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Biomedical subjects

L Lehotský

Publications and source records attributed to L Lehotský.

3 recordsLinked to original sources
PubMed1995

[Prevention and treatment of lymphatic fistulas after arterial reconstruction in the lower extremity].

Lymphatic fistula is a complication of 2% of surgical vascular reconstruction in the groin especially in the critically ischaemic limb. We investigated the incidence of lymphatic fistula, its prevention and treatment in patients at the Department of Surgery of the Ruzinov Hospital in Bratislava during the period of 5 years. 7 patients out of 162 (4.44%) had lymphatic fistula in the groin. The patients underwent 172 operation involving 209 groin incisions. Lymphatic fistula developed in 7 groin incisions--3.34%. Operations included 36 aortobifemoral bypass procedures, 2 unilateral bypass procedures, 76 femoropopliteal bypass procedures or profundoplastic surgeries, 48 embolectomies. The diagnosis was based upon the clinical findings of the characteristic persistent watery discharge in the groin after vascular operation. Conservative treatment was successful in all patients, the average duration of lymphatic fistula was 27.2 days. Lymphatic fistula may be complicated in 25% of patients by wound infection but it shouldn't be regarded as the first degree of infection in vascular surgery. (Ref.12)

Adult↗
PubMed1995

[Reasons for conversion in laparoscopic cholecystectomy].

Laparoscopic cholecystectomy (LCH) is a surgical method which is minimally invasive thus enjoying an increasing popularity among both patients among the patients surgeons. Conversion of laparoscopic cholecystectomy is comprehended as a retrieve to the classical surgical method based on laparotomy in any phase of operation. The study deals with reasons for conversion of the initial one hundred LCH which were performed by 7 surgeons at the Department of Surgery in Ruzinov Hospital in Bratislava during the period from 27.11.1992 to 31.3.1994. Out of one hundred cases, 5 LCH required conversion to open laparotomy--5%. The most frequent rate of conversion is from 3 to 8%. Reasons for conversion in our patients include. Impossibility to introduce safety the trocar with the video camera (1x), unclear anatomic situation (1x), bleeding from the cystic artery (1x), perforation of the gallbladder and subsequent leakage of bile and stones in to the peritoneal cavity (1x), technical failure (1x). We cannot comprehend the conversion of LCH as a failure of the operating surgeon. It insinuates that the surgeon is careful and responsible for his patient. It is a sign of his good surgical judgement.

Adolescent↗