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Biomedical subjects

F Tecl

Publications and source records attributed to F Tecl.

At least 19 recordsLinked to original sources
PubMed2002

[Pathology of the spleen in children--current possibilities of surgical treatment].

In the submitted paper the authors review the contemporary state of surgery of the spleen in child age. Surgical treatment is used most frequently in injuries of the spleen, in portal hypertension and in haematological diseases. In a group of patients during the last decade efforts to preserve the spleen are emphasized and experience is reported with the use of therapeutic procedures. The authors emphasize that splenectomy in children should be an exceptional operation.

Child↗
PubMed2000

[Laparoscopic cholecystectomy in children].

OBJECTIVE: Retrospective evaluation of laparoscopic cholecystectomy in children. The authors deal with the asset of the method in child surgery and emphasize the differences of treatment of cholelithiasis in children by a laparoscopic approach. METHOD: During 1994 to 1998 the authors made 54 laparoscopic cholecystectomies in children 5 to 18 years old (mean age 14.0 years). The indication for surgery was in 48 patients cholecystolithiasis and in six instances confirmed chronic cholecystitis without concrements. Four times cholecystolithiasis associated with congenital haemorrhagic disease was found. The majority of patients, i.e. 51 (94.4%), was operated during the quiescent stage of the disease. RESULTS: In the group of operated children no serious peroperative and postoperative complications were recorded. Twice concrements from the bile duct were removed by papillosphincterotomy in cholecystocholedocholithiasis after previous laparoscopic cholecystectomy. CONCLUSION: In child surgery laparoscopic cholecystectomy is a less frequent operation than in adults. However, it is also in children an effective and safe method with all advantages of mini-invasive operations.

Adolescent↗
PubMed2000

Arteriovenous malformations of the orofacial area.

Vascular lesions are pathological residues of the embryonic vascular system and can be divided into two main groups. The first group comprises haemangiomas, which are typical of childhood and involute spontaneously. The second group is formed by lesions without active proliferation, which include, among others, arteriovenous malformations that are congenital and grow proportionately with the subject. The authors present two cases of arteriovenous malformations of the orofacial area and discuss possibilities for modern diagnosis and treatment. Precise diagnosis and effective treatment of vascular lesions should be ensured by a diagnostic and therapeutic team of specialists from several disciplines (maxillofacial, ENT, plastic and general surgeon, paediatrician, haematologist, anaesthesiologist and possibly a neurosurgeon), headed by an intervention radiologist.

Arteriovenous Malformations↗
PubMed2000

[Mini-invasive osteosynthesis in injuries of the metacarpal bones in children].

Injuries of the metacarpal bones in child and adolescent age are much less frequent than in adult age. Most frequently the IVth and Vth metacarpal bone are affected where paradoxically in the distal area metaphyseal fractures predominate over injuries of the physes. During the period between 1994-1998 on account of this injury in our department a total of 11 patients were treated by the method of miniinvasive osteosynthesis. In 7 instances treatment by means of a Kirschner wire was used in injuries of the base of the 1st metacarpal bone, incl. four cases where a physeal separation of the Salter-Harris II type was involved, once a physeal fracture of the Salter-Harris III type and twice a metaphyseal injury. In four patients the subcapital fracture of the metacarpal bone was transfixed. In all instances one implant was used. A total of 11 excellent results were recorded. In one injury of the 1st metacarpal bone slight restriction of movements in the metacarpophalangeal joint occurred. Miniinvasive osteosynthesis, if indicated, is a reliable and simple method with excellent results. A thin Kirschner wire which should be always inserted, avoiding adjacent joints, is a satisfactory implant.

Adolescent↗
PubMed2000

[Mini-invasive osteosynthesis in injuries of the finger phalangeal bones in children].

Injuries of the skeleton of phalanges of the fingers are along with injuries of the forearm the most frequent fractures in childhood and in the great majority conservative treatment is possible. Only exceptionally primary surgery is needed and if it fails and redislocation occurs, surgical treatment is indicated. Then the method of choice is miniinvasive osteosynthesis--percutaneous fixation. During the period between 1994 and 1998 the authors treated thus 22 patients on account of skeletal injuries of the phalanges. Primarily the method was used in 16 cases, 6x after redislocation of fragments. In 9 instances thus diaphyseal injuries were treated, in 7 cases intercondylar fractures and in 6 instances fractures of the base of the distal fragment. In 18 instances Kirschner wire was used and four times a fragment fixation screw. The general results of treatment were in 16 patients excellent, in 4 instances satisfactory and in two cases unsatisfactory. In one case marked restriction of mobility and stiffness of the joint developed after fixation of an intercondylar fracture and in one instance a mallet finger developed. No serious suppurative complications were observed nor any serious neurovascular complications. The apparent trivial character of the injury and its fixation must not lead to underrating of this type of fracture as it may have permanent sequelae. The latter are not very serious but are a certain handicap. In particular in conjunction with some professions (music) they can have a marked influence on the patient's future.

Child↗
PubMed2000

[Hemodynamic changes after sclerotherapy of esophageal varices in children].

The authors present an account on favourable late results of sclerotization of oesophageal varices in children. After sclerotization not only an immediate effect can be observed such as arrest of haemorrhage but also long-term favourable effects are found in the venous circulation of the splanchnic area.

Child↗
PubMed1999

[Tragic results of an untreated compartment syndrome of the lower extremity].

Despite its notorious extensive consequences compartment syndrome is generally underrated high risk states are not adequately monitored and treated and therefore there is a number of seriously injured child patients. Late surgical intervention and incorrect therapy are responsible for consequences and incomplete recovery. The authors present the case of a 9-year-old boy treated for a diaphyseal fracture of the thigh by vertical traction, where compartment syndrome developed during treatment and did not receive adequate attention. A combination of the incorrect procedure and the insufficient monitoring of the patient led to his permanent disability.

Child↗
PubMed1999

[Comparison of the results of minimally invasive and open osteosynthesis in treatment of injuries of the proximal radius in children].

The authors present their experience with treatment of injuries of the proximal radius in children. During the period between 1994 and 1998 they treated on account of this injury a total of 59 patients. Ten times they used the open method, 15 times percutaneous fixation and 34 times a conservative approach. They compare the therapeutic results of both surgical methods and demonstrate better results when the miniinvasive approach--percutaneous fixation--is used. The authors recommend this procedure in dislocated injuries type II and III and emphasize the necessity of high standard technical equipment and experience of the working team.

Adolescent↗
PubMed1999

[Treatment of fractures in the elbow region in children using the Fragment Fixation System--initial experience].

In child traumatology among implants an irreplaceable place is held by Kirschner wires. An improved version of this implant is the Orthofix Fragment Fixation System (FFS) of Kendall Co. which combines the advantages of Kirschner wires with the compressive properties of a screw. During the past two years at the Clinic of Child Surgery and Traumatology in Brno by osteosynthesis, using FFS implants, a total of 21 patients were treated incl. 19 under the age of 15 years. On account of injuries of the elbow 15 children were treated (radial physis of the humerus--9x, ulnar epicondyle--4x, fracture of the ulnar olecranon--2x). The authors present an account of the hitherto assembled favourable experience and results of this method in the treatment of injuries of the elbow in children.

Adolescent↗
PubMed1998

[Systemic enzyme therapy in the treatment of supracondylar fractures of the humerus in children].

The authors present their experience with enzyme therapy--the preparation Wobenzym--in comprehensive treatment of supracondylar fractures of the humerus in children. On monitoring the condition of the extremity by Doppler ultrasound, where the flow through the radial artery was quantified they obtained better results in the group of patients treated by systemic enzyme therapy than in the control group. Systemic enzyme therapy is recommended as a suitable supplement in comprehensive treatment where the most important part is played by correct and early treatment along with precise monitoring of the extremity during the postoperative course.

Adjuvants, Immunologic↗
PubMed1997

[Problems in the diagnosis and treatment of splenic injuries in children].

The diagnosis and treatment of the injured spleen in children changed markedly during the last 20 years. However even when contemporary diagnostic algorithms and therapeutic procedures are used, there are still problems for which we lack an unequivocal answer. Based on their own experience and data in the literature the authors try to contribute to the solution of this important traumatological problem.

Adolescent↗
PubMed1997

[Transcutaneous anorectal sphincteromyectomy--possible use in pediatric anorectal surgery].

Anorectal sphincteromyectomy (SME) is a simple operation: after accurate localization of the inner anal sphincter from the latter a longitudinal strip 3-4 cm long and 2-4 mm wide is resected, depending on the child s age. In the submitted paper the author describes the surgical method which is used less frequently although it gives comparable results, it is simple and the number of complications is minimal.

Anal Canal↗
PubMed1995

[Current results of endoscopic therapy of esophageal varices in children].

The authors present their experience with the endoscopic treatment of oesophageal varices in children. During 1991-1994 they treated 21 children where they performed a total of 156 sclerotizations. The mean age of the patients was 10.08 years. In 17 instances the prehepatic type of portal hypertension was involved, in four the intrahepatic type. In 13 children the varicosities were eradicated. A relapse was recorded in three cases. From the total number of sclerotizations the authors recorded complications 14 times. They emphasize the success of the method used: a minimal number of complications; a reduction of the number of pretentious devascularization operations in haemorrhage from oesophageal varices. Also the number of sclerotizations proper decreased, as many patients suffer no longer from haemorrhage and they do not have varices which require sclerotizations.

Adolescent↗
PubMed1994

[A non-traditional procedure in the surgical treatment of portal hypertension in a child].

The authors present the case-history with a uncommon surgical procedure in a child with portal hypertension and hypersplenism. Half the spleen was resected and concurrently a distal splenorenal anastomosis of the Warren type was created. This procedure was selected because the child had a very enlarged spleen and marked hypersplenism. The postoperative course was free from complications and the satisfactory condition of the child 15 months after operation with normal haematological values confirms the justification of the selected procedure.

Child↗
PubMed1993

[Therapy of bleeding esophageal varices in children--present and future aspects].

The authors' department has devoted the past 25 years to treatment of portal hypertension in children and above all to the most dramatic manifestations-haemorrhage from oesophageal varicosities. In previous years a number of surgical and conservative methods was used. The milestone in therapeutic strategy and tactics was the year 1990 when endoscopic sclerotization of oesophageal varices was introduced as a routine method. Since then 14 patients aged 5-17 years were treated. In addition to sclerotization also medicamentous and surgical treatment are used. The authors evaluate their experience assembled during the past three years and recommend optimal procedures in children. They try also to foresee the future development of therapy.

Adolescent↗
PubMed1993

[Retroperitoneal fibrosis in children].

The authors describe retroperitoneal fibrosis (RPF) in general and the case of a six-year-old child who suffered from RPF. Due to the atypical course of the disease the diagnosis was very difficult not only due to the clinical course but also because of the histological examination. The atypical course was manifested by affection of the lungs, liver, pancreas and porta hepatis. The urinary system was also affected by the fibrotic disease. The authors reached the conclusion that in an atypical course of the disease only repeated biopsy is decisive for establishment of the diagnosis.

Adolescent↗
PubMed1993

[Choledochal cysts in children].

The author presents an account of cysts of the choledochus in children. With present possibilities of ultrasonic examination in abdominal pain, jaundice or a palpable resistance in the abdomen cystic formations in the subhepatic region are diagnosed with increasing frequency in child age and are operated. At present the best and most permanent results are achieved after extirpation of the cyst and substitution of the extrahepatic biliary pathways by a jejunal loop, as recommended by Roux.

Adolescent↗