Biomedical subjects

M A Kasalický

Publications and source records attributed to M A Kasalický.

2 recordsLinked to original sources

PubMed2002

[AESOP 3000--computer-assisted surgery, personal experience].

At present the most widely used system of CAS is a vocally controlled manipulator of the laparoscope AESOP 3000 (Automated Endoscopic System for Optimal Positioning) which makes it possible to implement some operations without the assistance of another surgeon ("Solo-surgery"). Because of financial costs the so far little used equipment ZEUS or DA VINCI are already "master-slave" systems with several robot arms where the surgeon operates by means of manipulators in the controlling unit without direct contact with the patient. At the First Surgical Clinic, General Faculty Hospital and First Medical Faculty Charles Universitx the authors use the robot system AESOP 3000 since March 2000, in particular in laparoscopic gastric banding on account of obesity, in laparoscopic cholecystectomies, laparoscopic gastroenteroanastomoses and operations in the area if the hiatus. This system made it possible to reduce the number of assisting physicians. E.g. in gastric banding one assistant is sufficient, in laparoscopic cholecystectomy it is possible to operate only with a suture nurse. The application of AESOP is particularly useful in laparoscopic appendectomies and inguinal hernioplasties where it makes possible so-called "solo-surgery" or "one man surgery". No doubt, it is however necessary to have the possibility to call immediately another doctor to the operation theatre in case of necessary conversion of laparoscopy of laparotomy. The authors did not record any case of unwanted movement of the robot arm or another serious technical problem. As compared with a manually guided laparoscope during the use of AESOP the number of unwanted or inadequate shifts of the optical equipment or its angular rotation decreased considerably.

Humans↗

PubMed2002

[P.H.S. (Prolene Hernia System) mesh--initial experience].

In 197 among plastic operations of the groin without tension, using a mesh and new method was added: P.H.S.--Prolene Hernia System--mesh. At the Surgical Clinic of the General Faculty Hospital and First Medical Faculty Charles University in Prague this method is used for plastic operations of the inguinal canal since October 1999. Every year some 300 patients with inguinal hernia are operated, incl. 18.7% operations or multiple relapses. 91% of the group are men and the mean period of hospitalization is 4.9 +/- 3 days. The method "under tension" (McVay, Lotheissen) is used on average in 56.2% patients, in the remainder we use methods "without tension": laparoscopic hernioplasty (TAPP) in 26.7%, Lichtenstein's method in 2.4% and hernioplasty by means of PHS in 14.7% of the patients. Since October 1999 we used it so far in 88 male patients, mean age 55.3 years (2-90 years) with 97 primary or recurrent inguinal hernias. In these patients in 36 instances an indirect hernia was involved (37.1%), a direct hernia was present in 59 patients (60.8%). In two patients we found a saddle hernia (2.1%) and 11 patients (11.4%) had a bilateral hernia. In 12 (12.4%) patients we observed haematoma in the subcutaneous layer in the area of the wound and on the scrotum. In 4 (4.1%) patients there was a seroma in the wound, and subfebrile temperatures up to 38 degrees C were recorded in 9 (9.3%), in 4 patients (4.1%) pain or oedema of the testis developed but receded very rapidly. Postoperative hospitalization lasted on average 2.4 days (1-6 days) and the period before return to normal physical activity was 9.9 days (7-16 days). The patients are checked after regular intervals: 2 weeks, 6 weeks, 6 months, 1 and 2 years. Between October 1999 and February 2002 in the group only one relapse occurred after 6 months.

Adolescent↗