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[History of surgery in the Czech Republic and evolution of Czech surgery clinics].

The author presents a brief of the position of the surgery during centuries in Czech. He mentions the conditions for university education of the surgery since 1848. In 1860 the Czech Medical Society was founded and in 1862 the first issue of the Czech Medical Journal (Casopis lékarů ceských) was published. The first Czech lecture was made on 28th April 1882 on the Czech surgery clinic. The climax of Czech desires of revival was the separation of Czech and German clinics in 1882. The development of some medical disciplines, incl. surgical disciplines, made the surgeons abandon the Czech Medical Society and after the establishment of the committee of the Czechoslovak Republic they founded in 1920 the committee of the Czechoslovak Society for Surgery and Gynaecology. There is explained origin of title MUDr., so typical for graduated students on Prague Medical Faculty. The First Surgery Clinic (founded in 1920) of the Charles University and General Hospital in Prague is continuator of the Czech surgery clinic.

Czech Republic↗

Endovascular procedures, carotid endarterectomies, and aortic surgery should preferentially be done by a vascular trainee rather than a general surgery resident.

This article is the result of a debate. The motion proposed was that "endovascular procedures, carotid endarterectomies, and aortic surgery should be done preferentially by a vascular trainee rather than a general surgery resident.'' Arguments in favor of the motion were that with the development of endovascular surgery, there are now less open vascular procedures to perform and hence, vascular trainees needed to hone their skills on these limited cases rather than waste that experience on a general surgery resident. This focused training experience would allow vascular fellows to be become more highly skilled vascular surgeons. Additionally, endovascular procedures are an important component of modern vascular surgery, and it is important for the vascular fellow to develop significant experience with and acquire the appropriate numbers of endovascular cases to get the necessary credentials when going into a vascular practice. Arguments against the motion were that exposure to vascular cases will make a better general surgeon, one who will also be well equipped to deal with trauma cases and situations where the control of bleeding might be life saving. Additionally, the issue of exposure of general surgery residents to vascular cases might be a positive recruitment strategy for future vascular fellows. The motion was carried by a small majority vote.

Aorta↗

Regenerative and reconstructive periodontal plastic surgery. Mucogingival surgery.

Mucogingival surgery currently encompasses surgical management of many defects thought to be untreatable when the term mucogingival surgery was introduced in the 1950s. Mucogingival surgery has now expanded beyond the treatment of recession and problems associated with attached gingiva. Additionally, it would now include correction of ridge form, exposing unerupted teeth for orthodontic treatment, crown lengthening for esthetic purposes, and frenal surgery. With this in mind, mucogingival surgery has been redefined as "periodontal plastic surgery."

Gingiva↗

[Surgical treatment of symptomatic surgery in children using classical techniques versus extended lesion surgery and focal lesion surgery].

In a series of 2400 children 80% had favourablly responded to medication, 60% are seizure-free and in 20% there was significant improvement in further 20% any medication has failed. 200 children have been operated upon because of epilepsy resistant to pharmacological treatment., in 80 = 3% classical methods of removal of the epileptogenic substrate (lobectomies, hemisphereectomies, topectomies and disconnective techniques) have been applied. In 120 cases verified symptomatic epilepsy associated with the leading symptom of untreatable attacks due to aetiological lesions as benign neoplasms, scars, angiomas, cysts lesionectomies extended by focectomies have been performed (with a seizure result of 77.6%). The pathological substrate of the epileptic excitation area has been localized and tailored by repeated diagnostic associated bioelectrical and neuroradiological procedures (EEG, BEAM, SPECT, NMR) Since at least many years after the operation nearly 2/3 of the patients remain seizure-free our methods have proven themselves as a useful and noninvasive tool for the focus localization. The plasticity of the developing brain has resulted in a very impressively favourable outcome particularly in the seizure-free children as far as it concerns the intellectual level and social validation. On neurological testing there was no deterioration. On psychological and neurolinguistic exploration there was an evident improvement of gnostic orientation and quality of life; speech functions are fairly good for current and fluent communication.

Child↗