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Z Novotny

Publications and source records attributed to Z Novotny.

10 recordsLinked to original sources

Complications of laparoscopic-assisted vaginal hysterectomy, a 1996 survey of the Czech republic.

STUDY OBJECTIVE: To survey laparoscopic hysterectomies performed in the Czech Republic. DESIGN: (Canadian Task Force classification II-3). Setting. Czech Republic. SUBJECTS: One hundred forty-six gynecology departments. INTERVENTIONS: The 1995 AAGL survey of laparoscopic-assisted vaginal hysterectomy (LAVH) in the United States was translated into Czech and sent to 146 clinics performing LAVH. MEASUREMENTS AND MAIN RESULTS: Of the 146 clinics, 34% responded with a total of 733 procedures for analysis. Compared with the United States, complication rates were similar except for two that were more frequent in the Czech Republic: conversion to laparotomy and return to the operating room because of bleeding. These complications should be reduced as more experience is gained. CONCLUSION: It appears that LAVH is replacing abdominal hysterectomy more than vaginal hysterectomy, a trend that should mean less discomfort and shorter hospital stay for patients.

Czech Republic↗

Quantitative histologic features of the normal frontal sinus.

The entire mucosa from 30 normal frontal sinuses was removed, stained by the whole mount method, and the density of goblet cells and mucous glands was determined. There was an average of 6,300 goblet cells per square millimeter without statistically significant differences between the various walls. The glands were small and seromucous. In 87% of the sinuses, the gland density was less than 0.2 glands per square millimeter, and the total gland count did not exceed 40. This represents a totally negligible mucus production, which must be derived predominantly from the goblet cells. The density proved significantly higher in the inferior parts of the sinuses. The findings are discussed in relation to other areas of the respiratory tract.

Cell Count↗

Quantitative histology of the normal ethmoidal sinus.

In 16 patients the mucosa from 32 normal ethmoidal sinuses was removed post mortem and studied by whole-mount methods. In the anterior ethmoidal cells, there was a median density of 0.5 gland/mm2, in the posterior cells 0.13 gland/mm2. The distribution of the glands was irregular, with the highest density around the ostia. Individual variations of density were wide, ranging from 0.07 to 0.81 gland/mm2. The median density of goblet cells was the same in the anterior and posterior ethmoidal cells, about 6,900 cells/mm2. The greater part of the mucous secretion in the ethmoid is produced by the goblet cells.

Cell Count↗

[Clinical features of Cryptococcus neoformans infections].

Two cases of infection with Cryptococcus neoformans are presented. The first showed primary localization in the CNS, while the second occurred in connection with lymphoproliferative malignancy and cytotoxic chemotherapy, with the typical sequence of initial lung infection and secondary meningo-encepha-litis. The important clinical features, development and therapy of the disease are discussed in the light of this personal experience.

Cryptococcosis↗

Correlation between peritoneal fluid and serum antiphospholipid antibodies in women with primary infertility.

OBJECTIVE: To compare the peritoneal and serum levels of antiphospholipid antibodies (aPLs) against the following phospholipids: cardiolipin, L-alpha-phosphatidic acid, L-alpha-phosphatidylethanolamine, 1-alpha-phosphatidyl-DL-glycerol, L-alpha-phosphatidyl-inositol, L-alpha-phosphatidyl-L-serine in immunoglobulin isotypes of G, M, and secretory A. PATIENTS AND METHODS: A group of 107 women with primary infertility were immunologically examined. An ELISA method was used for detection of aPLs. RESULTS: aPL-L-serine and aPL-cardiolipin predominate over peritoneal fluid in all studied Ig isotypes (G, M, secretory A). Levels of aPL-ethanolamine are much higher in peritoneal sIgA and IgM than in sera. There is a predominance of IgG-aPLs-inositol, DL-glycerol, and aPL-acid in serum, and of sIgA in peritoneal fluid. CONCLUSION: Our patients had higher levels of aPLs (IgG, IgM, sIgA) against cardiolipin, serine, and ethanolamine in peritoneal fluid than in sera. The prevalence of aPLs in IgG was against DL-glycerol, phosphatidyl-inositol, and phosphatidic acid. It is quite difficult to estimate whether the aPLs have an influence directly through phospholipid epitopes on uterine mucous membrane, on the surface of oocytes, or on the surface of the early embryo during the fertilization and/or implantation process.

Adult↗