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J Kutílek

Publications and source records attributed to J Kutílek.

3 recordsLinked to original sources

[Isolated rupture of the external iliac vein in indirect blunt injuries].

The authors described an in this country hitherto unpublished observation of an isolated rupture of the external iliac vein following the fall of a patient from a height on her left side. The rupture developed most probably as a result of narrowing of the external iliac vein which crosses the left internal iliac artery. A mechanism of acute expansion of the external iliac vein due to a blast wave of venous blood expelled by an impact on the thigh and recoiled from the impediment at the site of crossing with the internal iliac vein was probably involved. After severing of the compressing artery, thrombectomy and suture of the lesion, the patient recovered ad integrum.

Adult↗

[Do we amputate too much or too little? A retrospective analysis of the situation in the East Bohemian Region].

A retrospective analysis of 1146 amputations of the lower extremities in five departments of the East Bohemin a region revealed that the number of amputations in the thigh is higher and less frequently preceded by angiographic examination and reconstruction operations of the arteries as compared with distinguished departments abroad. The mortality after amputations was 12.5%. The results call for more intensive training of vascular surgeons and the establishment of vascular surgical departments where it would be possible by early reconstruction operations made in time to prevent amputations or at least shift the height of the amputation in the most distal direction possible.

Amputation, Surgical↗