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Biomedical subjects

S Molski

Publications and source records attributed to S Molski.

4 recordsLinked to original sources

Large skin arteries of the leg and foot in man.

The anatomical method with Computer Digital Image Analysis system served to examine large skin arteries of the crus and the foot in 152 human specimens. Their sources were: 1. popliteal artery (rr. gastrocnemii:medialis--62.89%, lateralis--78.95%), 2. anterior tibial artery (a. peronealis lateralis superior--97.37%, a. peronealis lateralis inferior--62.50%, a. collateralis inferior lateralis--78.95%), 3. posterior tibial artery (r. circumflexus fibulae--75.66%, r. soleus lateralis--48.03%, r. musculi flexoris hallucis longi--84.87%), 4. peroneal artery (r. perforans--86.84%) and 5. medial plantar artery (r. profundus--89.47%). The following ones characterized themselves with the longest course: a. peronealis lateralis superior (112 +/- t21 mm), r. gastrocnemius medialis (93 +/- 11 mm) and r. soleus lateralis (91 +/- 8 mm). The largest flaps supplied successively: r. gastrocnemius medialis (8530 +/- 1125 mm2), a. peronealis lateralis superior (7920 +/- 1227 mm2), r. profundus a. plantaris medialis (7580 +/- 1820 mm2), r. gastrocnemius lateralis (7320 +/- 1320 mm2), r. soleus lateralis (7140 +/- 1630 mm2) and a. collateralis inferior lateralis (6220 +/- 1981 mm2).

Arteries↗

Retroperitoneal rupture of abdominal aortic aneurysms.

OBJECTIVE: About 40% of patients with ruptured abdominal aortic aneurysm (AAA) die before admission to the hospital. The next 40-50% of patients who reach a hospital die in the perioperative period or within 30 days after surgery. Two groups of patients with ruptured AAA can be distinguished: first-with intra-abdominal rupture, second-with retro-peritoneal rupture. The aim of the study was a retrospective analysis of the treatment results in patients with retro-peritoneal rupture of AAA. MATERIAL AND METHODS: 78 patients underwent a surgical procedure between 1.01.1985 and 30.10.1996. 78 patients (68 men and 10 women), mean age 67.6 (53-94) were included in this study. Based on diagnostic and surgical procedures, two periods of treatment can be distinguished. In the first period of the time from 1.01.1985 to 31.12.1992 patients were operated on immediately after admission to the hospital. In the second period from 1.01.1993 to 31.10.1996 patients were admitted to Intensive Care Unit. In this unit patients were intensively treated and prepared for surgical procedure. During this time the computerized tomography scanning (CT) was performed. RESULTS: In the first period the perioperative mortality was 75%. In the second period the perioperative mortality was 41.3%. DISCUSSION: The 1.5-2 hours postponement of operative procedure of the patients with retro-peritoneal rupture of AAA can decrease perioperative mortality. During the time patients were intensively treated and prepared for surgical procedure and CT examination enabled to choose proper surgical technique.

Aged↗

[Ruptured abdominal aortic aneurysm].

About 40% of patients with ruptured abdominal aortic aneurysm (AAA) die before admission to the hospital. The next 40-50% of patients who reach a hospital die in the perioperative period or in 30 days after surgery. Two groups of patients with ruptured AAA can be distinguished: first-with intra-abdominal rupture, second-with retro-peritoneal rupture. The aim of the study was the retrospective analysis of the treatment results of the patients with retro-peritoneal rupture of AAA. 78 patients underwent a surgical procedure in the Department of General and Vascular Surgery in Bydgoszcz, Poland, between 1.01.1985 and 30.10.1996 78 patients (68 men and 10 women, mean age 67.6 (53-94) were entered into this study. Based on diagnostic and surgical procedure the two periods of the different treatment of our patients can be distinguished. In the first period of the time from 1.01.1985 to 31.12.1992 patients were operated on immediately after admission to the hospital. In the second period from 1.01.1993 to 31.10.1996 patients were admitted to Intensive Care Unit. In this unit patients were intensively treated and prepared for surgical procedure. During the time the computerized tomography (CT) scanning was performed. In the first period the perioperative mortality rate was 74.7%. In the second period the perioperative mortality rate was 42.2%. The 1-3 hours postponement of operative procedure of the patients with retro-peritoneal rupture of AAA can decrease the perioperative mortality rate. During the time patients were intensively treated and prepared for surgical procedure and CT examination enabled to chose proper surgical technique.

Aged↗

[Experience in the use of Broviac catheters in children with hematologic neoplastic diseases].

Between 1990 and 1994, 61 Broviac catheters were implanted in 53 children with haematological neoplastic diseases. The mean duration of catheter function was 206 days (range 14-615 days). The total observation time was 12544 days, during which 84 catheter-related complications were recorded, i.e. 6.7 per 1000 catheter use days. Infections occurred with a frequency of 3.8 episodes/1000 cath, days, the majority of which were bacteriemias (2.6/1000 cath, days). Gram-positive and Gram-negative strains were the isolated etiologic agents with equal frequency. Most of infectious episodes (85%) responded well to initial empiric antibiotics treatment without removal of the catheters. Mechanica complications (occlusion, displacement or catheter leakage) occurred significant less frequently and were managed by repairing or replacing the device or clearing the block. No deaths were related to catheter complications. In conclusion indwelling Broviac catheters offer a safe and effective method of long-term venous access. Infections are the most frequent catheter-related complications.

Bacteremia↗