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V Prosek

Publications and source records attributed to V Prosek.

14 recordsLinked to original sources

[The importance of perforators in surgical treatment of varices of the lower extremities].

The authors discuss the role of insufficient perforating veins in the surgical treatment of primary varicosities of the lower extremities. They evaluated the frequency and site of insufficient perforating veins in 284 patients, operated in 1989-1991. Insufficient perforating veins were found in 21.8% operated patients. Most frequently insufficiency of perforating veins of Cockett's group was found, i.e. in 77.4%. Patients who were operated on account of a relapse of varicosities had insufficient perforating veins in 38% and in patients with trophic skin changes insufficient perforating veins were found in 78.5%. The haemodynamic role of perforating veins and their importance with regard to relapses of varicosities is discussed. The authors describe their own diagnostic and therapeutic procedure.

Adult

[14 years of the peritoneal dialysis program at the internal medicine department in Strahov (1978-1991)].

The authors present an account of 14 years experience of the department as regards treatment of chronic renal failure by peritoneal dialysis. Initial experience revealed that this method is feasible as an alternative of haemodialyzation treatment even in case of limited technical possibilities (using the so-called bottle system) but treatment was associated with a high incidence of peritonitis. During the subsequent period the incidence of peritonitis was substantially reduced in conjunction with the elaboration of hygienic provisions, enlightment of patients and a change from the regime of continual exchanges in a home environment to a regime of intermittent peritoneal dialysis performed mostly in hospital. Experience assembled in the department was also important. The longest period of treatment is 60 months. In another 18 patients it is more than 20 months. The most frequent cause of termination is loss of the ultrafiltration capacity of the peritoneum. Several patients had successful transplantations. The prolonged experience can be used at present when the so-called bag system is introduced.

Adult

[Dieulafoy's disease--an uncommon cause of severe gastrointestinal hemorrhage].

Morbus Dieulafoy described in the European literature as exulceratio simplex, in the English and American literature as a gastric aneurysm or submucosal arterial malformation is a life endangering haemorrhage which, if treated conservatively, leads to death by exsanguination. It is haemorrhage from an aroded medium-sized or major artery with a possible mucosal defect with a minimal or no inflammatory reaction. The localization on the anterior or posterior wall of the fundus or body of the stomach is typical. There are, however, also cases of haemorrhage from a submucosal artery in other parts of the GIT--pylorus or even jejunum (3, 5). In the presented case-history the authors describe an atypically located source of haemorrhage in a parapapillary position on the descendent part of the duodenum.

Aged