Transurethral Microwave Thermotherapy (TUMT) in the Treatment of Benign Prostatic Hyperplasia: A Preliminary Report.

BACKGROUND One treatment option for benign prostatic hyperplasia (BPH) is transurethral microwave thermotherapy (TUMT). Unfortunately, TUMT has been increasingly marginalized recently. The aim of this study was to evaluate erectile function and urinary symptoms in patients after TUMT for BPH and compare the results with those of patients on pharmacological treatment for BPH.

Endothelial Markers: Thrombomodulin and Von Willebrand Factor and Risk of Kidney Thrombosis After Transplantation.

Objective: Endothelial disturbance is well known as one of the causes of thrombosis. This study measured von Willebrand factor (vWF) and soluble thrombomodulin (sTM) in renal vein blood to evaluate for the risk of thrombosis after kidney transplantation.

Methods: A cross-sectional study that included 61 consecutive recipients of kidney transplant.

Unusual variability of the superficial venous system of the upper limb and its consequences for deep venous system.

In our report we would like to present a variation of the two main superficial veins of the upper limb. In 21 (88%) explored upper limbs, the venous system showed a pattern similar to that presented in the anatomical textbook. However, in 4 (12%) others venous patterns differed from those already described.

Anatomical traps for arteriovenous fistula creation.

Background: The risk of complications in undisclosed vascular variability appears relatively likely. Therefore, it is important to assess the probability of encountering anatomical-topographic variability in the venous system of the upper limb. The catalogue of patterns of the upper limb venous system seems to be unlimited and should therefore be constantly updated.

Tissue Factor and Risk of Complications After Kidney Transplantation.

Objective: Tissue factor (TF) is a membrane component of many cells and a strong activator of blood coagulation. Damage to the cells induces an increase in its expression and concentration in blood plasma. The injury and breakdown of the cells is inseparably connected with the harvesting and preservation of the kidney.

Useful Points of Geometry and Topography of the Lumbar Triangle for Transversus Abdominis Plane Block.

Background: A new look at the topography of the lumbar triangle becomes a challenge for modern anesthesia. The aim of this study was to redefine the topography of the lumbar triangle for transverse abdominis plane block.

Material And Methods: We explored 74 lumbar regions in 37 preserved cadavers (17 F and 20 M).

[Assessment of sexual dimorphism of finger length ratio (2D:4D) ].

Introduction: Studies on many populations have shown that the length of the second finger (2D) compared to the fourth (4D), expressed as the finger length ratio (2D:4D), might be characteristic for sexual dimorphism. It was also found that the values of 2D:4D differ significantly between examined populations. It is thought that the value of 2D:4D is determined in early foetal life under the influence of genetic factors and the strong influence of sex hormones.

[Transverse abdominal plane - anatomical and clinical aspects].

In medicine spectacular progress can be observed at many stages, which sometimes requires the redefinition of already known anatomical structures. One of them is the transverse abdominal plane, which was the focus of anaesthetists. It was observed that anaesthetics introduced locally into this plane have similar power to a traditional epidural procedure or spinal anaesthesia.

The impact of interleukin 12B (1188A>C), interleukin 16 (-295T>C), and interleukin 18 (607C>A, 137G>C) gene polymorphisms on long-term renal transplant function and recipient outcomes.

Background: Inflammatory mediators play an important role in kidney graft outcome. The cytokine and chemokine gene polymorphisms are associated with variable production, activity, expression, or ligand-receptor affinity. Genetic variation in the DNA sequence of the interleukin 12B (IL12B), interleukin 16 (IL16), and interleukin 18 (IL18) genes may lead to altered cytokine production and activity.

Impact of kidney donor hemostasis on risk of complications after transplantation--preliminary outcomes.

Background: This study analyzes the influence the of kidney donor hemostasis on the risk of complications in the kidney recipient after transplantation.

Material And Methods: We enrolled 38 deceased kidney donors, of whom 14 donors died from a physical injury and the others died from ischemic or bleeding central nervous system stroke. The donors were categorized into 2 subgroups.

Rhinitis as a cause of respiratory disorders during pregnancy.

Rhinitis is a common disease of women during pregnancy. It can start in almost any gestational week and disappears after delivery. The main symptoms are sneezing, nasal congestion or running nose.

Effect of preservation solutions UW and EC on the expression of matrix metalloproteinase II and tissue inhibitor of metalloproteinase II genes in rat kidney.

Matrix metalloproteinases and tissue inhibitor of metalloproteinases play an important role in the regulation of mesangial cell proliferation and may be involved in ischemia-reperfusion injuries. Preservation solutions are thought to diminish the ischemic injury and appropriate choice of the solution should guarantee a better graft function and good prognosis for graft survival. The aim of the study was to examine the effect of preservation solutions UW and EC on the expression of matrix metalloproteinase II and tissue inhibitor of metalloproteinase II genes in rat kidney.

[Founding of the Polish Society of Cardiothoracic Surgeons: continuation of the history of the West Pomeranian section of the Polish Association of Surgeons].

On occasion of the 120th anniversary of the founding of the Polish Association of Surgeons, we present the scientific and educative activities of the West Pomeranian Section of the Association during its 60 years of existence. The aim of this work is to present the profile of Prof. Tomasz Grodzki, one of the founders of the Polish Society of Cardiothoracic Surgeons and head of the Department of Thoracic Surgery at the hospital in Szczecin-Zdunowo.

[57th Congress of the Polish Association of Surgeons in September 6-9, 1995. A contribution to the history of the West Pomeranian Branch of the Polish Association of Surgeons].

The scientific and educational activity of the West Pomeranian Branch of the Polish Association of Surgeons during its 60 years of existence is presented on occasion of the 120 anniversary of the Polish Association of Surgeons. We present the profile of Professor Seweryn Wiechowski, the first head of the Department of Cardiosurgery in Szczecin, as well as his educational and research contributions and role he played in the development of general surgery and cardiosurgery in West Pomeranian. Professor Seweryn Wiechowski, acting as president of the Polish Association of Surgeons in 1993-1995 organized the 57th Congress of the Polish Association of Surgeons in September 6-9, 1995 held for the first time in Szczecin.

[Management of small bowel obstruction caused by a gallstone].

Bowel obstruction caused by a gallstone is a rare pathology in the abdomen. The high mortality associated with this condition has prompted the authors to present their experience over the past two years against the background of published case reports. This paper presents three different ways of management of gallstone ileus: enterolithotomy; two-stage surgery--enterolithotomy followed by cholecystectomy; one-stage surgery--enterolithotomy combined with cholecystectomy and fistula repair.

The outcomes of treatment and the etiology of lymphoceles with a focus on hemostasis in kidney recipients: a preliminary report.

Background: The etiopathogenesis of lymphoceles remains incompletely understood. The aim of our work was to analyze the perturbations of blood coagulation process for their possible impact on the etiology of lymphoceles. Additionally we performed an evaluation of the incidence and effectiveness of treatment methods for lymphoceles.

Graft infection in kidney recipients and its relation to transplanted kidney function.

Introduction: Following kidney transplantation, septic complications are the leading causes of therapeutic failure including recipient death or graft removal. The serum creatinine level is one of the earliest metrics of kidney metabolic function. We examined the influence of graft infection on serum creatinine levels in kidney recipients.

The effect of cause of cadaveric kidney donors death on fibrinolysis and blood coagulation processes.

Background: Organ donors can be generally divided into two groups according to the cause of their death. The first group is composed of those who died because of physical injuries, especially road traffic injury, and the second group, those who died from central nervous system (CNS) stroke or bleeding. The aim of our work was to examine hemostatic processes among kidney donors.

The effect of preservation solutions UW and EC on the expression of renin I, angiotensinogen and angiotensin I-converting enzyme genes in rat kidney.

Background: Ischemia/reperfusion injury in organ transplantation is a multifactor process that may lead to delayed graft function (DGF), and has a significant impact on short- and long-term graft survival. The activation of the renin-angiotensin system may be important in the pathophysiology of DGF. Preservation solutions are thought to diminish the ischemic injury, and appropriate choice of the solution should contribute to improved graft function and better prognosis for graft survival.

Association of the rs10918594 of nitric oxide synthase 1 adaptor protein (NOS1AP) polymorphisms with the graft function after kidney transplantation.

Background: The purpose of this study was to investigate the relationship of nitric oxide synthase 1 adaptor protein (NOS1AP) polymorphism with serum creatinine level and occurrence of delayed graft function (DGF) in kidney transplant recipients.

Material/methods: This prospective observational study included 75 kidney transplantations. The data from 40 kidney donors (8 females, 32 males) included sex, age, and cause of death.

[Diagnostic difficulties in gastrocolic fistulas as a complication of surgical management of peptic ulcer: case report].

A gastrointestinal fistula is a late complication of peptic ulcer disease and forms when gastric resection is inadequate or vagotomy is incomplete or not performed. Such cases are extremely rare and are occasionally reported in the literature. We present a patient with a gastrocolic fistula which developed 7 years after partial gastrectomy due to pyloric stenosis as a sequella of peptic ulcer.

Histopathologic evaluation of pretransplantation biopsy as a factor influencing graft function after kidney transplantation in 3-year observation.

Background: Many factors affect long-term results in kidney transplantation including histologic damage as a independent predictor, eg, chronic allograft dysfunction (CAD) in protocol biopsies and age-dependent lesions. Histopathologic findings correlate with the incidence of delayed graft function, eventual renal function, and allograft survival, allowing a rather precise prediction of graft outcomes.

Patients And Methods: We analyzed 92 thick-needle preimplantation renal biopsies and 29 from grafts after explantation.

Minimally invasive methods for the treatment of lymphocele after kidney transplantation.

Background: One common complication after kidney transplantation is a lymphocele. The aim of our work was an analysis of incidence of lymphocele and the effectiveness of minimal invasive methods in the management of this complication.

Materials And Methods: The examined group was consisted of 158 patients (68 female and 90 male) with end-stage renal disease who underwent kidney transplantation.

Risk factors for septic complications in kidney transplant recipients.

Introduction: Septic complications following kidney transplantation are a leading cause of therapeutic failure. An early diagnosis may protect the recipient from the severe consequences of sepsis. We sought to determine the risk factors influencing the occurrence of septic complications among kidney transplant recipients.

Experience with autosomal dominant polycystic kidney disease in patients before and after renal transplantation: a 7-year observation.

Objective: Autosomal dominant polycystic kidney disease (ADPKD) is characterized by the presence of multiple cysts in both kidneys. Symptoms of the disease may arise either from the presence of cysts or from increasing loss of kidney function. First symptoms usually appear in the third decade of life: lumbar pain, urinary tract infections, arterial hypertension, or renal colic due to cyst rupture or coexistent nephrolithiasis.