General & Vascular Surgery Ward

Diagnostics & treatment of artery and/or vein vessel disorders (Szewczyk Marek, Md. PhD.).

Diagnostics & treatment of abdominal cavity disorders:
- qualification and preparation of patients to medical interventions, and care after surgical interventions
- surgical removal of small skin alterations.

Diagnostics of large intestine disorders
- treatment of anus varicose veins, applying Barron's method, colonoscopy (Dariusz Stępień, MD)

The following doctors consult patients
PhD
Marek Szewczyk
general surgery and vascular surgery specialist
MD
Mirosław Kawulok
general surgery specialist
MD
Dariusz Stępień
general surgery specialist
MD
Andrzej Solarz
surgery specialist, oncologist

Available Tests:

  • breast USG test
  • breast nipple biopsy
  • mammography
  • colonoscopy

The breast cancer is a most numerous malignant neoplasm suffered by women in Poland. Among every 100 Polish women 2 to 5 are to fall ill with a breast cancer. A neoplasm detected early is almost 100% curable. Only systematic prophylactics allows for detection of alarming abnormalities in their early stadium. In Poland, unfortunately, most cancer cases are detected by women themselves, when they appear in a form of a palpable tumour. At present, various newest curing methods allow for a notable extension of the life, even in cases of far advanced breast cancer.

CYSTS
Most frequent disorder of the breast is a cyst. It is a breast disorder created as an effect of hormonal disorders. About 20% of women suffer the illness. In some cases, cysts can be emptied with a syringe and needle. Effects of other methods are less effective.

OTHER BREAST DISORDERS
Disorders detected very often in our Clinic are: inflammatory conditions of a breast, galactorrhoea unrelated to childbirth, and male GYNECOMASTIA, i.e. glandular tissue development within man's breast. The cause is mostly unknown, or related to a gland system or of post-medicine effects. Observation of breast development should be performed already in the period of adolescence, already then any asymmetry in breast development can found. Upon the breast growth is completed, breast should be subjected to monthly self-observations. Checks are recommended to be performed once a month, 1 to 2 days after menstruation, always in the same position, e.g. during a bath, since a wet skin facilitates checking. The breasts have to be checked, centimetre by centimetre, with finger tips, moving clockwise, seeking for any callosity and/or unevenness. Most of women feels some harder and/or uneven sites, and the sites should be, after a month, found again, and checked whether their consistency and size have changed, since usually they are only natural gland thickenings, resulting from the breast structure.  If the woman learns already her breast structure, then appearance of any new thickening draws immediately her attention to. Then, physician consultation is required. By the end of a survey, nipples should be pressed, trying to get a secretion. Any nodes, asymmetry in size, alterations on the skin, that previously have not been noticed, can be a sign of a morbid process. At least once a year, USG or mammography test should be applied.

 

COLONOSCOPY
At present, a colonoscopy examination, i.e. survey of the whole large intestine (colon) from the anus to the cecum (ca 150 cm) is considered to be a best and speediest developing procedure of small-invasive diagnostics to detect disorders of the organ, and a colon cancer in particular. The examination, it relates to 80÷90% of patients, carried out by an experienced endoscopist lasts 20 to 30 minutes. During the intervention, the patient lies on his/her left side, knees drawn up.
The colon cancer (a glandular cancer) is considered to be the second, regarding appearance frequency, cancer type the human suffer in the world. A before-neoplasm lesion is the adenocarcinomous polyp. Adenocarcinoma can appear along the whole large intestine, however most frequently they are met at the 40cm outlet segment of the colon.
During examination, the diagnostician monitors the number of lesions (mostly polyps), their type, and specifies their location, removes polyps with special equipment, sending the samples for hystopathological tests.
The patient during colonoscopy examination usually feels some discomfort and pressure in the abdominal cavity. The test can be performed under an intravenous anaesthesia applied by an anaesthetist and anaesthetic nurse.
Patients prepare themselves for the procedure, at home. Patients must cleanse their colons of any solid food, drinking instead 2 to 3 litres of clear drinks, first of all non-carbonated water and clear juice, and take medicines cleansing the intestine as FLEET PHOSPOSODA providing that enema application prior the test is avoided.
Persons aged 40 plus, enjoying that no pathological alterations have been found yet, the colonoscopy examination should be applied every 5 years (some sources recommend: every 10 years), and every 2 years if colon's polyps have been found. Nowadays, when food allergy is growing and growing (food quality is worsening: preservative agents), our recommendation regarding persons with no lesions is to make the examination at least every 5 years.
Haemorrhoid Disorder
Bleeding nodules, varicose veins inside anus, plexus of veins making protrusions in a form of nodes covered with mucous membrane, being an obstacle for idiopathic emission of gas, are called haemorrhoids.

SYMPTOMS:

  • bleeding while excreting faeces,
  • pains of various intensification, from discomfort, feeling of some expanding and obstacles in the anus, up to acute pain, especially upon excreting faeces,
  • itching,
  • impression of anus site swelling,
  • inflammation of the anus skin,
  • difficulties in keeping the personal hygienic conditions (especially when external anus varicose veins appear as complicated haemorrhoid disorders)

DISEASE CAUSES:

  • frequent constipation
  • coexisting disease as arterial hypertension, heart muscle insufficiency
  • genetic conditions (including congenial weakness of anus sphincter muscles)
  • stimulants
  • pregnancy and child birth
  • prolonged sitting position
  • old age
  • work requiring great muscle effort
  • unsatisfactory quantity of liquids
  • diarrhoeas
  • frequent vomiting
  • anus and/or rectum cancer

At the 'Szpital pod Bukami' Hospital, the haemorrhoid disorder is treated applying the Barron's method, that is acknowledged in the surgery as:

  • one of the best method of selective painless haemorrhoid removal
  • in combination with infrared photocoagulation, it precipitates haemorrhoid necrosis
  • painless short intervention, hospitalization not required.

Anal Fissure (Fissura ani)
The anal fissure is a linear fracture and/or ulceration of the anal canal, at the coccygeal bone side. Ulceration and microabscesses originate in result of anal canal peripheral arteriopathy effected excessive tension of rectal sphincters. Main symptoms are violent pain while defecating, and sometimes lasting even for next few hours, bleeding, and/or discharging pus mixed with faeces, so called 'wet anus'. Some 50% of patients troubled with the disease, suffer also from itching of various intensity.

Non-invasive Treatment :

  • medicines reducing inflammation
  • medicines reducing rectal sphincter excessive tension and precipitating to heal up
  • local injection of BOTOX (botulinum toxin of A type)
  • Diagnostics & treatment of metabolic illness: diabetes & obesity.
  • No-stress examination of infants, new-born babies and/or elder children.