Publications by authors named "Wlodzimierz D Majewski"

Introduction: Morbid obesity is nowadays one of the major problems of well developed countries. Treatment of this disease comprises many modalities, but the most successful are surgical ones. With the advent of laparoscopic operations it became clear that these are particularly useful for operation in obese patients due to their minimal invasiveness.

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Introduction: Cancer prophylaxis seems nowadays to be the more and more powerful tool in fight with these serious diseases. The aim of this work is to find out opinions of students of nursing extension studies on contemporary cancer prophylaxis.

Material And Methods: The question about possibilities of practical efforts for prophylaxis and early detection of cancer was directed to 160 students of four consecutive years (2002-2006), at the end of the fourth year of lasting five and a half years extension nursing studies, during ending exam on subject: oncological nursing.

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Introduction: Obesity usually depreciates early results of abdominal operations performed in an open way, but not always after laparoscopic operations. Aim of the study is to compare early results and quality of life after most common abdominal operations (cholecystectomy and appendectomy) performed on obese and non-obese patients.

Material And Methods: 166 patients who were operated in academic teaching hospital, were analyzed in groups: cholecystectomy - laparoscopic (74) and open (30), appendectomy - laparoscopic (30) and open (32).

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Introduction: Inguinal hernia repair is a common surgical intervention in elderly which can affect quality of life in the future of these patients. Aim of the study is to assess the quality of life of elderly males after inguinal hernia repair compared with a similar group of male patients without any operation.

Material And Methods: A group of 40 male patients between the age of 60-80, in time up to 2 years after Lichtenstein hernia repair was compared with the same age 50 healthy males not operated in previous 2 years by 2 questionnaires: international Gastrointestinal Quality of Life Index (GQLI) and national Gerontologic Society Investigation Questionnaire to assess possible differences in their quality of life.

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Introduction: In many investigations concerning the results of surgical treatment of gallbladder stones, generally American or international data are cited, as national data are scarce, or even do not exist. This paper was written to complement Polish data with a comparison of patients' views about two methods of operating gallbladder stones commonly applied in our country. The purpose of the paper was to compare the quality of life of female patients operated for uncomplicated cholecystolithiasis in regional hospitals of Poland.

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Introduction: Increasing susceptibility to trauma among Polish society, which concerns school pupils as well, requires defining causes of the problem and establishing directions of activity in order to reduce the frequency of trauma and its unfavorable consequences. Investigation of a level of knowledge and an attitude of teachers of chosen secondary schools towards giving the first aid in the West Pomeranian voivodeship.

Material And Methods: The survey was carried out among 100 teachers from two high schools of which one is situated in a city of Szczecin (50) and the other in a smaller town of Gryfice (50).

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Purpose: To present a rare late complication of laparoscopic Nissen fundoplication.

Material And Methods: Splenic and parasplenic abscess which formed in 25 year old man sixty days after laparoscopic Nissen fundoplication was not adequately detected by a double ultrasound examination but by a CT-scan, ordered when general status of the patient deteriorated.

Results: Operative treatment comprised splenectomy with drainage and subsequent relaparotomy for intestinal obstruction.

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An attempt at standardization of the diagnostic laparoscopy (DL) procedure during laparoscopic cholecystectomy (LC) was undertaken by establishing a simple pattern and checking its applicability in 100 consecutive LCs. DL was performed following the reversed number 5 pattern, starting from the right upper quadrant and moving to the left upper quadrant, left flank, back to the right flank along the transverse colon, down to the pelvis, along the sigmoid to the left flank, and back to the right upper quadrant inspecting small bowel. DL was incomplete in 11 patients.

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