PubMed Health⌕ Search

Biomedical subjects

P Bölcskei

Publications and source records attributed to P Bölcskei.

16 recordsLinked to original sources
PubMed1994

[Surgical excision of tracheal and bronchial tumors after endobronchial Nd-YAG laser photocoagulation].

Sixteen patients with tracheal and bronchial (13 malignant and 3 benign) tumours were operated 4-6 weeks after Nd-YAG laser photocoagulation. The indication of the laser photocoagulation was predicted to maintain the airway patency, to aspirate the accumulated secretion due to tumour obstruction and to examine the bronchial system beyond the tumour. The endobronchial laser photocoagulation is applied in most of the cases as a palliative treatment, since its application may contribute to decrease the perioperative complications of bronchial tumours.

Adult↗
PubMed1992

[Thoracoscopic use of staplers. New possibilities for minimally invasive diagnosis and therapy].

Thoracoscopic resection of peripheral lung tissue is possible by using special staplers (Endo-GIA). Main indications for using this technique are the treatment of a spontaneous pneumothorax by resection of bullous lung areas (15 patients) and the excision of macro biopsies for diagnostic reasons (13 patients). It is reported about the technique and the early outcome of these 28 thoracoscopically performed lung resections. This way minimally invasive procedure is combined with well-established surgical technique.

Biopsy↗
PubMed1989

[Treatment of spontaneous pneumothorax].

Experience with 300 episodes of spontaneous pneumothorax in 209 patients is reported. The treatment results of two time periods 1980-1983 (A) and 1985-1987 (B) are compared. During the second period the diagnostic work-up was much more extensive and included pleurography, CT-scan and thoracoscopy. This resulted in a more differentiated therapy and a reduction in the recurrence rate from 41% to 22%. Among the different modes of treatment chest-tube drainage alone had the worst results with a 44% rate of early and late recurrence. Better results were obtained with pleurodesis using fibrin adhesive either through a pleural catheter (24%) or thoracoscopically (13%). Operative treatment had the lowest recurrence rate (4%). In the primary treatment of spontaneous pneumothorax chest-tube drainage had a recurrence rate of 33% and catheter-pleurodesis with fibrin adhesive of 18% while no relapse could be observed in the group treated by thoracoscopy or operation. In the treatment of recurrent pneumothorax chest-tube drainage alone is unsuitable because of a failure rate of 64%. Catheter pleurodesis also had a high rate of recurrence (30%). The best results were again obtained by thoracoscopic (19%) and operative treatment (4%). On the basis of the described experience an individualized approach to the treatment of spontaneous pneumothorax is recommended.

Adolescent↗
PubMed1983

[Pulmonary tuberculosis. 2. Therapy].

Foremost aim of therapy is the preservation of the patient's life and conversion of pulmonary tuberculosis to "negative". Chemotherapy is performed with the combination of two to four drugs. INH and RMP are the most important components of all regimens of chemotherapy. The duration of therapy usually is 9 months, treatment more than 18 months should be the exception. The sole dispense of tuberculostatic drugs is recommended only for chemoprevention and chemoprophylaxis.

Adult↗
PubMed1980

[Respiratory complications in lymphatic neoplasm of the mediastinum. A case report (author's transl)].

In this case report two accidents are described, in which a tracheal stenosis has happened. The stenosis in both cases was evoked by lymphatic neoplasms in the mediastine. The kinetics of the lymphatic fluid in anaesthesia and in intermittent positive pressure ventilation are discussed. The first patient had to be radiated with the "Gammatron" for reduction of lymphatic tissue in the following four days and then he could be extubated. The second patient could be extubated the same day after CPAP breathing for several hours.

Adult↗
PubMed1979

[Coronary vessel abnormalities of aortal origin].

Anomalies of aortal origin of the coronary vascular system are found in approximately one percent of the population and can be exactly documented by coronary angiography. Although such variants of origin and in the coronary vascular course are not associated with an increased incidence in coronary sclerosis, it is important that they be known for several reasons: 1. in order to avoid false interpretations of the coronarogram that can be of grave consequence, 2. for the selection of the correct incision at heart surgery, 3. a very rare anomaly, the origin of the trunk of the left coronary artery in the right Valsalva's sinus, is clearly related to sudden cardiac death in children and youths. A correct diagnosis can be life-saving.

Coronary Angiography↗