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R Okolicány

Publications and source records attributed to R Okolicány.

4 recordsLinked to original sources

[Intususception of appendical cystadenoma imitating a caecal tumor].

Appendical cystadenoma is one of the histological forms of the appendical mucocele. Preoperative diagnostics is difficult, however, due to potential iatrogennic rupture during a surgical procedure, is very important. The authors present a case review of a 62-year-old patient with itususception of the appendical cystadenoma, until now rarely reported in literature. Upon the preoperative diagnosis the appendical cystadenoma appeared as a caecal tumor or a tumor of the terminal ileum. A histological, intraoperative, diagnosis was established, followed by a final histological examination of the resected tissue. The authors discuss contemporary options of the preoperative diagnostic measures of the appendical tumors, stressing up all risks of aspiration cytology as well as risks of laparoscopic approach in this pathology management

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[The Shouldice operation for inguinal hernia].

Operations of hernias are among the most frequent operations in general and in the SSR they account for 11% of all operations. Despite this incidence of relapse is high and amounts to some 5-30%. In the Surgical Clinic of the Hospital with Polyclinic Bezrucova, the authors operated since April 1, 1988 134 inguinal hernias. They used Shouldice's technique. In the paper the surgical procedure is described. In a perspective study the authors did not record so far any relapses. The incidence of postoperative complications is 8.25%. Despite short-term experience the authors recommend this operation which meets all preprequisites of modern and reliable operations of inguinal hernia - high ligature of the sac, reinforcement of the floor of the inguinal canal, plastic operation of the annulus inguinalis internus and transposition of the funiculus spermaticus.

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