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Biomedical subjects

K Vincze

Publications and source records attributed to K Vincze.

At least 19 recordsLinked to original sources

[Endoscopic pericardium fenestration].

Author describes thoracoscopic fenestration applied to treat pericardial effusion in an elderly patient with etiologically not identified chronic pericarditis. The operation can be performed easily, quickly and with minimal functional harm with the help of minimal invasive method. Thoracoscope gives a detailed view of the inner surface of the pericardial sac and the epicardium and the cutting of the pericardial window can be performed safely. Apart from description of operation technique applied the author gives a brief summary of place and significance of minimal invasive pericardial intervention in the treatment of the ever growing pericardial effusion.

Aged

[Correlation between long survival and shunt patency in patients treated surgically for refractory ascites].

The survival data of 31 patients operated on for refractory ascites in the 7-year-long period between 1983 and 1989 have been analysed in relation to the patency of the shunt. In the follow-up examination of the 7 patients who had survived 3 years flow-through contrast material was used and the patency of the shunt was documented by percutaneous injection of the contrast material under X-ray. The authors search for explanation in cases where the shunt was non-conducting (blocked) in ascites-free patients. No considerable difference was found between the two long survival assuring types of the shunt (LeVeen and Denver). 55% out of the 31 patients operated on had survived 2 years and almost 30% had survived 3 years.

Aged

Complications associated with the implantation of peritoneo-venous valves and possibilities of prevention.

The author describes the complications associated with the implantation of peritoneo-venous valves in the therapy of refractory ascites. They survey the various complications (disorders in the healing of the wound, valve occlusion, ascites induced coagulation disorders) observed during the treatment of 71 patients and give full account of their work performed while observing these complications, their prevention and avoidance. They stress the importance of haematologic examinations and postoperative haemostasis parameters of patients having undergone valve implantation.

Ascites

[Umbilical hernioplasty with valve implantation in cirrhotic-ascitic patients].

The authors summarize the treatment results of patients managed by them suffering from umbilical hernia associated with intractable ascites. Through a period of 10 years, 17 out of the 164 patients operated on for umbilical hernia were cirrhotic with ascites. In the course of the presentation of the data of such treated patients, the authors point at the increased danger of postoperative complications in ascites-induced umbilical hernia, and the high mortality rate; facts backed up by data from previous study. On the basis of their experiences in ascitic-valve implantation over the past decade, during the past 3 years in 5 cases of refractory ascites-induced umbilical hernia, hernioplasty was performed together with ascitic-valve implantation at the same sitting. The observed good results unanimously speak in favour of the continuation of this method. The authors suggest that such patients have to be referred to those surgical departments/hospitals where the prerequisites for the above mentioned surgical method--personnel and material--are given.

Adult

Cytogenetic studies on rural populations exposed to pesticides.

The authors have carried out cytological analysis of 72 h lymphocyte cultures from peripheral blood and internal examinations of 80 workers professionally exposed to a complex of pesticides and that of 24 control persons. There was a significant increase of chromosome aberrations in relation to the duration of exposure. The additive role of alcohol consumption and smoking in evoking aberrations was also studied with inconclusive results because of the limited number of cases. Internal examinations revealed a more frequent occurrence of acute as well as chronic diseases among the workers aged 21-40 years.

Adult

Saphenous-jugular bypass as palliative therapy of superior vena cava syndrome caused by bronchial carcinoma.

This study discusses the techniques and results of the saphenous-jugular bypass procedure. The operation was introduced into Hungarian medical practice and used for palliation of superior vena cava syndrome (SVCS) resulting from malignant disease. The bypass operation was performed on seven patients to relieve symptoms of SVCS caused by unresectable bronchial carcinoma. Postoperative survival times averaged 6.1 months. The symptoms of SVCS were relieved in all patients and did not recur. This study also compares the operative results of the saphenous-jugular bypass operation with results of the widely known operative techniques.

Antineoplastic Agents