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Biomedical subjects

Z Voboril

Publications and source records attributed to Z Voboril.

12 recordsLinked to original sources
PubMed1990

[Do we amputate too much or too little? A retrospective analysis of the situation in the East Bohemian Region].

A retrospective analysis of 1146 amputations of the lower extremities in five departments of the East Bohemin a region revealed that the number of amputations in the thigh is higher and less frequently preceded by angiographic examination and reconstruction operations of the arteries as compared with distinguished departments abroad. The mortality after amputations was 12.5%. The results call for more intensive training of vascular surgeons and the establishment of vascular surgical departments where it would be possible by early reconstruction operations made in time to prevent amputations or at least shift the height of the amputation in the most distal direction possible.

Amputation, Surgical↗
PubMed1990

[Carcinoma of the gastric stump].

The problems related to the postgastrectomy cancers occurrence are studied in the present work. A total of 65 subjects with postgastrectomy stump's cancer has been managed at Clinic of surgery in Hradec Králové starting from 1955 to 1984. An interval averaged as 26.4 years followed from the gastrectomy up to the cancer' occurrence in postgastrectomy stump. Such an interval was stated to be longer in gastrectomized younger patients. Postgastrectomies of II. type resulted in stomach stump's cancer most frequently. Authors preclude the postgastrectomy patients (II. type especially) are a group of cancer's risk in stomach stump, and are recommended to be covered with the out-patient care. The appropriate findings are compared to those of worldwide literary sources.

Adolescent↗
PubMed1990

[Screening using Krypto-Haem-SSWR for the early detection of colorectal carcinomas and adenomas].

In the last 30 years, colorectal carcinomas have been stated to occur markedly in all industrial countries. From colonic and rectal malignant tumors, the amounts of 4225 in 1961 and 7220 in 1984 were newly registered in GDR. Thus the number of patients with colorectal carcinomas showed the decrease for up to 70.9% starting from 1961. The biochemical Krypto-Haem-SSWR screening test has been implemented during the last few years by members of proctologic section. Colorectal carcinoma was stated in 48 asymptomatic subjects aged more than 45 years, and colonic adenoma in 83, respectively. At present, the yearly screening of occult bleeding into faeces is the unique measure contributing to early recognition of colorectal carcinomas and precancerous lesions.

Adenoma↗
PubMed1990

[Polyps in the rectosigmoid].

A total of rectosigmoidal adenomatous polyps from 1965 to 1987 is scrutinized. Authors refer to 1564 rectosigmoidal adenomas they diagnosed during the 23 years all along with transanal both surgery and endoscopy removal as well as subsequent histology. Patients are life-long submitted to regular rectoscopies, the adenomas being the initiation of adenocarcinomatous transformation.

Adolescent↗
PubMed1990

[Early diagnosis and treatment of small rectal carcinomas].

After a brief review of literary sources, a total of 145 patients with average age 64.5 years is evaluated. Authors report on that the early diagnosed rectal carcinoma (T of Dukes A or CSI + II in accord with Mason) can be removed within the intact tissue either by transanal route or using the posterior proctotomy. The surgery-related mortality is of 0 per cent, the 10-year criterion recovery reaching up to 90%.

Adult↗
PubMed1990

[Subtotal colectomy in the treatment of obstructive tumors in the left half of the colon].

The authors give an account of 14 patients during a two-year period where on account of an occluding tumour of the left half of the colon they performed subtotal colectomy with ileodescendent--in 2, ileosigmoideal--in 10 and ileorectal anastomosis in two patients. After operation and by the time when the material was processed, none of the patients died. Based on data in the literature and the authors' own material, the authors discuss the advantages of subtotal colectomy, as compared with hitherto used multistage procedures. The advantages include in particular a lower operative mortality (0-14%), a higher five-year survival (46%) a markedly lower morbidity, time economy, a shorter period of hospitalization and in particular, the patients are spared colostomy, even temporary one. The authors recommend subtotal colectomy as the method of choice on account of ileus caused by tumourous occlusion of the left half of the colon.

Adult↗
PubMed1990

[Accidental gunshot injury of the common carotid artery in a 19-year-old man].

The author describes a case of a gunshot injury of the right common carotid artery in a 19-year-old man. The injury was caused by a single-shot pistol of German make, calibre 6 mm, Flaubert. The patient was operated at the First Surgical Clinic in Hradec Králové, a reconstruction of the injured artery was made, using a venous patch. The patient recovered per primam. The injury left to sequelae.

Adult↗
PubMed1979

[Pancreas gastricum intramurale submucosum in a 50-years old man (author's transl)].

Aberrant pancreas is a rare anomaly. It may be found by chance while operating or in autopsy and it need not cause any troubles to its bearer. In other cases it may be the cause of acute or chronic disorders. It is reported about a patient with chronic gastric disorders caused by heterotopic aberrant pancreas in the stomach wall.

Choristoma↗