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T Barta

Publications and source records attributed to T Barta.

At least 19 recordsLinked to original sources
PubMed2001

[Antireflux procedures at our unit (1990-1999)].

UNLABELLED: A retrospective analysis was carried out to evaluate the changing attitude of antireflux surgical practice of the authors. Between 1990 and 1994 24 antireflux procedures were performed. Laparoscopic antireflux surgery was introduced in 1995. Since then 41 laparoscopic and 23 open repairs have been performed. Indication for surgery was always based on thorough preoperative examination protocol including functional tests of the esophagus. Each patients had undergone endoscopic and X-ray examinations. The patients are under continuous follow-up surveillance. During the postoperative follow-up studies more than 2/3 of the patients (61 patients) agreed to carry out the functional tests postoperatively. RESULTS: The demographic data of patients of the two study periods proved to be comparable. The length of history was 10.5 years in the first group, while it was 8.9 years in the second group. In both groups the surgical repair caused significant reflux control confirmed by decrease of reflux index and number of reflux episodes furthermore by increase of resting lower esophageal sphincter pressure. Actually 4 recurrences are known in the first group and 2 in the second group. One of the 4 recurrences observed in the first period was treated by redo surgery. The patients having recurrences in the second period can easily be managed by medical therapy. There was no mortality and severe morbidity during the study periods. Few patients reported mild temporary dysphagia. CONCLUSIONS: In a given proportion of reflux patients the individually planned and perfectly performed antireflux surgery offers an acceptable definitive treatment option. The availability of endoscopic surgery enhances this trend, which can be seen all over the world. An increase can be seen in the number of procedures: nearly three times more patients were operated on during the second period. The early clinical results of laparoscopic antireflux procedures are good enough. Good long-term results can be expected if we accept and apply the basic technical principles determined during the open surgery era.

Adolescent↗
PubMed1995

[The role of sonography in laparoscopic cholecystectomy].

Between January 1991. and December 1993. in the 3rd Surgical Department of Semmelweis Medical University 735 laparoscopic cholecystectomies were performed. Intraoperative and postoperative complications occurred in 2.7% and 3% respectively. Conversion to open procedure was necessary in 8.4%, reintervention was indicated in 2.3%. The total occurrence of common bile duct stones was noticed in 1.6%. The incidence of bile duct injury 0.54%. The role of sonography in laparoscopic cholecystectomy is multiple: patient-selection, diagnosis of complications, ultrasound guided interventions in cases of complications, follow up of patients. The authors compared in 419 cases the preoperative sonography with the intraoperative finding. The risk of intra- and postoperative complications was significantly higher if the stone was impacted into the cystic region, if the gallbladder was enlarged, especially with wall-thickening and signs of acute inflammation. The fibrosis and scarring of gallbladder represent an increased risk as well. The accuracy in estimation of common bile duct dilatation is very high, but in the judgement of bile duct stones there was a high false positive rate. In spite of this, the echography is very well applicable for patient-selection. In the patient group selected with positive sonographical finding for open cholecystectomy, the prevalence of common bile duct stones was 25%, compared with 1.6% in laparoscopic group. In cases of postoperative complications the diagnostic sonography may be followed with ultrasound-guided puncture and/or drainage.

Adolescent↗
PubMed1993

[Laparoscopic cholecystectomy].

Traditional cholecystectomy has been the standard surgical treatment of the gallstone disease for more than 100 years. The technical development led to a new surgical procedure and its rapid acceptance. This is laparoscopic cholecystectomy. Its application is becoming widespread in therapy too. But most of the surgeons are lack of technical experiences in this field. Currently it restricts the indications those are anyway the same of standard cholecystectomy. Besides its many advantages, laparoscopic cholecystectomy has its own disadvantages and being an invasive procedure, there are possibilities of complications. The latest can be reduced by the adequate choice of patients, the careful learning of the operative technic and by turning to open surgery (conversion) when it is necessary. Its morbidity is nearly equal to complications of standard cholecystectomy, but mortality rate is lower (0.05-0.2%). Our morbidity of performed 300 laparoscopic cholecystectomies was 6.4%. We had no death. The hospitalization became as short as 4 days. Our early clinical results (90%) are the same of traditional cholecystectomy. Laparoscopic cholecystectomy as a new surgical procedure involves the efficiency of the standard cholecystectomy and the noninvasive endoscopic technic. Laparoscopic cholecystectomy performed by well trained surgeons is a safe surgical procedure, its early results are excellent and makes the choice of surgical treatment, used in bile surgery richer.

Acute Disease↗
PubMed1993

[Complications of Crohn disease, surgical indications, surgical solutions and recurrence].

There is not another disease, of which complications would be such frequent and various as of Crohn's disease. One of the most common complications is intestinal obstruction, caused by angulation and stricture, as a result of inflammatory granulomas. Fistulas between affected intestines and cavital organs or the abdominal wall can also often be observed. The likelihood of appearing complications is correlating with the time from the onset of the disease. If they are dangerous for the patient's life, surgical intervention is required. In some of the cases, when complications don't threaten the patient's life, medical treatment may be beneficial. Surgery is indicated only in those cases, when complications mean danger, or the continuous active medical treatment is insufficient. Most frequently the resection of the damaged intestine is performed, nowadays stricture plasty is also recommended. The operative mortality is 4.1%. The disease is featured by frequent recurrences: 28% to 33.3%. The current operative mortality is 18.6%. The prognosis is always uncertain, because recurrence may occur many years after operation.

Crohn Disease↗
PubMed1992

[Etiology, symptomatology, diagnosis, differential diagnosis and management of Crohn disease].

The non specific, chronic, inflammatory, granulomatous Crohn's disease is not common in our country. Despite wide clinical and experimental experiences, its etiology hasn't been cleared yet. Its symptoms are especially various. The diagnosis--particularly in early stages--despite the clinical feature and modern diagnostic methods, is difficult. Only histology can give exact diagnosis. However Crohn's disease often can be diagnosed only on the basis of clinical symptoms, later appearing complications featuring this disease--particularly fistula--and indirect histological changes that can be seen in biopsy. Differential diagnosis--particularly in early stages--is also difficult, as the symptoms of Crohn's disease may be similar to symptoms of any other abdominal diseases. The therapy of Crohn's disease is mainly medical, even in some of those cases, when the occurring complications don't threaten the patient's life. Remission doesn't mean total recovery. Even by supporting treatment the disease may relapse at any time. Surgical treatment in indicated only in those cases, when complication occur threatening the patient's life, when active medical treatment is insufficient, or despite medical treatment progression can be observed.

Crohn Disease↗
PubMed1990

The use of CO2 laser in plastic surgery and dermatology.

The applicability of TLS61 CO2 developed in Hungary was investigated in dermatological-plastic surgery. This apparatus can be used with benefit in certain plastic operations, like lipectomy, dermabrasion, removal of keloid-tattoo and skin excisions.

Humans↗
PubMed1989

[Vasovagal arrest in microlaryngoscopy].

The author analyzes the causes of vasovagal arrest of cardiac activity during microlaryngoscopy when the cardio pulmonary finding is normal. After 1220 microsurgical operations the authors observed in the course of 15 years 86 local lesions of the mucosa incl. transient pareses of the lingual nerve, the glossopharyngeal and hypoglossus nerve (7%). Sudden death occurred only in one patient (0.08%).

Adult↗