Biomedical subjects

P Brůcek

Publications and source records attributed to P Brůcek.

6 recordsLinked to original sources

PubMed2002

[Acute abdomen after cardiac surgery].

Acute abdomen after cardiosurgery accounts for a minor group of complications, however, they are associated with a high mortality and morbidity. In 2001 in the authors department 940 cardiac operations were performed. In four patients (0.43%) during the early postoperative period acute abdomen developed which called for urgent surgical intervention. Two patients died. Only early diagnosis and subsequent urgent laparotomy can have a positive impact on the prognosis of this group of patients.

Abdomen, Acute↗

PubMed2001

[Less invasive approaches in surgical treatment of aortic valve defects].

Longitudinal median sternotomy is even nowadays the standard approach to operations of the aortal valve. The authors summarize in the submitted paper their experience with operations in 60 patients where replacement of the aortal valve was performed either from a small transverse sternotomy in the second intercostal space or from upper ministernotomy from the jugulum to the fourth (third) intercostal space. One patient died. The low incidence of serious postoperative complications, the rapid rehabilitation of patients and short subsequent period of hospitalization indicate the advantages of this approach. The authors use at present upper ministernotomy as the surgical approach in the majority of operations of the aortal valve.

Adult↗

PubMed1998

[Aortocoronary bypass without extracorporeal circulation].

Extracorporeal circulation is nowadays part of the standard technique of aortocoronary reconstruction. The authors summarize in their paper their experience with operations in 45 patients where an aortocoronary bypass was made on the beating heart without the use of extracorporeal circulation. None of the patients died. The incidence of postoperative complications was low. Rapid rehabilitation of the patients and a shorter period of hospitalization makes this method an alternative standard technique of aortocoronary reconstruction.

Aged↗

PubMed1996

[Treatment of a pancreatic fistula after pancreatic transplantation using the obliterative technic].

The authors present the case-record of a patient after combined transplantation of the pancreas and kidney who developed a chronic duodenocutaneous fistula. The case was resolved by elimination of the duodenocystoanastomosis of the transplanted pancreas and by obliteration of the pancreatic duct of the graft by a polymer. One year after surgery the patient has no complaints and the function of both transplanted organs is satisfactory.

Adult↗

PubMed1992

[Long-term home parenteral nutrition using a totally implanted cannulation system].

A 29-year-old patient suffering from stenosis of the rectum and a periproctal fistula due to a severe form of Crohn's disease was completely fed by the parenteral route for 15 months, incl. 13 months at home, via a totally implanted cannula system Implantofix, Braun Co.. The patient felt throughout the period of parenteral nutrition very well, he worked and the secretion from the fistula stopped after four weeks. After 15 months of complete parenteral nutrition and elimination of oral food intake a marked improvement of the local finding in the rectum was observed. All laboratory findings (haemogram, liver tests, urea, creatinine, transferrin, albumin, cholinesterase and pre-albumin, serum levels of sodium, potassium, chlorides, calcium and phosphates) were throughout the observation period within a normal range. The body weight of the patient increased during the 15 months by 1 kg. The described case is the first one where domiciliary parenteral nutrition was used in Czechoslovakia under ambulatory conditions.

Adult↗

PubMed1990

[Initial experience with the use of monoclonal antibodies in the detection of cytomegalovirus early antigens in patients with transplants].

10 diabetics with kidney and pancreas transplantation (6) and with isolated kidney transplantation (4) underwent examination with the aim to produce evidence of cytomegalovirus excretion (CMV) by the urine. To prove the presence of CMV antigen, the authors used monoclonal antibody produced by DuPont. CMV was found to be present in the urine of 4 patients. The examination lasts max. 48 hrs. It yielded no evidence of interdependence between viruria and the serum levels of the CMV antibodies. Tests for CMV in biological material by means of monoclonal antibody is a modern and quick method which, unlike conventional virological procedures (serology, virus cultivation), plays an important part in clinical medicine.

Antibodies, Monoclonal↗