Georges Kamtoh - Academia.edu (original) (raw)
Papers by Georges Kamtoh
Scientific Journal of Polonia University, 2017
High blood pressurewas the leading cause of death and disability-adjusted life years worldwide. D... more High blood pressurewas the leading cause of death and disability-adjusted life years worldwide. Despite progress in treatment of hypertension, a number of people with uncontrolled or resistant hypertension increases. Hypertensive disorders are strongly linked with an overactive renin-angiotensin aldosterone system. The renin-angiotensin-aldosterone system has been a highly successful pharmacologic target, as the system is strongly implicated in the development of hypertension-related target organ damage.Inhibition of renin-angiotensin aldosterone system, using inhibitors of the angiotensin-converting enzyme or angiotensin II receptor blockers, is an effective way to intervene with the pathogenesis of arterial hypertension.Renin inhibitors block the renin-angiotensin aldosterone systemat the highest level, at its origin, and might thus offer a new exciting approach for pharmacotherapy of hypertension. Aliskiren, an octanamide, is the firstof a new class of completely non-peptide, low...
Scientific Journal of Polonia University, 2018
The paper aims to discuss meanings of terms used in medical jargon to categorize activities with ... more The paper aims to discuss meanings of terms used in medical jargon to categorize activities with mostly disease preventive orientation. Based on definitions authors discussed scope of social medicine, public health, global health and epidemiology and their mutual intersections. Each statement is provided along with literature sources
Videosurgery and Other Miniinvasive Techniques, 2014
Introduction: The use of mesh is still controversial in patients undergoing emergency incarcerate... more Introduction: The use of mesh is still controversial in patients undergoing emergency incarcerated hernia repair, mostly because of potential infectious complications. Aim: The main aim of this study was to assess the efficacy of tension-free methods in treating incarcerated inguinal hernias (IIH), with and without intestine resection. The secondary aim was to establish an algorithm on how to proceed with incarcerated hernias.
Wideochirurgia I Inne Techniki Maloinwazyjne, 2010
Introduction: The inguinal region is a locus of minor resistance in the abdominal wall. Hernias i... more Introduction: The inguinal region is a locus of minor resistance in the abdominal wall. Hernias in this area occur in the space described as the myopectineal orifice (Fruchaud). Among tensionless hernia repairs the most popular methods nowadays are: Lichtenstein technique, Prolene Hernia System (PHS), ULTRAPRO Hernia System (UHS), mesh-plug and laparoscopic methods (TAPP, TEP). It has not been established yet which one of the methods leads to the best treatment results. Aim: To evaluate treatment results of inguinal hernias in patients operated on with mesh using three techniques: Lichtenstein, PHS and mesh-plug. Material and methods: Between the years 2000 and 2007, 758 men and 35 women were operated on. The mean age was 46.7. Spinal or general anaesthesia was used. One hundred and forty-four patients (18.1%) were operated on without antibiotic prophylaxis. Results: Seven hundred and ninety-three operations were performed: Lichtenstein technique was carried out in 301 patients (37.9%), mesh-plug in 325 patients (40.9%) and PHS in 167 patients (21.2%). Spinal anaesthesia was performed in 787 patients (99.2%). General anaesthesia was necessary in 6 patients (0.8%) due to degeneration of the vertebral column. Complications observed include: wound suppuration, haematoma and seroma formation, chronic pain and hernia recurrence. Patients were discharged on the first postoperative day. Return to physical activity was observed usually 14 days after the operation. Conclusions: 1. The analysed methods did not differ according to complication and recurrence rates. 2. In the authors' opinion the Lichtenstein method should remain the standard treatment of inguinal hernia. 3. There are no indications for routine antibiotic prophylaxis in patients undergoing elective hernia operations with mesh.
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](Folia medica Cracoviensia, 2008
Evaluation of inguinal hernia repair techniques and results. Study group consist of patients unde... more Evaluation of inguinal hernia repair techniques and results. Study group consist of patients undergoing inguinal hernia repair between 1990-1998 326 patients (305 men, 21 women, mean age 45.5 yrs), and between 1999-2006 693 patients (662 men, 31 women, mean age 48.5 yrs). Inguinal hernia repair techniques and anesthesia: 1990-1998: Bassini--234 (47.7%), Girard--52 (15.9%), Shouldice--36 (11.8%), PHS--2 (0.6%); general anesthesia--140 (430%), spinal anesthesia--186 (57%), 1999-2006: Lichtestein--207 (30.0%). Robbins-Rutkow--299 (43.1%), PHS--148 (21.3%), Shouldice--39 (5.6%); general anesthesia--28 (4%), spinal anesthesia--665 (96%). 1. The use of synthetic mesh significant reduces inguinal hernia recurrences. 2. Returning to normal daily activities within short time after surgery. 3. The use of lowered doses of analgesics after surgery. 3. The use of lowered doses of analgesics after surgery. 4. After the use of synthetic hernia mesh the number of wound infections, hametaomas or ser...
Scientific Journal of Polonia University, 2017
High blood pressurewas the leading cause of death and disability-adjusted life years worldwide. D... more High blood pressurewas the leading cause of death and disability-adjusted life years worldwide. Despite progress in treatment of hypertension, a number of people with uncontrolled or resistant hypertension increases. Hypertensive disorders are strongly linked with an overactive renin-angiotensin aldosterone system. The renin-angiotensin-aldosterone system has been a highly successful pharmacologic target, as the system is strongly implicated in the development of hypertension-related target organ damage.Inhibition of renin-angiotensin aldosterone system, using inhibitors of the angiotensin-converting enzyme or angiotensin II receptor blockers, is an effective way to intervene with the pathogenesis of arterial hypertension.Renin inhibitors block the renin-angiotensin aldosterone systemat the highest level, at its origin, and might thus offer a new exciting approach for pharmacotherapy of hypertension. Aliskiren, an octanamide, is the firstof a new class of completely non-peptide, low...
Scientific Journal of Polonia University, 2018
The paper aims to discuss meanings of terms used in medical jargon to categorize activities with ... more The paper aims to discuss meanings of terms used in medical jargon to categorize activities with mostly disease preventive orientation. Based on definitions authors discussed scope of social medicine, public health, global health and epidemiology and their mutual intersections. Each statement is provided along with literature sources
Videosurgery and Other Miniinvasive Techniques, 2014
Introduction: The use of mesh is still controversial in patients undergoing emergency incarcerate... more Introduction: The use of mesh is still controversial in patients undergoing emergency incarcerated hernia repair, mostly because of potential infectious complications. Aim: The main aim of this study was to assess the efficacy of tension-free methods in treating incarcerated inguinal hernias (IIH), with and without intestine resection. The secondary aim was to establish an algorithm on how to proceed with incarcerated hernias.
Wideochirurgia I Inne Techniki Maloinwazyjne, 2010
Introduction: The inguinal region is a locus of minor resistance in the abdominal wall. Hernias i... more Introduction: The inguinal region is a locus of minor resistance in the abdominal wall. Hernias in this area occur in the space described as the myopectineal orifice (Fruchaud). Among tensionless hernia repairs the most popular methods nowadays are: Lichtenstein technique, Prolene Hernia System (PHS), ULTRAPRO Hernia System (UHS), mesh-plug and laparoscopic methods (TAPP, TEP). It has not been established yet which one of the methods leads to the best treatment results. Aim: To evaluate treatment results of inguinal hernias in patients operated on with mesh using three techniques: Lichtenstein, PHS and mesh-plug. Material and methods: Between the years 2000 and 2007, 758 men and 35 women were operated on. The mean age was 46.7. Spinal or general anaesthesia was used. One hundred and forty-four patients (18.1%) were operated on without antibiotic prophylaxis. Results: Seven hundred and ninety-three operations were performed: Lichtenstein technique was carried out in 301 patients (37.9%), mesh-plug in 325 patients (40.9%) and PHS in 167 patients (21.2%). Spinal anaesthesia was performed in 787 patients (99.2%). General anaesthesia was necessary in 6 patients (0.8%) due to degeneration of the vertebral column. Complications observed include: wound suppuration, haematoma and seroma formation, chronic pain and hernia recurrence. Patients were discharged on the first postoperative day. Return to physical activity was observed usually 14 days after the operation. Conclusions: 1. The analysed methods did not differ according to complication and recurrence rates. 2. In the authors' opinion the Lichtenstein method should remain the standard treatment of inguinal hernia. 3. There are no indications for routine antibiotic prophylaxis in patients undergoing elective hernia operations with mesh.
Folia medica Cracoviensia, 2008
Evaluation of inguinal hernia repair techniques and results. Study group consist of patients unde... more Evaluation of inguinal hernia repair techniques and results. Study group consist of patients undergoing inguinal hernia repair between 1990-1998 326 patients (305 men, 21 women, mean age 45.5 yrs), and between 1999-2006 693 patients (662 men, 31 women, mean age 48.5 yrs). Inguinal hernia repair techniques and anesthesia: 1990-1998: Bassini--234 (47.7%), Girard--52 (15.9%), Shouldice--36 (11.8%), PHS--2 (0.6%); general anesthesia--140 (430%), spinal anesthesia--186 (57%), 1999-2006: Lichtestein--207 (30.0%). Robbins-Rutkow--299 (43.1%), PHS--148 (21.3%), Shouldice--39 (5.6%); general anesthesia--28 (4%), spinal anesthesia--665 (96%). 1. The use of synthetic mesh significant reduces inguinal hernia recurrences. 2. Returning to normal daily activities within short time after surgery. 3. The use of lowered doses of analgesics after surgery. 3. The use of lowered doses of analgesics after surgery. 4. After the use of synthetic hernia mesh the number of wound infections, hametaomas or ser...