1. Does concurrent gynaecological surgery affect infectious complications rate after mastectomy with implant-based reconstruction?Nina Pišlar, Barbara Perić, Uroš Ahčan, Romi Cencelj-Arnež, Janez Žgajnar, Andraž Perhavec, 2023, original scientific article Abstract: Background. Women who undergo breast cancer surgery often have an indication for gynaecological procedure. The aim of our study was to compare infectious complications rate after mastectomy with implant-based reconstruc-tion in patients with and without concurrent gynaecological procedure.Patients and methods. We retrospectively reviewed clinical records of 159 consecutively operated patients after mastectomy with implant-based reconstruction. The patients were divided in 2 groups: 102 patients without (Group 1) and 57 with (Group 2) concurrent gynaecological procedure. Infectious complications rates between the groups were compared using χ2-test. Logistic regression was performed to test for association of different variables with infec-tious complications.Results. There were240 breast reconstructions performed. Median follow-up time was 297 days (10–1061 days). Mean patient age was 47.2 years (95% CI 32.8–65.9); 48.2 years (95% CI 46.1–50.3) in Group 1 and 45.8 years (95% CI 43.2–48.3) in Group 2; p = 0.002). Infectious complications rate was 17.6% (17.6% vs. 17.5%, p = 0.987), implant loss occurred in 5.7% (4.9% vs. 7.0%, p = 0.58). Obesity (body mass index[BMI] > 30 kg/m2), age, previous breast conserv-ing treatment (BCT) with radiotherapy (RT) were identified as risk factors for infectious complications in univariate analysis. Obesity (adjusted odds ratio [aOR] 3.319, 95% CI 1.085–10.157, p = 0.036) and BCT with RT (aOR 7.481, 95% CI 2.230–25.101, p = 0.001) were independently associated with infectious complications in multivariate model.Conclusions. Concurrent gynaecological procedure for patients undergoing mastectomy with implant-based re-construction did not carry an increased risk for infectious complications.
Keywords: rak na dojki, infekcijski zapleti, rekonstrukcija z vsadki
Published in DiRROS: 25.07.2024; Views: 125; Downloads: 85
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2. Kirurško zdravljenje malignih epitelijskih tumorjev kožeUroš Ahčan, Zoran M. Arnež, 1999, review article Abstract: Kožni tumorji spadajo med najpogostejše novotvorbe pri človeku. Delimo jih v tri skupine: benigni, predmaligni in maligni kožni tumorji. Zlasti na obrazu starejših ljudi se pojavijo značilne kožne spremembe, ki so posledica kronološke starosti bolnika in škodljivih zunanjih dejavnikov, zlasti solarno-klimatskih učinkov. Med malignimi tumorji sta najpomembnejša bazalno in spinalno celični karcinom, ki nezdravljena povzročata hudo lokalno uničenjetkiva. Hitra in pravilna diagnoza ter čimprejšnja kirurška odstranitevs histološko preiskavo omogoča učnkovito zdravljenje z dobrim estetskim rezultatom. Rano po eksciziji tumorja neposredno zašijemo s posameznimi ali tekočim intradermalnim šivom. Majhne kožne vrzeli pokrijemo s prostimi presadki kože različne debeline ali lokalnimi transpozicijskimi in rotacijskimi naključnimi kožnimi režnji. Pri velikih tkivnih vrzelih pa je potrebna rekonstrukcija z vezanimi režnji ali prostim prenosom tkiv.
Published in DiRROS: 28.11.2023; Views: 400; Downloads: 91
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3. Smernice & klinična pot za obravnavo bolnikov z melanomomPrimož Strojan, Uroš Ahčan, Marko Snoj, Boštjan Luzar, Jože Pižem, Boris Jančar, Martina Reberšek, Borut Žgavec, Tanja Planinšek Ručigaj, Aleksandra Dugovnik, 2010, dictionary, encyclopaedia, lexicon, manual, atlas, map Keywords: klasifikacija, smernice, preživetje
Published in DiRROS: 28.08.2020; Views: 1840; Downloads: 789
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7. Priporočila za obravnavo bolnikov z bazalnoceličnim karcinomomUroš Ahčan, Igor Bartenjev, Ana Benedičič, Tomi Bremec, Aleksandra Vučinič Dugonik, Aleš Grošelj, Nataša Grebenšek, Marko Hočevar, Boris Jančar, Boštjan Luzar, Liljana Mervic, Janja Ocvirk, Jože Pižem, Mirjam Rogl-Butina, Tanja Planinšek Ručigaj, Gregor Serša, Larisa Stojanovič, Neža Stopajnik, Primož Strojan, Vesna Tlaker Žunter, Borut Žgavec, 2019, professional article Keywords: bazalnocelični karcinom, bolniki, smernice zdravljenja, kožni rak
Published in DiRROS: 26.06.2019; Views: 3198; Downloads: 957
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