Major abdominal surgery decrees efficiency of walking and lung ventilation after 65 year old in early postoperative period. Some techniques of the PNF concept used in improving older patients after the MAS may favourably affect the postoperative increase independence and reduce the time of hospitalization.
IntroductionParastomal hernia is described as the most common complication in patients with ostomy. It is reported that its incidence varies from 3% to 39% for colostomies and 0 to 6% for ileostomies. Surgical repair remains the treatment of choice. There are three types of surgical treatment – fascial repair, stoma relocation and repair using prosthetic mesh via a laparoscopic or open approach. Recently there have been several meta-analyses and systematic reviews aiming to compare the results of surgical treatment, and the authors agreed that the quality of evidence precludes firm conclusions.AimTo describe the novel concept of parastomal hernia repair – HyPER/SPHR technique (hybrid parastomal endoscopic re-do/Szczepkowski parastomal hernia repair) and its early results in 12 consecutive cases.Material and methodsTwelve consecutive patients were operated on due to parastomal hernia using the new HyPER hybrid technique between June 2013 and May 2014. The patients’ condition was evaluated during the perioperative period, 6 weeks and then every 3 months after surgery.ResultsAfter 6 weeks of follow-up we have not observed any mesh-related complications. All 12 patients were examined 3 months and 6 months after repair surgery for evaluation. No recurrence, stoma site infection or stoma-related problems were found. None of the patients complained of pain and none of them needed to be hospitalized again. Reported quality of life on a 0–10 scale after 6 weeks of follow-up was 8 (range: 7–10).ConclusionsThe HyPER procedure for treatment of parastomal hernias proposed by the authors is a safe and feasible surgical technique with a high patient satisfaction rate and a low number of complications. The hybrid procedure seems to be a promising method for parastomal hernia repair.
Introduction: The rib broken are most frequent damages of chest. They cause strong pain, and make difficulties in breathing and changing position of body. Uncomplicated breakdowns are cured by analgesics drugs. One of physical methods for pain decreasing in musculoskeletal dysfunctions is kinesiotaping. The aim of this study was assessment of effectiveness Kinesiology Taping method after rib broken and their influence on pain reduction and breathing parameters. Material and methods : In this study take part 14 patients after broken one or few ribs from General and Colorectal Surgery Clinic Bielanski Hospital in Warsaw. Breathing parameters was controlled by forced vital capacity(FVC), forced expiratory voluntary in first second(FEV1) and peak expiratory flow (PEF). Pain was asses by visual analogue scale (VAS) separately for three situations: deep breathing, provoked coughing and changing body position from supine to seating. Next K-Active Tape® apply on skin over the broken rib. After 15 minutes breathing parameters and pain level assessing was repeated. Results: There were difference between pain level before and after K-Active Tape® apply in three different situations. It shown difference in value of average points VAS in changing body position from supine to seating (p= 0,015), provoked coughing (p= 0,022) and deep breathing (p= 0,023). It means that pain was significantly decrees. Analysis of average value breathing parameters indicate upward trend FVC, FEV1 and PEF after Kinesiology Taping application, but it wasn’t statistically significant. Conclusions: Kinesiology Taping is safety, supplementary method for heeling posttraumatic ribs condition. Apply lymphatic and ligament techniques using K-Active Tape® could be effectiveness method of reduction pain after ribs broken. It’s necessary to continue research on effectiveness Kinesiology Taping after ribs broken with extend methodology.
The operation to restore the continuity of the gastrointestinal tract is another surgical intervention in a given patient, which directly translates into an increased risk of complications during and after surgery. That is why proper qualification is important for the operation to restore the continuity of the gastrointestinal tract in terms of performance and efficiency of the anal sphincter apparatus, among other things. The aim of the study was to evaluate the effect of restoring physiological defecation routes on the sphincter function and to observe the parameters of anorectal manometry in patients before and after surgery to restore the continuity of the gastrointestinal tract. material and methods. The study included 29 patients scheduled for restoration of the continuity of the gastrointestinal tract, 12 women and 17 men. The average age in the group was 62 years. Anorectal manometry was performed both before surgery as well as one month and three months afterwards in all patients. The average time to have a stoma was 12 months. Results. The resting pressure in the anal canal (MRP) three months after the restoration of the continuity of the gastrointestinal tract increased by 30.4%. The maximum systolic blood pressure in the anal canal (MSP) increased by 22.2%. The value of recto-anal inhibitory reflex (RAIR) decreased by 19.2%. The length of the high pressure zone in the anal canal (HPZL) increased by 27%. The study results of visceral rectal sensation thresholds decreased by 23.3% for the sensation threshold, and 14.4% for the pressure threshold. conclusions. Restoring the continuity of the gastrointestinal tract improves the anal sphincter function which is evident in the parameters of anorectal manometry. The restoration of passage improves the sphincter function, and these changes are statistically significant.
The TIMP is a sensitive measure of delayed motor development in infants with DS and can be used to confirm the need for therapy.
Introduction: The menopausal syndrome affects 85-87% post-menopausal women. Typical symptoms include: hot flashes, heavy sweats, dizziness, increased body temperature, heart palpitations, depression, mood swings, distorted concentration, distorted memory and interrupted sleeping patterns. The literature on effects of physical activity on menopausal symptoms seems to be inconsistent. The aim of this study was to determine the relationship between intensified menopausal syndrome and undertaking physical activity. Material and methods: We studied 105 healthy menopausal women (aged 45 to 65). Their mean age was 52 SD 5.2. We used the survey method. The research tools were: questionnaire we devised, Kupperman index and Borg scale. Additionally, we devised: physical effort intensity index and physical activity variety index. To conduct the statistical analysis, we used STATISTICA programme. We set statistical significance at p<0.05. Results: We found a statistically significant relationship between the frequency of undertaking physical activity and the intensity of menopausal syndrome. More than a half of the subjects (54.3%) did physical exercise “often” or “regularly”, and they did not suffer from the “severe” form of menopausal syndrome. We found a significant relationship between the BMI and intensity of menopausal symptoms (p=0.04) and between the waist size and menopausal symptoms (p=0.001). Conclusions: The more intense, varied and frequent physical activity, the less intense menopausal symptoms. The subjects with normal BMI and waist narrower than 80cm had less difficult menopause. Physical activity reduces physical and psychological changes experienced in the climacteric.
The value of the ventilation indicators measured wearing abdominal belt were slightly lower than the values evaluated without the belt. The results are shown in percent predicted for age and gender, FEV wearing belt 52%, without belt 53%; FEV1 59% vs 61%; PEF 46% vs 51%. There were no statistically significant differences Conclusions. There were no significant negative influence of abdominal belt on lungs ventilation in early period after MAS. There was no correlations between age, body mass index and changes in ventilation indicators.
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