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J Podlaha

Publications and source records attributed to J Podlaha.

At least 19 recordsLinked to original sources
PubMed2006

[Rupture of the renal artery aneurysm in a patient with symptoms of a systemic connective tissue disorder--A case review].

The renal arteries aneurysms are relatively rare, however, their rupture has a high mortality rate. The authors present a case-review of a 38-year old female, hospitalized with a pain in the left lumbar region, lasting for 24 hours, which spread into the mesogastrium and the left groin. Upon angiographic examination, the left renal artery aneurysm was detected. Embolization was conducted, aiming to save the kidney, however, it proved unsuccessful and was complicated by a rupture of the aneurysm. Consequently, urgent nephrectomy was completed. Prior to the procedure, massive haemorrhaging from the right groin following angiography, was managed. Relapsing haemorrhaging from the right groin and development of a major retroperitoneal haematoma, complicated the postoperative course and required repetitive postoperative revisions. The accidental finding of a minor aneurysm of the lienal artery, the patient's constitution, her anamnestic data and the complicated course of hospitalization, suggested the systemic connective tissue disorder. Furthermore, the authors discuss contemporary diagnostic and therapeutic approach to the renal arteries aneurysms.

Adult↗
PubMed2005

Carotid endarterectomy--treatment trends.

Surgery of the extracranial vascular bed involves in the first line surgery of the carotid arteries. It is difficult to separate the problems of surgery of the other arteries from the carotid surgery. This study focuses on carotid surgery as well. Cerebral stroke, however, is much more frequently based on embolization from the area of stenosis than on the hemodynamic influence of the stenosis alone (Ref. 17).

Endarterectomy, Carotid↗
PubMed2005

[Management of infection after aorto-femoral arterial reconstruction].

Arteficial vascular graft infection pertains to the most serious complications in vascular surgery. No satisfactory treatment of implant infection is known yet. The only solution is still explantation of the prosthesis with hard complications for the patient leading in many cases to loss of the limb or even to death of the patient. With the example of two patients the article shows our contemporary approach to solution of vascular prosthetic infection in the aorto-femoral region. The emphasis is put on preserving of the lower extremity vascular supply after removement of the infected reconstruction.

Aged↗
PubMed2005

20-year experience with operations for popliteal artery aneurysm.

At the 2nd Department of Surgery, St. Anne's University hospital Brno, a total of 76 operations for popliteal artery aneurysm were performed in 67 patients in the last 20 years, in period 1985-2004. 63 operations were elective and 13 urgent. For reconstruction, autologous saphenous vein was used in 53 cases, vascular prosthesis in 15 cases, and a cryopreserved vein allograft in 3 cases. In 5 cases, amputation for advanced lower limb ischaemia was performed without arterial reconstruction. Elective operation is indicated in all patients with popliteal artery aneurysm, and it is associated with a relatively low risk for the patient. In fact, it is a preventive operation. In the acute stage, there is a higher risk of complications and (potential) amputation (Fig. 1, Ref. 8).

Abortion, Legal↗
PubMed2004

[The subclavian steal syndrome].

The aim of this work is to summarize the authors' experience gathered during surgical procedures for the subclavian steal syndrome. The authors put forward the method of anaesthesia with patient's vigility and mobility preserved, favouring the arterial transposition procedures against the prostheses implantation methods. The main common feature of the above approaches is to increase the procedure's safety.

Female↗
PubMed2004

20-year experience in operations for subclavian steal syndrome.

The aim of this article is to summarize our experience in operations for subclavian steal syndrome. We recommend anaesthesia with preservation of patient's consciousness and mobility, and we prefer transposition of arteries to prosthesis implantation. The main characteristic of this approaches is an attempt to increase safety of operation. A feasible procedure is suggested also in the case of reconstruction occlusion: the axillo-axillary bypass. (Fig. 6, Ref. 3.)

Female↗
PubMed2004

[An aorto-enteric fistula].

The most experienced surgeons should be called to conduct reoperations in the aorto-femoral region. It is always advisable to be aware of possible injuries to the urether and to prevent such cases by bandaging. A long-term follow-up of the patient in the same clinic, or at least consultation of his/hers condition helps to minimize any diagnostic hesitations as well as iatrogening harmings. Haemorrhaging aorto-enteric fistules must be surgically managed in clinics specialized in vascular surgery.

Aortic Diseases↗
PubMed2003

[Pseudoaneurysms due to iatrogenic arterial injuries--observations at a vascular surgery worksite].

With advancing care of patients with cardiovascular diseases the number of invasive cardiological operations is increasing. Although effective methods are involved, these procedures are also associated with certain risks for the patient. From the aspect of vascular surgery the most frequent complications include iatrogenic pseudoaneurysms and extensive haematomas. The objective of the present work is to evaluate the development of the number of pseudoaneurysms which occurred after puncture of the femoral artery during coronarography or PTCA, and verification of the hypothesis of the declining trend of the ratio of pseudoaneurysms in the total number of performed invasive cardiological diagnostic and therapeutic operations. The author submits in his paper the retrospectively assessed number of invasive operations performed at the 1st Medical Cardioangiological Clinic of the St. Ann Faculty Hospital Brno in 1996-2001. It summarizes the number of PA dealt with during the same period by physicians of the 2nd Surgical Clinic of the St. Ann Hospital in Brno. It analyzes also the treated complications of cardiological operations in 2001.

Aged↗
PubMed2002

[Developments in surgery of the extracranial circulation--findings from a vascular surgery department].

The objective of the paper is to summarize hitherto assembled experience of the department with the application of new approaches to reconstruction operations of the extracranial circulation with emphasis on its most important part, i.e. the carotid circulation. The main feature of this approach is an effort to increase the safety of the operation for the patient at risk which implies among others extension of indications for reconstruction surgery.

Adult↗
PubMed2000

Ruptured abdominal aortic aneurysm--outcomes in the last ten years.

Ruptured abdominal aortic aneurysm (AAA) remains to be represent a common and highly lethal problem. We reviewed the records of 92 patients (73 men and 19 women) operated on for ruptured infrarenal AAA within the past 10 years (January 1989 to October 1999) in the 2nd Department of Surgery in Brno, Czech Republic. The mean age was 71 years (range 57 to 92 years). Only 10 patients (10.9%) were known to have an AAA before the rupture. Preoperative systolic blood pressure below 90 mmHg was present in 70 patients (76%) and 15 patients (16.3%) experienced cardiac arrest before surgery. The in-hospital mortality rate was 47.8% (44 patients). Among the total of 92 patients, haemoperitoneum was discovered only in 30 patients (32.6%) with the mortality rate of 40% (12 patients). In 62 patients (67.4%) also hemoperitoneum was present, the mortality rate was 51.6% (32 patients) in these patients. Multiorgan failure due to an irreversible hemorrhagic shock was the main cause of death in 23 patients (25%). Further causes were: heart failure--8 patients (8.7%), pulmonary complications--5 patients (5.4%), renal failure--4 patients (4.3%), bleeding--3 patients (3.3%), and sepsis--1 patient (1.1%). The patient's prognosis depends on early diagnostics and on the quality of peroperative and postoperative care. (Tab. 2, Ref. 8.)

Aged↗
PubMed2000

[Ischemic disease of the lower extremity and lumbar sympathectomy].

We consider lumbar sympathectomy (LSE) to be the last attempt to improve the condition of the limb. Though being aware of inconsistent opinions on LSE, we are not opponents of this method, particularly if it is carried out in a selected group of patients, that is in case of: 1) treatment of frostbites, 2) treatment of patients at an early stage of advanced ischemia whose main symptom is moderate night pain at rest, 3) desiccation of chronically moist ulcerations between the toes, 4) treatment of patients with reflex symptomatic dystrophy (causalgia), 5) Buerger's disease.

Female↗
PubMed2000

[Ruptured abdominal aortic aneurysms].

The authors present the results of a retrospective study concerning 96 patients with an abdominal aortic aneurysm rupture who underwent surgery in the 2nd Department of Surgery in Brno in the time period from 1989 to 1999. In 30 cases (31.2%) there was an isolated retroperitoneal rupture, 66 patients (68.8%) also had haemoperitoneum. The mean age of the patients was 74 years and the male/female ratio was 76 (79.2%): 20 (20.8%). Twelve patients (40%) did not survive the retroperitoneal rupture, and 34 patients (51.5%) did not survive the intraabdominal rupture. Total mortality in the study group was 47.9%. The type of the rupture and the size of the haematoma that is in correlation with the time of diagnosis and operation, are among the most decisive prognostic factors. Patients with a small haematoma show higher survival rates. In large retroperitoneal haematomas accompanied by a haemorrhagic shock, the mortality was about 40% in the presented study group, in intraabdominal ruptures the mortality rate increases to values over 50%. The results are in accordance with foreign literature data, and the authors agree with the opinion that haemodynamically unstable patients with suspected abdominal aortic aneurysm rupture should be, after necessary preparations, urgently operated without complementary examinations.

Aged↗
PubMed1999

[Endoscopic disruption of perforators in the leg].

Since September 15, 1994 endoscopic eliminations of perforators in Linton's line of the leg were performed in the Surgical Sanatorium in Brno Vinicní 235. Before January 1, 1999 80 of these operations were performed. Based on the results subfascial ligatures on the leg according to Linton can be adequately replaced by less multilating operations, i.e. by endoscopic elimination of perforators in Linton's line of the leg. (Ref. 4.)

Adult↗
PubMed1997

[Carotid-subclavian bypasses (1985-1996)].

A carotic-subclavian bypass is an extraanatomical reconstruction. It is one of the possibilities how to connect the ipsilateral common carotid and subclavian artery. The authors evaluate carotic-subclavian bypasses made during the past 11 years at the Second Surgical Clinic in Brno. In all twelve cases carotico-subclavian bypasses were involved, in none of the patients a subclavian-carotid bypass was involved or direct anastomosis. The author discusses in detail preoperative complaints, associated diseases, postoperative complaints. In his opinion absolute indications for surgery are neurological symptomatic affections even of one trunk, incl. subclavian steal syndrome. They indicate asymptomatic affections for surgery if at least two trunks are affected. The greatest pitfall of the operation is in their opinion the selection of the length and type of vascular prosthesis. They find that the interval patency rate 100% and the cumulative patency rate 85% evaluated by the method of "Life table analysis" with a standard error of patency rate of 9% are comparable with similar reports from abroad.

Blood Vessel Prosthesis Implantation↗
PubMed1997

[Aneurysm of the splenic artery].

The authors describe in their paper possibilities of surgical and intervention treatment of an aneurysm of the lienal artery, their advantages and disadvantages. They evaluate the results of treatment of aneurysms of the lienal artery in three patients treated at the Second Surgical Clinic in Brno in 1993-1996. In the first patient the aneurysm was resected concurrently with splenectomy. In the second patient resection of the aneurysm with end to end anastomosis of the lienal artery was made. In the third patient the method of artificial embolization of the aneurysm of the lienal artery was used. The results are good. The first two patients were discharged ten and nine days resp. after surgery and are in a good clinical condition. The third patient had treatment in four sessions within two months and the final effect is a completely embolized aneurysm of the lienal artery with a preserved blood supply of the spleen and its intact function. The authors maintain that when dealing with an aneurysm of the lienal artery the surgeon has several possibilities and it is up to him which possibility he will chose with regard to anatomical conditions, the patients general condition and his own abilities and possibilities. The authors recommend if possible to preserve the spleen as a functioning organ or to preserve at least its immunological function.

Aged↗
PubMed1997

[Embolisms of the abdominal aortic bifurcation].

The authors evaluate in the submitted paper the results of surgical treatment of embolization into the bifurcation of the abdominal artery at the Second Surgical Clinic in Brno during 1990-1996. A total of 5 patients was involved whereby in all a cardiac cause of the embolization was obvious. The authors deal also with the time which has elapsed between the development of complaints and surgery, the type of anaesthesia, average length of operation. The operation is implemented concurrently by two teams as antero- and retrograde simultaneous bi-transfemoral embolectomy. The authors emphasize the importance of the metabolic condition of the patient as well as cardiac and renal functions before, during and after surgery. They consider the application of peroperative haemodialysis essential. During the postoperative period it is important to find the objective cause of the cardiac deficiency and treat it. Their results--a 40% mortality are comparable with those of other specialized departments. By comparison with a similar group treated at the same department twenty years previously the authors find a decline in the incidence of this disease and explain this phenomenon by an increased number of cardiosurgical operations in this area.

Aorta, Abdominal↗
PubMed1996

[Endoscopic elimination of perforators in Linton's line in the leg].

Since September 15, 1994 in the Surgical Sanatorium in Brno Vinicná 235 endoscopic elimination of perforators in Linton's line of the leg is performed. Before October 9, 1995 52 of these operations were implemented. Based the results we may state that subfascial ligatures on the leg according to Linton can be adequately replaced by less mutilating operations, i.e. by endoscopic elimination of perforators in Linton's line of the leg.

Endoscopes↗