method Thirty patients underwent DGHAL combined with recto‐anal‐repair (RAR). Each had rectal examination, anorectal manometry Quality Life assessment before 3 months after procedure. Results Twenty‐nine were included in final analysis. There three (10.34%)...

The purpose of this paper is to present results a single-center, nonrandomized, prospective study the video-assisted anal fistula treatment (VAAFT). 68 consecutive patients with perianal fistulas were operated on using VAAFT technique. 30 had simple fistulas, and 38 complex fistulas. mean follow-up time was 31 months. overall healing rate 54.41% (37 healed no recurrence during period). varied depending type fistula. success for group 73.3%, whereas it only 39.47% Female achieved higher rates...

Purpose. The aim of the study is to compare functional results end-stage fecal incontinence treatment with dynamic graciloplasty and adynamic augmented transanal conditioning transposed muscle. Methods. A total 20 patients were qualified for procedure due incontinence. 7 underwent (DGP), whereas 13 treated graciloplasty, stimulation in postoperative period (AGP). Clinical, functional, quality life assessments performed 3, 6, 12 months after procedures. Results. There no intraoperative or...

Purpose : We present 12-month followup results of functional evaluation and safety assessment a modification hemorrhoidal artery ligation (DGHAL) called Recto-Anal-Repair (RAR) in treatment advanced disease (HD). Methods Patients with grade III IV HD underwent the RAR procedure (DGHAL combined restoration prolapsed hemorrhoids to their anatomical position longitudinal sutures). Each patient had rectal examination, anorectal manometry, QoL questionnaire performed before 3 months, 12 months...

For surface electromyography (sEMG) to become widely used in fecal incontinence (FI) etiology assessment, one would have create a simple, step-by-step, computer-aided, electromyography-based algorithm that the basis for computer-aided diagnosis (CAD) system. Thus, aim of this work was develop such an algorithm. Each patient included study underwent structured medical interview, general physical examination, and proctological examination. Patients scored more than 10 points on severity index...

The aim of the study was to assess influence neoadjuvant radiotherapy and resection rectum on functional parameters anal sphincters.20 patients with rectal cancer, qualified for low anterior were enrolled in group. protocol included an anorectal manometry, electromyography fecal incontinence questionnaire (FISI) before radiotherapy, after operation.Of 20 12 final analysis, because 8 re-qualified abdomino-perineal treatment. There no significant changes pressures assessed 5 days radiotherapy....

Objective measures of laparoscopic skill in training are lacking.To evaluate the changes surface electromyography (sEMG) signal during training, and to link them intracorporeal knot tying.Ten right-handed medical students (6 female), aged 25 ±0.98, without laparoscopy, were enrolled study. With no additional they tied single knots for 15 min. Then underwent redid tying exercise. During both events, sEMG was recorded from 8 measurement points on upper extremities neck bilaterally. We analyzed...

Background: In recent years the interest of Polish medical students in choosing a career surgical subspecialties has been declining. face growing demand for procedures it seems essential to find reasons responsible that situation. The aim study was evaluate level pursuing careers among and identify factors may influence their decision. Material methods: anonymous questionnaire distributed electronically from 11 different universities. Results: We surveyed 595 individuals (190 male 405...

ABSTRACT: Between December 1986 and June 1990, 112 patients (116 lesions), underwent treatment with dynamic stereotactic radiosurgery at McGill University. Of the treated lesions, 59 were arteriovenous malformations 53 a variety of other neoplastic or non-neoplastic conditions. In 86 was delivered in single fraction remaining 30 lesions fractionated. Complications attributed to developed seven (6.3%). No relationship found between complications prescribed dose, fractionation, collimator...

Risk of recurrence after surgical treatment a recurrent fistula is up to 50%. It has be known that more aggressive associated with high risk anal sphincter damage and leads incontinence. Several studies have been designed elaborate minimally invasive rectovaginal fistulas. The properties Adipose-derived Stem Cells (ASC) significantly enhance natural healing potency. Here, we present our experience combined cell therapy in the fistulas.Four patients were enrolled study unsuccessful treatments...

Severe fecal incontinence describes a condition of complete loss control over fundamental physiological functions and abilities to fulfil psychosocial by the patients. The last-step procedure, that is, restore hope for improvement biopsychosocial functioning quality life determined patient's health status is implantation an artificial anal sphincter.The study was comparative analysis effect employed surgical procedure upon degree defecation indices in its behavioral, mental, social aspects...

Aim: The aim of this study was to present our preliminary experience with intraoperative neuromonitoring during rectal resection. Materials and methods: We qualified 4 patients (2 women, 2 men; age 42 – 53 years) cancer for surgery neuromonitoring. In all patients, functional tests the anorectal area were performed before surgery. Action potentials from sphincter complex in response nerve fiber stimulation recorded electrodes implanted Moreover, we inserted a standard, 18FR Foley’s urinary...

Introduction: Approximately 10% of fine needle aspiration biopsy (FNAB) thyroid nodules may be verified as "suspicious for follicular neoplasm"; this category involves adenoma, carcinoma, variants papillary carcinoma and subclass Hurthle cell neoplasm". At present, there is no diagnostic tool to discriminate between adenoma cancer. Most patients are required surgery exclude malignant process. The aim: To define factors correlating with risk malignancy in FNAB focal lesions Bethesda tier...

Damage to the sphincter, regardless of its pathogenesis, consists in impossibility control physiology, or so-called faecal incontinence. This implies changes whole bio-psycho-social functioning patients, and thus affects satisfaction with their quality life, conditioned by health status. The problem around 5 7% population. Often enough, only hope for those patients are repair procedures sphincter mechanism. aim study was evaluate key aspects life which determine psycho-social status...

The aim of the study was to compare electrophysiological phenomena occurring in gracilis muscle, transposed into pelvic floor during graciloplasty procedure, subjected continuous electrical stimulation by means implanted stimulator, or regular an external device, as well long-term functional results procedure.A total 27 patients were included analysis. group consisted 7 after dynamic graciloplasty, 11 followed transrectal stimulation, 4 with transcutaneous and 5 without any stimulation. All...