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Predictive factors of complications post intracranial meningioma surgery leading to early unplanned reoperations — a single center study

Borys M. Kwinta Roger M. Krzyżewski Kornelia M. Kliś Marcin M. Dragan Paulina Donicz Małgorzata Gackowska Krzysztof Stachura Marek Moskała
Folia Medica Cracoviensia | 2018 | vol. 58 | No 2 | 5-13 | DOI: 10.24425/fmc.2018.124654
Keywords complications reoperations meningioma
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Abstract

I n t r o d u c t i o n: Complications occurring aft er neurosurgical procedures which lead to reoperations are associated with poor treatment outcomes. Th e aim of our study was to establish predictive factors of unplanned early reoperations aft er intracranial meningioma removal.

Ma t e r i a l s a n d M e t h o d s: We retrospectively analyzed 177 patients who underwent craniotomy due to an intracranial meningioma. Early reoperation was defi ned as reoperation during the same hospital stay. We used a χ2 test for proportional values and t-test and Mann-Whitney U tests as appropriate for continuous variables. To determine the potential predictors of early reoperation we used univariate and multivariate logistic regression analyses.

R e s u l t s: A total of 13 (7.34%) patients underwent unplanned early reoperation. Th ese patients underwent retrosigmoid craniotomies (25.00% vs. 6.40%; p = 0.047), suff ered from ischemic heart disease (66.67% vs. 6.64%; p <0.01) and atrial fi brillation (60.00% vs. 6.25%; p <0.01), were receiving heparin (50.00% vs. 6.74%; p <0.01) and anticoagulants (66.67% vs. 6.21%; p <0.01) signifi cantly more oft en than the general study population. In multivariate logistic regression analysis anticoagulant use (OR: 31.463; 95% CI: 1.139–868.604; p = 0.04) and retrosigmoid craniotomy (OR: 6.642; 95% CI: 1.139–38.73; p = 0.034) remained independently associated with a higher risk of early reoperation.

C o n c l u s i o n s: Patients who underwent retrosigmoid craniotomy, those with a history of ischemic heart disease or atrial fi brillation and those who take heparin or anticoagulants are more likely to require early reoperation. Retrosigmoid craniotomy and anticoagulant use are independent risk factors for early reoperation.

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Authors and Affiliations

Borys M. Kwinta
Roger M. Krzyżewski
Kornelia M. Kliś
Marcin M. Dragan
Paulina Donicz
Małgorzata Gackowska
Krzysztof Stachura
Marek Moskała

Community of the holy trinity and a complicity of the diabolic triad

Dariusz Kowalczyk
Studia Nauk Teologicznych PAN | 2021 | Tom 16 | 175-193 | DOI: 10.31743/snt.12574
Keywords Trinity diabolical triad Apocalypse community corrupt complicity
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Abstract

Jesus has definitely conquered the world, but our history is continuous. The one who is called in the Bible as the Devil, Satan, and Deceiver of all the earth (cf. Rev 12:9), though already defeated, is still at work in the world. The essence of Satan’s action is to pretend that he is the true Savior of man. In Revelation 13 there is a dragon (the devil) that summons
the first beast and the second beast (a false prophet) and thus they form the diabolical triad. The well-known saying that the devil is simia Dei could be paraphrased and at the same time clarified that the devil is simia Trinitatis. In fact, Satan imitates and mocks, like the monkey, the Holy Trinity to deceive people. When tempting Jesus in the desert, the goal of the evil spirit was not only to tempt Jesus, the Incarnate Son, but the Trinity as a whole. The devil tries to challenge the Trinitarian relations, i.e., the mutual relationship of the Son and the Father in the Holy Spirit. This is the reason why Jesus defies the attacks of the devil not referring to His Divinity but by pointing to the Father and His will. The juxtaposition of the dynamics of the action of the Holy Trinity, the Father, the Son, and the Holy Spirit, with the dynamics of the action of the triad, the dragon and his two beasts, allows us to capture the essential features of, on the one hand, the community in the Trinity, and on the other hand, the corrupt synergy of the triad assigning the Divine features to themselves.
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Authors and Affiliations

Dariusz Kowalczyk
1
  1. Pontificia Università Gregoriana, Roma

Inguinal hernia management in preterm infants: addressing current issues of interest

Ioannis Patoulias Ioanna Gkalonaki Dimitrios Patoulias
Folia Medica Cracoviensia | 2020 | Vol. 60 | No 4 | 41-52 | DOI: 10.24425/fmc.2020.136203
Keywords preterm infant inguinal hernia postoperative apnea operative complications
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Abstract

We define as preterm any newborn born before 37 weeks of gestation. The incidence of inguinal hernia is 1–4.4% among full term neonates and older children. In preterm newborns it is significantly more often, with an incidence that raises up to 30%. In this comprehensive review of the literature we provide evidence-based answers in various questions concerning the optimal treatment of inguinal hernias in preterm neonates. Such questions include the proper time of intervention, the choice of optimal anesthesia, the necessity for contralateral investigation in case of an ipsilateral hernia, the prevention of post-operative apnea and the choice between classic and laparoscopic surgical techniques.
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Authors and Affiliations

Ioannis Patoulias
1
Ioanna Gkalonaki
1
ORCID: ORCID
Dimitrios Patoulias
2
  1. First Department of Pediatric Surgery, Aristotle University of Thessaloniki, General Hospital “G Gennimatas”, Thessaloniki, Greece
  2. First Department of Internal Medicine, General Hospital “Hippokration”, Thessaloniki, Greece

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