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Biomedical subjects

J Gmyrek

Publications and source records attributed to J Gmyrek.

5 recordsLinked to original sources

[The analysis of heart rate variability as non-invasive method of cardiovascular system assessment].

Heart rate variability (HRV) is estimated using time and frequency method. This analysis allows a non-invasive assessment of both the heart and autonomic nervous system. The usefulness of HRV estimation has been confirmed in patients not only with diabetic neuropathy, tetraplegia, various heart diseases (after heart transplantation, with heart failure, after myocardial infarction, with hypertrophic and dilated cardiomyopathy, with cardiological syndrome X and with arrhythmia), but also with thyroid gland diseases and in physiological states of human being. The described information indicate a wide range and increasing usefulness of HRV analysis in medical studies.

Autonomic Nervous System↗

Comparison of the results of surgical treatment using laparoscopy and laparotomy in patients with endometrial cancer.

The objective of the current study was to compare the results of surgical treatment in endometrial cancer with the use of laparoscopy and the traditional approach of laparotomy. Our goal was to evaluate and compare the morbidity, recurrence rate, and disease-free survival in both groups. This article is a retrospective study. A chart review of 45 patients treated by laparoscopy between 1994 and 2002 and 136 patients treated by laparotomy between 2001 and 2002 was performed. Disease-free survival in both groups was evaluated with the Kaplan-Meier method and was compared using the log-rank test. The rate of recidive was 6% in the laparoscopy group and 13% in the laparotomy group. There was no statistically significant difference in disease-free survival and recidive rate between the laparoscopy and laparotomy groups. Laparoscopic management in endometrial cancer does not worsen the prognosis, and the disease-free survival is similar to that resulting from the traditional approach. The benefits of minimal invasive surgery are quicker postoperative recovery, shorter hospital stay, and no wound complications.

Endometrial Neoplasms↗