Biomedical subjects

J Branný

Publications and source records attributed to J Branný.

4 recordsLinked to original sources

PubMed2004

[Laparoscopic therapy of inguinal hernia--transabdominal onlay mesh (TOM)].

AIM: A presentation of the authors experience and results with the TOM (Transabdominal Onlay Mesh) when using the laparoscopic method for the inguinal hernia treatment. MATERIAL AND METHOD: The laparoscopic treatment method of the inguinal hernia has been used in the Centre of the miniinvasive surgery in Podlesí since October 1992. Until September 2003, we had operated 4910 patients, who were treated for 5399 inguinal hernias. From January 1999 to October 2003 we operated 3550 inguinal hernias in 3183 patients using the TOM method (367 hernia cases were bilateral). RESULTS: The average operation time in cases of uncomplicated hernias during unilateral surgical procedures is 21.4 minutes and during bilateral procedures is 31.5 minutes. Complications totaled 1.268% (peroperative 0.282% and postoperative 0.986%) The average patients age was 51.3 years (17-91). There were 87.8% males and 12.2% females. 96 patients were assigned to the one-day surgery programme. CONCLUSION: We believe that the use of the TOM method in the laparoscopic treatment of the inguinal hernia is grounded and that, with further development of new prosthetic materials, it will obtain a broader spectrum of applications.

Adolescent↗

PubMed2001

[Methods of intraperitoneal placement of mesh in laparoscopic surgery of inguinal hernias (IPOM--Intraperitoneal Onlay Mesh)].

BACKGROUND: Intraperitoneal onlay mesh is a new method of laparoscopic inguinal hernia repair shortening an operative time and reducing its cost, which is very safe and less burdening a patient. METHODS: 325 males and 37 females at the mean age of 47.3 years were operated on electively for symptomatic inguinal hernia by IPOM method. In all cases we used a polyester mesh impregnated with silicone. RESULTS: The mean operative time was 18 minutes for unilateral procedure and 28 minutes for bilateral one. There was no serious complication during the operation even the post-operative time and no recurrency following this type of the operation. CONCLUSION: IPOM hernioplasty can be a method of choice in the inguinal hernia repair because of this procedure is very simple, cheap and safe for a patient. We have to wait for a long-term results to validate the hitherto existing ones, even if they are very optimistic.

Female↗

PubMed1994

[Surgical laparoscopy in inguinal hernias, results of 143 operations].

The authors present a new surgical approach in inguinal hernias by the laparoscopic route, using a prolene mesh and a transabdominal preperitoneal approach. The advantages are excellent anatomical orientation, reduction of relapses, reduction of the postoperative discomfort, shorter convalescence and more rapid return to work. The future will show whether the described procedure is optimal.

Hernia, Inguinal↗

PubMed1993

[Laparoscopic cholecystectomy and choledocholithiasis].

Laparoscopic operations are a revolution in surgery. So far they were developed most in surgery of the biliary pathways. The authors emphasize the necessity to extend diagnostic and therapeutic examination methods of the biliary pathways pre-, intra- and postoperative ERCP, pre- and intraoperative cholangiography, choledochotomy, choledochoscopy, concrement extraction. Only then laparoscopic operations attain their full importance with all advantages--postoperative comfort, reduced period of treatment, hospitalization and convalescence, cosmetic effect. The authors present in the submitted paper their own experience and world-wide trends--mainly in the USA and France.

Cholangiopancreatography, Endoscopic Retrograde↗