Diffuse trauma of the right lobe of the liver successfully treated without resection. Case report.

The victim of a motorcycle frontal crash was treated in a high reference teaching hospital for disruption of the right lobe of the liver (IV grade AAST/Moore). Primary packing, secondary biloma and abscess treatment including papillotomy and biliary stent, led, after 8 months, to cicatrisation of a damaged liver parenchyma. In conclusion, the authors stress that such injuries should be treated in highest level reference centres where all modern noninvasive interventional modalities are available, and that surgical resection is not always the operation of best choice.

[Founding of the Polish Society of Cardiothoracic Surgeons: continuation of the history of the West Pomeranian section of the Polish Association of Surgeons]. / Powstanie Polskiego towarzystwa kardio-torakochirurgów-- kontynuacja historii zachodniopomorskiego oddzialu towarzystwa chirurgów polskich.

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. Attention is devoted to his educative and scientific contributions and to the role played by Prof. Grodzki in the development of thoracic surgery in the province of West Pomerania. In cooperation with the Department of Cardiosurgery, Second Clinical Hospital in Szczecin, Professor Grodzki, as head of the Thoracic Surgery Ward at the hospital in Szczecin-Zdunowo, organized the First Founding Congress of the Polish Society of Cardiothoracic Surgeons in April 26-28, 2002.

[Management of small bowel obstruction caused by a gallstone]. / Wysoka niedroznosc przewodu pokarmowego spowodowana kamieniem zólciowym--doswiadczenia wlasne.

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 authors report on a case which was successfully managed with enterolithotomy only and discuss arguments in favor of each procedure. Enterolithotomy appears to be the safest approach in gallstone ileus, leaving time to qualify the patient for further surgery on the basis of clinical status and symptoms.

[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]. / 57. Zjazd Towarzystwa Chirurgów Polskich--6-9 wrzesnia 1995 roku-- przyczynek do historii Zachodniopomorskiego Oddzialu Towarzystwa Chirurgów Polskich.

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.

[Diagnostic difficulties in gastrocolic fistulas as a complication of surgical management of peptic ulcer: case report]. / Trudnosci w ustaleniu rozpoznania przetoki zoladkowo-okrezniczej powstalej w nastepstwie chirurgicznego leczenia choroby wrzodowej--opis przypadku.

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. Nonspecific clinical symptoms and ambiguous radiographic findings delayed the diagnosis of gastrocolic fistula. The patient was operated; "en bloc" resection of the fistula with partial resection of the transverse colon and stomach supplemented with truncal vagotomy was done. The possible cause of recurrence of peptic ulcer in this patient was that vagotomy was not done during the first surgical intervention. Thus, the gastrocolic fistula became a late complication of the recurrence of peptic ulcer. Diagnostic difficulties in gastrocolic fistulas are presented and surgical management of this complication is discussed.

[Results of Kirschner wire osteosynthesis and intramedullary bone peg in toe-transfers]. / Ocena wyników zespolenia paliczków i kosci sródrecza za pomoca sródszpikowego bolca kostnego oraz drutami Kirschnera w operacjach przeniesienia palców ze stopy na reke.

During 1995-2002 in General and Hand Surgery Department 21 digits were reconstructed by toe to hand transplantation performed in 16 patients. There were 10 cases thumb was reconstruction with 4 great toe and 6 second toe transfers. Rest 11 fingers there were index, middle and ring were restored by II and III toe. Twelve osteosynthesis were performed by Kirschner wire and nine by bone peg. All fixations were sufficient stable to start early rehabilitation. In one case after Kirschner fixation occurred ostitis and malunion. This patient was cured by autovaccine. After bone peg we do not recorded any complication.