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I Satinský

Publications and source records attributed to I Satinský.

10 recordsLinked to original sources
PubMed2006

[Spontaneous pneumomediastinum].

Spontaneous pneumomediastinum is a presence of free air in the mediastinum without previous injury and without previously known lung disease. Spontaneous pneumomediastinum is infrequent and little known by physicians. Authors present a case report of three young men with spontaneous pneumomediastinum. There was no evident causation in two cases. In one case there was previous excessive sport activity. Main presenting symptoms were chest and neck pain, odynophagia, dysphonia, vomiting, and neck subcutaneous emphysema. Esophageal perforation was ruled out. All patients recovered spontaneously. Spontaneous pneumomediastinum is the benign disease. Its main importace is in differential diagnosis concerning especially esophageal perforation.

Adult↗
PubMed2005

[Surgical treatment of distally located rectal carcinomas using the rendez-vous method--a laparoscopic resection in combination with T.E.M].

The aim of this work is to introduce a surgical procedure, which would make operations of distally located rectal carcinomas indicated for abdominoperineal extirpation of the rectum possible while maintaining intestinal continence and full functioning of the sphincter system. At the same time, we have aimed at the maximum use of all pros of contemporary miniinvasive surgical techniques. We have labelled our proposed surgical technique the "rendez-vous technique". The trial group includes the original group of 10 patients, who have been operated in our clinic since April 2004, using the rendez-vous technique. We are aware of the fact, that the trial group is small, however we believe that this trial group is the starting group, which will continue to enlarge and that it will bring results to the patients themselves, as well as for a valid prospective study in order to confirm or challenge the proposed method's effectiveness.

Female↗
PubMed2005

[Comparison various types of artificial nutrition on postoperative complications after major surgery].

BACKGROUND: The present rationale appears to prefer early postoperative enteral nutrition to total parenteral nutrition. But no clear conclusions exist for demonstrating the clinical benefit of early postoperative enteral nutrition in patients after the major surgical resections of upper gastrointestinal tract. AIM: To compare the clinical impact of various types of the artificial nutrition by comparison of the postoperative complications. METHODS: Prospective, randomized, controlled clinical trial. Sixty-two patients were analyzed. In the group I (21 patients) the total parenteral nutrition was received, in the group II (20 patients) the standard enteral nutrition was received, in the group III (21 patients) the enteral nutrition enriched with glutamin, arginin and omega-3 fatty acids was received. Both enteral feedings were given early. All three nutritional regiments were isocaloric and isoproteinaceus. RESULTS: The postoperative complications were in 31 patients overall (11, 11, 9 patients in the each group I, II, III). Three patients died in the group I, 2 patients in the group II, and 1 patient in the group III. There were no significance differences (p < 0,05) in postoperative complications, both infectious and non-infectious reasons. CONCLUSION: The study has shown no impact of various type of artificial nutrition on clinical outcome in patients after major resections of upper gastrointestinal tract. There was no significant difference in infectious complications in the groups with enteral feeding. The combination of enteral and parenteral nutrition appears as optimum after major surgery of the upper gastrointestinal tract. It is necessary to realize more extensive studies of homogenous patients to find out the benefit of various types of arteficial nutrition in postoperative period.

Adult↗
PubMed2003

[Laparoscopic total gastrectomy--initial experience].

The advantages of mini-invasive procedures have been demonstrated in various surgical interventions. The aim of the authors was to describe, on the basis of their own experience obtained in a group of seven patients, the operation procedure of laparoscopic total gastrectomy, to discuss the advantages and to present their initial experience.

Aged↗
PubMed2003

[Subhepatic drainage in laparoscopic cholecystectomy--a necessity or an overused tradition?].

The subhepatic drainage is mandatorily used in the end of laparoscopic cholecystectomy in the majority of departments of surgery in Czech republic. The preoperative finding of advanced inflammatory alteration or bleeding in operative field is certainly the reason to do so. But it seems that obligatory drainage after uncomplicated laparoscopic cholecystectomy has no real foundation and it is suspiciously an expression of antiquated tradition. From January 1, 2001 to December 31, 2002 the prospective non-randomized study was performed: in the first group of patients the drainage of subhepatic space was used mandatorily (324 patients), in the second group the drainage was used only in indicated cases (365 patients). No statistically significant difference was found between the two groups in postoperative complications (biliary leak, intraabdominal abscess, reoperation). There was the significant difference in surgery times (55 min. in the group with mandatory drainage, 50 min. in the group with indicated drainage, p < 0.05), in term of hospital stay--the patients with mandatory drainage stayed longer in hospital (3.2 day, resp. 2.4 day, p < 0.05). In summary, the mandatory drainage of subhepatic space after laparoscopic cholecystectomy is not associated with lower incidence of postoperative complications. On the other hand, the mandatory drainage has significantly longer surgery time and longer length of hospital stay. The drainage is exceptionally indicated but not mandatorily in uncomplicated operations.

Cholecystectomy, Laparoscopic↗
PubMed2001

[A large ovarian teratoma mimicking acute abdomen--case report].

Authors present case report of an adolescent girl with the large ovarian teratoma. Teratoma of the ovary was surprising finding during laparotomy which was indicated on the basis of acute abdomen. Tumorectomy was performed. Microscopic examination revealed differentiated mature teratoma. There were no signs of recurrence. Authors present short review of the literature concerning this rare diagnosis and the reason of acute abdomen.

Abdomen, Acute↗
PubMed1998

[Laparoscopic gastrostomy: report on 20 cases].

At the surgical clinic of the Faculty Hospital in Ostrava-Poruba since November 1993 till June 1998 20 laparoscopic gastrostomies were performed. The main indication was to ensure enteral nutrition in patients where, due to obstruction of the oesophagus, it was impossible to implement percutaneous puncture gastrostomy. The surgical procedure lasted on average 37 minutes and was completed successfully in all patients. Three patients died within thirty days. This procedure made it possible that eighty percent of the patients could be discharged from hospital and go home.

Adult↗
PubMed1995

[Selection of criteria for evaluation of septic conditions].

In a prevalence study of septicaemia at a surgical clinic 645 patients were followed up. The assembled data were compared with data from a similar study made in 862 patients which was implemented in different departments of Ostrava hospitals. In the two studies different criteria of sepsis were used. In the study conducted at the surgical clinic these criteria were more precisely specified and extended. This trebled the assessed number of sepses. From comparison of results of these studies ensues that more frequent bacteriological monitoring of patients in necessary.

Humans↗
PubMed1995

[Laparoscopic cholecystectomy in the Czech Republic: a nation-wide study (9,439 cases)].

The investigation is based on data obtained by means of questionnaires from 62 surgical departments in the Czech Republic. The respondents performed to the data of December 31, 1993 a total of 9,439 laparoscopic cholecystectomies. Conversions accounted for 4.9%, some three quarters were called for by obscure anatomical conditions. The biliary pathways were injured (with the exception of the cystic duct) in 43 patients (0.46%). Peroperative biligraphy was performed in 2.6% of operated patients. Injuries of the digestive tract were recorded in 0.06% patients and injuries of blood vessels in 1.4% of patients. The morbidity in the group was 7.7% and the lethality 0.14% (13 patients). The authors compare the data with other nation-wide studies and demonstrate the advantages of laparoscopic cholecystectomy.

Cholecystectomy, Laparoscopic↗