Klinika Chirurgii i Onkologii Dzieciecej

Łódź, Poland

Klinika Chirurgii i Onkologii Dzieciecej

Łódź, Poland

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Jankowski Z.,Klinika Chirurgii i Onkologii Dzieciecej | Jablonski J.,Klinika Chirurgii i Onkologii Dzieciecej | Lewandowska M.,Zaklad Patomorfologii Wieku Rozwojowego | Andrzejewska E.,Klinika Chirurgii i Onkologii Dzieciecej
Family Medicine and Primary Care Review | Year: 2013

Background. The authors present their experience with the diagnosis and treatment of children with primary nocturnal enuresis. Material and methods. The authors analysed 360 cases of patients reported between 2007 and 2012 with initial diagnosis of nocturnal enuresis. Results. In the study group the primary nocturnal enuresis was diagnosed in 118 patients. Non-pharmacological treatment was ineffective. Oxybutynin or desmopressin were used in the pharmacological treatment. Good results were obtained for 78 patients. Conclusions. 1. Finding the cause of nocturnal enuresis is important for the best results of treatment. 2. Early diagnosis and treatment in children with nocturnal enuresis may prevent the occurrence of emotional disorders, low self-esteem and poorer integration with other children. 3. The pharmacological treatment helps children with primary nocturnal enuresis to relieve this symptom. © by Wydawnictwo Continuo.


Jablonski J.,Klinika Chirurgii i Onkologii Dzieciecej | Jankowski Z.,Klinika Chirurgii i Onkologii Dzieciecej | Lewandowska M.,Zaklad Patomorfologii Wieku Rozwojowego | Andrzejewska E.,Klinika Chirurgii i Onkologii Dzieciecej
Family Medicine and Primary Care Review | Year: 2013

Background. The paper presents an author's own experience in use of bone cement with beta-tricalcium phosphate in the management of solitary bone cysts. Material and methods. The authors present results of treatment of 9 children with solitary bone cyst. All the patients were treated by cement based on beta-tricalcium phosphate injection of the bone cyst. The control postoperative X-rays were taken after 6 and 12 months. Results. Radiographic examination revealed indicating bone regeneration. Successful results were observed in all patients. There were no complications after treatment. Conclusions. The good results of treatment, minimally invasive operative management, no postoperative complications and a short hospital stay- encourage more widespread use of bone cement based on beta-tricalcium phosphate in treatment of solitary bone cysts. © by Wydawnictwo Continuo.


Jankowski Z.,Klinika Chirurgii i Onkologii Dzieciecej | Jablonski J.,Klinika Chirurgii i Onkologii Dzieciecej | Lewandowska M.,Zaklad Patomorfologii Wieku Rozwojowego | Andrzejewska E.,Klinika Chirurgii i Onkologii Dzieciecej | Strzelczyk J.,Klinika Chirurgii Ogolnej i Transplantacyjnej
Family Medicine and Primary Care Review | Year: 2013

Background. The authors present their own experience in treatment of blunt hepatic trauma in children. Material and methods. The authors analysed: number, sex and age of children, mechanism of trauma, the degree of liver injury, coexisting injuries, applied treatment and its results. Results. In the Department of Paediatric Surgery and Oncology Medical University of Lodz from 2007 to 2012 the authors treated 8 patients with blunt hepatic trauma. The main cause of trauma was ttraffic accident. Seven patients were treated conservatively, while one of them was operated on. Therapeutic results were good in all children. Conclusions. 1. The choice of the method of management in hepatic trauma should be based on hemodynamic state of patients, the degree of liver injury and coexisting injuries. 2. Majority of blunt liver injuries can be treated non-operatively. 3. Use of criterions and scales applied for adults with blunt liver injury is also useful in children. © by Wydawnictwo Continuo.


Taran K.,Katedra Patomorfologii | Wysocka A.,Klinika Chirurgii i Onkologii Dzieciecej | Sitkiewicz A.,Klinika Chirurgii i Onkologii Dzieciecej | Kobos J.,Zaklad Patomorfologii Wieku Rozwojowego
Family Medicine and Primary Care Review | Year: 2013

Background. Neuroblastoma is the most common solid tumor of childhood outside CNS. Treatment results are not satisfactory. Angiogenesis is a new prognostic marker in this group. Objectives. The aim of the study was to evaluate prognostic value of angiogenesis by comparison with histological type. Material and methods. 29 patients age from 14 days to 13 years were examined. 9 children died. Favorable histology was diagnosed in 18 cases, unfavorable in 11. Tumor tissue samples were stained routinely and used for immunohistochemical research with anti-CD34. CD34 expression was examined accordingto histological type oftumor and patients' survival. Results. In unfavorable tumors CD34 expression (with 'hot spots' pattern) was lower that among favorable ones. Conclusions. Angiogenesis is a potential prognostic marker in neuroblastoma and is modified by various and usually aggressive treatment methods. © Wydawnictwo Continuo.


Jablonski J.,Klinika Chirurgii i Onkologii Dzieciecej | Jankowski Z.,Klinika Chirurgii i Onkologii Dzieciecej | Lewandowska M.,Katedra Patomorfologii | Andrzejewska E.,Klinika Chirurgii i Onkologii Dzieciecej
Family Medicine and Primary Care Review | Year: 2014

Background. Infantile hypertrophic pyloric stenosis (IHPS) is one of the most common congenital defects. Objectives. The authors evaluated the changes occurring in the morphology of the pylorus in children operated on because of IHPS. Material and methods. A study was carried out on a group of 53 children who underwent pyloromyotomy. Three main ultrasonographic parameters were used: Pyloric muscle thickness, pyloric diameter and pyloric length. Pyloric ratio was calculated. The parameters were measured immediately before the operation and subsequently at 2, 4 weeks and 6 months after surgery. Results. There was a significant reduction in the values of the assessed parameters in subsequent measurements. Conclusions. Normalization of ultrasonographic parameters in children with IHPS is observed one month after surgery. This justifies the validity of the discussion on the possibilities of conservative treatment of these patients.


Taran K.,Katedra Patomorfologii | Bojanowska E.,Zaklad Patomorfologii Wieku Rozwojowego | Przewratil P.,Klinika Chirurgii i Onkologii Dzieciecej | Kobos J.,Zaklad Patomorfologii Wieku Rozwojowego
Family Medicine and Primary Care Review | Year: 2013

Background. Biology of vascular lesion in children (angiomas and vascular malformations) is not completely known. They appear among 2.5-3.5% of children and consist a serious problem of every day practice of both family doctors and specialists. Objectives. The aim of the study was to evaluate histoclinical features of childhood vascular lesions. Material and methods. 48 cases of vascular lesions were examined according to location and age and sex of the patients. Results. 33 capillary haemangiomas, 9 cavernous haemangiomas, 2 lymphangiomas and 4 vascular malformations were diagnosed. There was no predilection of sex or age. Statistically significant correlation between lesion type and location was found. Conclusions. Most of angiomas appear among boys and their location on the trunk is statistically significant. Real biology of childhood vascular lesions is still under discussion. © by Wydawnictwo Continuo.


Jankowski Z.,Klinika Chirurgii i Onkologii Dzieciecej | Jablonski J.,Klinika Chirurgii i Onkologii Dzieciecej | Lewandowska M.,Zaklad Patomorfologii Wieku Rozwojowego | Wysocka A.,Klinika Chirurgii i Onkologii Dzieciecej | Andrzejewska E.,Klinika Chirurgii i Onkologii Dzieciecej
Family Medicine and Primary Care Review | Year: 2013

Background. Biting of humans by dogs is a common injury in children. Injuries to children are usually located on face. Bite wounds injuries are frequent in children under 5 years of age. Most dog bites to children occur in the home, rarely in a public place. Material and methods. The authors described a case of a child treated for a dog bite. Results. A 16-year-old girl was referred to the Department of Paediatric Surgery and Oncology Medical University of Lodz with left lower leg wound as a consequence of a dog bite. The incident of dog bite occurred at home. Surgical debridement under general anaesthesia was performed. In the postoperative course negative pressure wound therapy was used. Conclusions. Crucial role in reducing the incidents of dog bites is played by children education about how to interact with dogs. The management of bite wounds often requires the involvement of physicians of many specialties. © by Wydawnictwo Continuo.


Bialas A.J.,Klinika Chirurgii I Onkologii Dzieciecej | Jablonski J.,Klinika Chirurgii I Onkologii Dzieciecej
Przeglad Pediatryczny | Year: 2010

Clinical issues of sunken chest are reported. Pectus excavatum (PE) is one of the most frequent congenital deformations of the anterior chest wall. It is said to be indicated by abnormalities of homeostasis at the stage of osteo- and chondrogenesis. The deformation negatively influences not only the esthetics and patients' appearance, but also his psychic development and social relations. Pectus excavatum may cause many health problems, especially concerned with cardiovascular and respiratory systems. The methods of physical therapy and parameters used in the assessment of the degree of chest wall deformity are also discussed. In addition to that, authors present modern way of operative treatment of PE - the Nuss procedure. The operating technique, eventual complications and further therapy are reported.


Trelinska J.,University of Lodz | Stolarska M.,University of Lodz | Zalewska-Szewczyk B.,University of Lodz | Kuzanski W.,Klinika Chirurgii I Onkologii Dzieciecej | Mlynarski W.,University of Lodz
Onkologia Polska | Year: 2010

Bacteriophages belong to a group of viruses which can infect and destroy a bacterial host. In the antibiotic era they were not in use. But now, in the time of increasing prevalence of antibiotic-resistant microbes, there is a renewed interest in using bacteriophage therapy as a possible alternative for the treatment of bacterial infections. It is effective in all types of bacterial infections, especially those caused by pyogenic Staphylococci and Gram-negative bacteria. Two cases of bacteriophage therapy in Pseudomonas aeruginosa infections in children with acute leukemias were presented. In both patients bacteriophage therapy was used together with antibiotics and symptomatic treatment. Good results of therapy were observed. Presented examples show that phage therapy is a possible and effective aid for treatment of serious bacterial infections in immunocompromised patients. Copyright © 2010 Cornetis.


Jankowski Z.,Klinika Chirurgii i Onkologii Dzieciecej | Lewandowska M.,Zaklad Patomorfologii Wieku Rozwojowego | Jablonski J.,Klinika Chirurgii i Onkologii Dzieciecej | Kobielski A.,Zaklad Diagnostyki Obrazowej | Andrzejewska E.,Klinika Chirurgii i Onkologii Dzieciecej
Family Medicine and Primary Care Review | Year: 2013

Background. In last decade a significant progress in methods of urinary system imaging has been observed. A relatively new diagnostic method is CT urography (uro-CT). Material and methods. The authors described the examples of application of CT urography to obtain correct diagnosis in chil-drem with urinary tract abnormalities. Results. Paper presents 3 difficult diagnostically cases of patients with urinary tract pathology treated in the Department of Paediatric Surgery and Oncology Medical University of Lodz. The results of conventional imaging studies did not allow authors to draw firm conclusions about diagnosis. The final diagnosis was based on CT urography. Conclusions. CT urography is a useful method for evaluation of the urinary tract. Reducing radiation exposure from medical imaging induces a need to determine the role of uro-CT in the diagnosis of paediatric patients. © Wydawnictwo Continuo.

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