Biomedical subjects

M Hut'an

Publications and source records attributed to M Hut'an.

At least 19 recordsLinked to original sources

PubMed2005

[Prevention of the anastomosis dehiscence following low anterior rectal resections].

Authors analyse 106 patients that were operated in their department by Dixon's method, in retrospective study. They analyse indications for operations, lesions distance in rectum, endosonographic and CT findings. Basic principles of the operation technique are adequate blood flow, sufficient colon mobilization and tightness of the anastomosis being supplemented with transanal pertubation. Out of early complications anastomosis dehiscence appeared in 6 patients (e.g. 5.6%) out of which 4 were treated conservatively and 2 were being reoperated on (by axial ileostomia and drainage). In discussion different opinions on preoperative preparation, neoadjuvant therapy, presacral drainage, transanal pertubation and other decompressive techniques are anticipated.

Adult↗

PubMed2005

[Giant retroperitoneal liposarcomas].

According to literature liposarcomas account to less than 0.1% of all human tumors, 13% of which are localiced retroperitoneally. Authors describe two cases of giant retroperitoneal liposarcoms treated in their department. CT findings and the course of the disease discussed. Conlusively authors remark of high probability of microscopical residual disease with need of patients' follow up with eventual reoperation and adjuvant radiotherapy.

Aged↗

PubMed2001

[Rupture of the laparotomy incision and its suture using Ventrofilm].

The authors analyze a group of patients operated at their department with the objective to assess factors involved in the development of ruptures of laparotomic wounds and to evaluate resuture by suspended ventrofil stitches. In the whole group of 5554 laparotomized patients the incidence was 0.4%, in 1685 urgently operated patients the incidence was 0.9%. In the discussion the authors analyze some factors of rupture and consider the personality of the surgeon an important factor. For resuture suspended sutures using Ventrofil proved useful. The problem of suspending suture in primary operations in risk patients is still doubtful similarly as the closure of the laparotomic wound in abdominal compartment syndrome.

Humans↗

PubMed2001

[Treatment of gunshot wounds of the liver].

The objective of the work was to draw attention to the rising trend of gunshot wounds of the abdomen with affection of the liver. The authors analyze their own group of five patients with gunshot wounds of the liver incl. one who died during the resuscitation operation, another one on the 15th day from complications, two recovered without sequelae, and the fate of one was unknown as he was referred to another department. In the discussion the authors deal with diagnostic methods, classification of hepatic injuries, indications for surgical revision, trends of expectation tactics, complications and in particular possible therapeutic procedures leading to arrest of haemorrhage and definite treatment.

Adult↗

PubMed2000

[Modern trends in the treatment of diffuse peritonitis].

The authors describe new approaches to the treatment of diffuse peritonitis, using the Mannheim Peritonitis Index scoring system. Depending on the score, the authors determined the types of additional surgical procedures such as "sipping drainage", laparostomy and repeated laparotomies.

Female↗

PubMed2000

[The current method of staging gastrointestinal (GIT) tumors].

The authors analyzed in a retrospective study the stage of carcinomas of the stomach and colorectum in their material. In 1996-1998 they operated 35 patients with gastric tumours and 77 patients with colorectal cancer. In both groups they operated more than 50% of the patients in the IIIrd or more advanced stage of the disease. 22.8% gastric tumours and 19.5% colorectal tumours were operated in the acute stage. The situation in the group is alarming, it is essential to improve the early diagnosis and thus also treatment in all links of the chain: patient--attending physician--surgeon--society.

Adenocarcinoma↗

PubMed2000

[Methods of surgical treatment of necrotizing pancreatitis].

The authors present a group of 49 patients operated on account of acute necrotizing pancreattis in 1990-1999. They describe the indications and methods of treatment. The principle of treatment was careful necrosectomy with an additional procedure which involved rinsing and drainage of the omental bursa, laparostomy ("open packing") or a combination of both methods. They re-operated 20 patients where they performed a total of 57 re-operations. Fifteen patients died (30.6%) which according to the literature corresponds to the mortality quoted in this group of the most severely affected patients.

Adult↗

PubMed1999

[Complications of colostomy--how to avoid them].

According to data in the literature complications develop in association with colostomy in 20-66% of patients, occlusion of the colostomy occurs in 10-17%. The authors analyze their own group of 122 patients where in 1994-1998 a colostomy was made. Sixty-two patients were operated with developed ileus, 19 colostomies were later abolished and the passage per vias naturales was reconstructed. The authors recorded 38.5% complications, they were most frequent in axial transversostomies and sigmostomies, wound infections were most frequent. For prevention of complications the authors emphasize that stricter indications for colostomy should be used. The same applies to the selection of the type and site of colostomy and exact surgical technique, ATB prophylaxis and lavage, use of modern stomic appliances, perspectives of using the laparoscopic technique.

Adult↗

PubMed1998

[Bile leak after surgery of the gallbladder and bile ducts].

The authors present a brief review of the most frequent complications of operations of the gallbladder and biliary pathways and demonstrate a group of patients of the Department of Surgery of the hospital and policlinic Ruzinov in Bratislava treated during the last six years. They emphasize conservative treatment of escape of bile except cases of acute biliary peritonitis or peroperatively revealed lesions of the biliary pathways. In the conclusion they submit an algorithm of treatment of escape of bile after surgery of the gallbladder and biliary pathways.

Bile↗

PubMed1997

[Carcinoma of the gastric stump].

The authors present a group of seven patients operated in 1992 to 1996 on account of carcinoma of the gastric stump. All patients had a Billroth II resection at the age of 52 to 77 years. The mean period after resection was 21.3 years. In three patients total gastrectomy was made, in three patients subtotal resection and only in one patient a palliative anastomosis. The mortality within 30 days was 0%. The survival period was not evaluated as the data were incomplete. In the discussion the authors mention factors pertaining to the predisposition and pathogenetic mechanisms of development of the disease. For prevention gastroenterological dispensarization is necessary and preference of a gastroenteroanastomosis with a minimal alkaline reflux (Roux-Y, Eiselberg a anastomosis).

Aged↗

PubMed1996

[Injury of the femoral vein--a complication in inguinal hernia surgery].

In a 21-year-old patient with recurrence of the right-sided inguinal hernia the right femoral vein was injured during the operative repair. The vein had to be reconstructed by the use of the right saphena vein and anticoagulative therapy was begun. Since the coagulation parameters were satisfactory the haematoma was produced in the operative wound and had to be evacuated through the second operation. The next operative course was without complications and the patient with healed operative wound was discharged from the hospital at the 13th hospitalization day.

Adult↗

PubMed1996

[Personal experience with the Lichtenstein surgical method in recurrent abdominal hernia].

The authors present a group of 21 patients treated with the method of Lichtenstein with the use of polypropylene mesh Prolen. They used the method of an "inlay" mesh for recurrent groin and epigastric hernias, mostly by men. The men:women ratio was 19:2. They emphasise better healing, early recovery to work and almost no wound infection by use of this method.

Adult↗

PubMed1995

[Evaluation of the clinical status of patients with gastrointestinal hemorrhage and acute pancreatitis using the APACHE II score].

In the group of 35 patients with gastrointestinal bleeding and in the group of 15 patients with acute edematous pancreatitis before beginning of treatment Apache II score was calculated. The obtained score values ranging from 2 to 18 were subsequently compared with the duration of the interval from appearing of the clinical signs to the beginning of treatment, the way of treatment, duration of hospitalization and recurrence of the diseases during hospitalization. The relations were evaluated through correlation analysis and T-test. Although the studied relations were in our conditions statistically insignificant we suppose, that Apache II score contributes to detachment of clinical assessment of patient in correlation to its severity and prognosis.

APACHE↗

PubMed1995

[Right-sided pneumothorax--a complication of laparoscopic cholecystectomy].

In a 49-years old woman cholecystolithiasis was confirmed by sonography and she was admitted for laparoscopic cholecystectomy. During the operation right-sided pneumothorax developed as a result of the injury of diaphragma by monopolar electrocautery. Operation was converted and the injury was treated by continuous suture. Carbon dioxide was spontaneously resorbed from thoracic cavity during the 5 days following the operation without tube thoracostomy. The operating wound was healed per primam and the patient was discharged on the 14th postoperative day.

Cholecystectomy, Laparoscopic↗

PubMed1995

[Obstructive ileus--a complication of laparoscopic cholecystectomy].

A 45-year old patient admitted with confirmed calculous pancreatitis underwent the laparoscopic cholecystectomy at the 14th day of the hospitalization. 4 days after the operation he had to be reoperated due to small-bowel-obstruction caused by the herniation of the loop through the supraumbilical port. The small bowel was reduced and plasty of the operative wound was done. Postoperative course was uncomplicated and the patient was discharged from the hospital 6 days after the operation.

Cholecystectomy, Laparoscopic↗

PubMed1994

[Personal experience with laparoscopic cholecystectomy].

During the period of 29 months the first 100 laparoscopic cholecystectomies were performed at the Department of Surgery of the Ruzinov Hospital in Bratislava. There were 79 women and 21 men with mean age of 41.5 years (16-67). All operations were modified by the use of only 3 incisions. In 2 patients were the operations converted to open colecystectomy because of perforation of gallbladder in 1 patient because of bleeding. The average operating time was 99.1 minutes (35-225). Intraoperative cholangiography was not carried out in any patient. 2 patients were reoperated because of slipping of the clips from ductus cysticus and 1 patient because of hernia in a scar. All laparoscopic cholecystectomies were planned. The average hospital stay was 5.8 days (3-12). There was no death in our series.

Adolescent↗

PubMed1993

[Use of the Apache II scoring system for clinical evaluation of the status of patients with gastrointestinal hemorrhage].

The Apache II scoring system has been used to identify a clinical status of 10 patients, admitted to the intensive therapy unit with bleeding to gastrointestinal tract during the period 1. January - 30. Juni 1992. There were 9 men and 1 woman with mean age of 61.5 years (37-82). Apache II score was calculated before beginning of treatment and 4 times during following 3 days every 12 or 24 hours. The mean score before beginning of treatment was 9.7 (5-17). All the patients were treated exclusively by the conservative therapy with mean length of hospitalization 8, 1 days (4-12). The score during the therapy has had a decreasing tendency and statistically significant decrease came after 72 hours of treatment. Mortality rate at mentioned values was zero. The use of the Apache II scoring system contributes to improvement of clinical judgment of patients with gastrointestinal bleeding.

Adult↗

PubMed1990

[The present status of vascular surgery and perspectives for its development in Slovakia].

The authors submit information on the state of vascular surgery in the SSR. The report is based on statistical data and numbers of different operations obtained from questionnaires in 1987 and 1989. In the number of vascular operations we lag behind after some European countries as well as after the Czech Socialist Republic. Consistent with the concept of surgery, departments of vascular surgery should be established in all hospitals polyclinics type III and in selected hospitals polyclinics type II with a catchment area with a population of more than 300,000. For this a material and technical basic and trained personnel must be ensured.

Czechoslovakia↗