Biomedical subjects

A Prochotský

Publications and source records attributed to A Prochotský.

13 recordsLinked to original sources

PubMed2005

[Intususception of appendical cystadenoma imitating a caecal tumor].

Appendical cystadenoma is one of the histological forms of the appendical mucocele. Preoperative diagnostics is difficult, however, due to potential iatrogennic rupture during a surgical procedure, is very important. The authors present a case review of a 62-year-old patient with itususception of the appendical cystadenoma, until now rarely reported in literature. Upon the preoperative diagnosis the appendical cystadenoma appeared as a caecal tumor or a tumor of the terminal ileum. A histological, intraoperative, diagnosis was established, followed by a final histological examination of the resected tissue. The authors discuss contemporary options of the preoperative diagnostic measures of the appendical tumors, stressing up all risks of aspiration cytology as well as risks of laparoscopic approach in this pathology management

Appendix↗

PubMed1996

[Crohn's disease and symptoms of appendicitis].

Retrospective analysis of 47 patients surgically treated at the IInd Surgical Clinic LFUK due to Crohn's disease and its complications indicates that in 16.3% of patients the diagnosis of Crohn's disease was stated in coincidence with laparotomy which had been indicated due to the suspicion of appendicitis. The reasons of this situation, as well as the recommendation of surgical tactics are analysed. (Tab. 3, Ref. 11.)

Appendectomy↗

PubMed1996

[Endoanal transrectal ultrasonography in the diagnosis and care of patients with rectal carcinoma].

Endoanal sonography in rectal tumor is diagnostically significant. This method helps to specify the prognosis of patients with malignant rectal tumor. Endoanal sonography examination before the operation corresponds with postoperative histopathological findings (endoanal sensitivity uT--91.6%). The method is most important during the follow-up of patients after surgery and in ascertainment of local recurrence (endoanal sensitivity recidivation uT--86%). The authors present their experience with 402 patients. The advantages of endoanal transrectal sonography are possibilities of determination of staging the tumors which can not be reached physically, information of the way of spreading and penetration depth of the tumor, information about their growth, simplicity and easy repetition of the process and economical convenience. (Tab. 2, Fig. 2, Ref. 14.)

Aged↗

PubMed1996

[Treatment of choledocholithiasis in the era of laparoscopic cholecystectomy].

Laparoscopic cholecystectomy (L-CHE) is currently considered to be the optimal standard in the therapy of cholecystolithiasis. However, it is choledocholithiasis which is problematic, especially the timing of the solution in relation to L-CHE. In general, the opinion predominates that in preoperatively verified choledocholithiasis the ERCP with EPS and extraction of choleliths should be performed 24-28 hours prior to the elective L-CHE. Surgical removal of choleliths from the main biliary ducts indicated only in a small group of patients. The authors of the study reflect upon the current trends of the choledocholithiasis therapy in the era of laparoscopic cholecystectomy. They present their own set of patients and recommend the procedure of the choledocholithiasis therapy concommitted with cholecystolithiasis with the subjective of the full use of endoscopic methods in the therapy of this disease. (Ref. 14.).

Adult↗

PubMed1995

[The short bypass in the treatment of popliteal artery occlusion].

Authors present in case report a patient with occlusion of proximal section of popliteal artery which was resolved by the reconstructive vascular surgical procedure--short femoropopliteal bypass using autolognal saphenous vein as a graft. In discussion they deal with the problem of short bypass in traumatic injured lower extremities and also in atherosclerotic or other degenerative diseases of lower extremities arteries. On the account of particulars from literature they refer to the possibility of using various autolognal venous grafts and also artificial vascular protheses. They also deal with the adjuvant medical treatment from the point of view of prevention of a favourable closure of graft and its longterm patency. They presume that the short bypass is in indicated cases mainly in highly at risk patients fully justifiable.

Adult↗

PubMed1994

[Medical and economic advantages of percutaneous transluminal angioplasty].

Percutaneous transluminal angioplasty (PTA) has been used for nearly 30 years. This method was refused in the past because of lack of knowledge of its effectiveness, and insufficient technical equipment for its safe realization. The further factor negatively affecting usage of this method in common clinical practice in occlusive diseases of the lower limbs arteries was an essentially shorter long-term patency than that after reconstructive arterial surgery. Currently this method is widespread in common clinical practice and with the help of angioscopy, argon-laser angioplasty and rotary transluminal catheter system (RO-TACS) it can still be improved. In this study the authors deal in detail with medical and economical advantages of this widely used method.

Aged↗

PubMed1993

[Massive hemorrhage from duodenal adenocarcinoma].

The authors report the case of a 48 year old patient with duodenal adenocarcinoma. The patient was hospitalized at the internal clinic and due to massive bleeding into GIT was removed into the surgical clinic in a state of shock. The operation revealed a Tu formation on the border between D3 and D4, and a palliative resection was performed. The histologic examination verified the diagnosis of the duodenal carcinoma, WHO gr.II. During the postoperative period the patient received 4 chemotherapeutic treatments, although literature generally refers to chemotherapy as having no effect on the time of survival in patients with duodenal adenocarcinoma. The authors conclude that in patients with a long termed history of atypical abdominal symptoms including bleeding into GIT which are inexplicable owing to fibroscopy and x-ray, it is necessary to take into consideration the possible presence of neoplasms in the small intestine, and hence in the duodenum. In cases with massive bleeding they recommend palliative resection and subsequent chemotherapy. (Fig. 6, Ref. 11.).

Adenocarcinoma↗

PubMed1993

[What are the costs of septic complications in surgery?].

Infectious complications have remained the most frequent cause of morbidity in surgical patients, and that despite the constantly broadening range of up-to-date antimicrobial drugs administered prophylactically and therapeutically, the improved methods of cultivating microorganisms and of establishing sensitivity to antibiotics. Infections in surgical patients lead to prolonged hospitalization, prolonged working disability, and to increased cost of treatment. Considerable economic consequences of infections in surgical patients are demonstrated on the basis of the authors' clinical material and possibilities of preventing infections and of their treatment are also discussed. (Fig. 1, Tab. 2, Ref. 21.)

Costs and Cost Analysis↗

PubMed1991

[Liver abscess after elective cholecystectomy].

The authors submit the case-history of a 39-year-old patient with elective cholecystectomy where the immediate postoperative course was complicated by a liver abscess. The authors discuss aetiological factors, diagnosis and treatment of liver abscesses. In the conclusion they submit a proposal of ATB prophylaxis in severe inflammations of the gallbladder and biliary pathways. In the department of the authors ATB prophylaxis is not used before elective cholecystectomy.

Adult↗

PubMed1991

[Is surgical treatment indicated in choledocholithiasis?].

Surgical exploration of the biliary pathways on account of relapsing or forgotten concrements in the biliary pathways in patients above 70 years with associated diseases has a high morbidity and mortality. The authors present an account of a group of patients from their departments; these patients with choledocholithiasis were treated by the at present ever more frequently used method--endoscopic sphincteropapillotomy. In the discussion the authors deal with possibilities to use EPS in the treatment of choledocholithiasis with a cholecyst in situ, acute pancreatitis with biliary genesis but also acute cholangoitis with the background of choledocholithiasis. They consider EPS the therapeutic method of choice in choledocholithiasis and report very good immediate as well as long-term results.

Aged↗

PubMed1990

[Present trends in the treatment of occlusive diseases of the peripheral arteries of the lower extremities].

Occlusive diseases of arteries of the lower extremities with underlying atherosclerosis present a serious medical problem. Despite some generally accepted principles, the diagnostic and therapeutic process in this disease keeps constantly developing. The author deals not only with verified therapeutic procedures such as reconstructive surgery of arteries, endarterectomy, profundoplastics, sympathectomy, but also with the diapeutic method of treatment, percutaneous transluminal angioplasty, which is being used ever more frequently. In indicated cases, percutaneous transluminal angioplasty is considered to be the alternative method to arterial reconstructive surgery. The algorithm of treatment applied in the author's department is presented.

Arterial Occlusive Diseases↗

PubMed1990

Preservation surgery of the spleen.

Authors point out possibilities of preservation of the spleen or its parts in injuries and some diseases, especially non-parasitic cysts. Review is completed by a case report of successful management of a splenic pseudocyst by partial resection.

Adult↗

PubMed1990

[The Shouldice operation for inguinal hernia].

Operations of hernias are among the most frequent operations in general and in the SSR they account for 11% of all operations. Despite this incidence of relapse is high and amounts to some 5-30%. In the Surgical Clinic of the Hospital with Polyclinic Bezrucova, the authors operated since April 1, 1988 134 inguinal hernias. They used Shouldice's technique. In the paper the surgical procedure is described. In a perspective study the authors did not record so far any relapses. The incidence of postoperative complications is 8.25%. Despite short-term experience the authors recommend this operation which meets all preprequisites of modern and reliable operations of inguinal hernia - high ligature of the sac, reinforcement of the floor of the inguinal canal, plastic operation of the annulus inguinalis internus and transposition of the funiculus spermaticus.

Female↗