Rozhledy v Chirurgii最新文献

Valgus intertrochanteric osteotomy in the management of posttraumatic non-unions and deformities of the proximal femur. 外翻股骨粗隆间截骨术治疗创伤后股骨近端不愈合及畸形。

Rozhledy v Chirurgii Pub Date : 2026-01-01 DOI: 10.48095/ccrvch2026

J Bartoníček, A Chochola, M Tuček, J Alt

{"title":"Valgus intertrochanteric osteotomy in the management of posttraumatic non-unions and deformities of the proximal femur.","authors":"J Bartoníček, A Chochola, M Tuček, J Alt","doi":"10.48095/ccrvch2026","DOIUrl":"https://doi.org/10.48095/ccrvch2026","url":null,"abstract":"Fractures of the proximal femur, i.e., femoral neck fractures and trochanteric fractures, may be associated with a number of late complications. The most frequent of them in-clude non-union, varus malunion, unequal limb length, avascular necrosis of the femoral head, malrotation of the extremity and osteoarthritis of the hip joint. Individual affections are very often combined, for example, varus malunion, short-ening of the limb and its malrotation. This may result in pain, limp and, later, in dis-orders of other joints, especially the knee, and the lumbar spine. In the past, many of these complications were treated with intertrochanteric osteotomy. Currently, however, the indications for osteotomies have significantly decreased due to advances in internal fixation of proximal femur fractures and the introduction of THA. Nevertheless, intertrochanteric osteotomy remains the method of choice in management of certain complications of proximal femur fractures. Not every orthopedist or traumatologist has the capacity to perform these surgeries, but everyone should know about them and their indications. The aim of this article is therefore to give a brief overview of the current possibilities of valgus intertrochanteric osteotomy in the management of posttraumatic -non-unions of the femoral neck.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"105 1","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Applicability of augmented reality in perioperative liver resection. 增强现实技术在围手术期肝切除术中的应用。

Rozhledy v Chirurgii Pub Date : 2026-01-01 DOI: 10.48095/ccrvch202668

I Tomyak, A Nikov, M Oliverius, R Novotný, Z Šubrt

{"title":"Applicability of augmented reality in perioperative liver resection.","authors":"I Tomyak, A Nikov, M Oliverius, R Novotný, Z Šubrt","doi":"10.48095/ccrvch202668","DOIUrl":"https://doi.org/10.48095/ccrvch202668","url":null,"abstract":"Introduction: Liver resection ranks among the most technically demanding abdominal procedures, requiring detailed knowledge of complex three-dimensional anatomy. Augmented reality (AR) represents an innovative technology that overlays digital information on the surgical field and may serve as a tool for perioperative navigation.Methods: A systematic search of PubMed, MEDLINE, and Cochrane databases was conducted for studies published between January 2022 and August 2025. Only articles in En-glish focusing on human subjects and describing the use of AR during liver resection were included. A total of 133 studies were identified; after removing duplicates, 67 remained. Based on predefined criteria, 10 studies were finally considered relevant for analysis.Results: The analyzed studies involved 649 patients, of whom 245 underwent liver resection with AR assistance. Five were retrospective with control groups, three were single-arm, and one was prospective. Most studies demonstrated that AR improved intraoperative orientation, facilitated lesion localization, and could reduce blood loss and operative time. In cases of deep-seated lesions, AR was associated with wider resection margins, higher R0 resection rates, and fewer conversions. Conversely, long-term oncologic outcomes and postoperative complication rates were not consistently affected.Conclusion: AR appears to be a safe technique with the potential to enhance the precision of liver resections and support intraoperative decision-making. Nevertheless, large prospective trials and further technological advances in registration and tissue deformation correction are required before routine clinical implementation.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"105 2","pages":"68-74"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A large posterior fragment in pertrochanteric fractures - pathoanatomic and 3D CT study. 股骨粗隆骨折后大块碎片的病理解剖和3D CT研究。

Rozhledy v Chirurgii Pub Date : 2026-01-01 DOI: 10.48095/ccrvch2026113

J Bartoníček, R Bartoška, J Skála-Rosenbaum, J Alt, O Naňka, M Tuček

{"title":"A large posterior fragment in pertrochanteric fractures - pathoanatomic and 3D CT study.","authors":"J Bartoníček, R Bartoška, J Skála-Rosenbaum, J Alt, O Naňka, M Tuček","doi":"10.48095/ccrvch2026113","DOIUrl":"https://doi.org/10.48095/ccrvch2026113","url":null,"abstract":"Three-part pertrochanteric fractures with a large posterior fragment have been reported both in historical and recent 3D CT studies, however, without a detailed description.Material and methods: From the collection of the Institute of Anatomy, the authors obtained 6 specimens of hip joints of individuals who had sustained a three-part pertrochanteric fracture with a large posterior fragment, and 7 patients with the same type of fracture were identified in a cohort of 56 patients with a trochanteric fracture documented by 3D CT reconstructions. The study focused on the anatomy of the posterior fragment, the courses of the fracture lines, the integrity of the medial cortex and the lateral trochanteric wall.Results: Two types of the posterior fragment were identified, the quadrangular and the triangular ones. Separation of either of them markedly weakened the lateral trochanteric wall, more specifically, one quarter to two-thirds of its lateral surface. The triangular fragment was associated with shear instability on the medial aspect of the proximal femur and was markedly displaced in 5 of 7 cases. Exact identification of the shape and size of the posterior fragment was impossible with the use of postinjury radiographs alone.Conclusion: In agreement with historical and recent CT studies, the findings of this study confirm the existence of a three-part type of pertrochanteric fracture with a large posterior fragment, and provides its detailed description, including its relevance to clinical practice.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"105 3","pages":"113-122"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burn MASCAL - a comprehensive case report. Burn MASCAL -一个全面的案例报告。

Rozhledy v Chirurgii Pub Date : 2026-01-01 DOI: 10.48095/ccrvch2026

J Šimek, K Šmejkal, H Trlica, P Knížetová, L Hána, T Henlín, Radek Pohnán

{"title":"Burn MASCAL - a comprehensive case report.","authors":"J Šimek, K Šmejkal, H Trlica, P Knížetová, L Hána, T Henlín, Radek Pohnán","doi":"10.48095/ccrvch2026","DOIUrl":"https://doi.org/10.48095/ccrvch2026","url":null,"abstract":"Introduction: Managing a large number of seriously injured patients (massive casualties - MASCAL) is a situation faced by medical teams in war conflicts and during disasters. MASCAL is an incident with a mass receive of injured patients, where the number of casualties exceeds the capacity and capabilities of the healthcare facility, placing enormous demands on the work of medical teams and effective management of limited human and material resources.Case report: In this communication, we describe a burn-related MASCAL that occurred in Kabul following a gas cylinder explosion. Within a 72-hour period, a ROLE 3 field hospital at the Kabul base received and treated 71 patients with deep burns covering 5-90% of their body surface area. Despite the exceptional scale of this tragedy, it was managed successfully through a staged system of care delivery and subsequent redistribution of burn patients to other alliance healthcare facilities.Conclusion: Receiving a mass influx of patients with extensive burns is one of the most medically, organizationally, and logistically challenging situations, placing extreme demands on the healthcare delivery system. MASCAL situations require a rapid and coordinated response with established treatment priorities and a prepared strategy for the efficient distribution of personnel, supplies, and equipment.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"105 1","pages":"35-44"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rupture of the gastric serosa due to a pancreatic pseudocyst as a cause of hemoperitoneum. 胃浆膜破裂由胰腺假性囊肿引起的胃浆膜破裂，是引起腹膜出血的原因

Rozhledy v Chirurgii Pub Date : 2026-01-01 DOI: 10.48095/ccrvch202686

J Cagaš, M Kožnárková, M Král

引用次数: 0

ChatGPT-4o in pediatric surgery and urology: current possibilities and limitations in everyday use in Czech hospitals. chatgpt - 40在儿科外科和泌尿外科：目前在捷克医院日常使用的可能性和局限性。

Rozhledy v Chirurgii Pub Date : 2026-01-01 DOI: 10.48095/ccrvch2026

J Trachta, L Poš

{"title":"ChatGPT-4o in pediatric surgery and urology: current possibilities and limitations in everyday use in Czech hospitals.","authors":"J Trachta, L Poš","doi":"10.48095/ccrvch2026","DOIUrl":"https://doi.org/10.48095/ccrvch2026","url":null,"abstract":"This narrative review article describes the possibilities and limitations of using the -ChatGPT-4o language model in pediatric surgery and urology in Czech hospitals. -Based on a review of 45 research and media sources published between 2023 and 2025, the article explains the basic principles of how the chatbot works and divides the possibilities of using ChatGPT-4o into those that are realistic in current practice and those that are potential in the near future. The model can serve as a tool in the education of medical students and doctors preparing for specialization or as a useful assistant in writing academic papers. ChatGPT-4o can be used in communication with children and their parents as an understandable source of information and answers to lay questions in preparation for investigations and operations. It can be used as a data collection tool in monitoring long-term complications, quality of life, and subjective perception of the perioperative period. It can help doctors as a consultation tool in the diagnostic and investigation process or when writing outpatient reports and surgical protocols. Potential future uses of the chatbot include the integration of all clinical data about the patient, generating admission and discharge reports or the role of an intraoperative multimodal AI assistant. Ethical risks are discussed, particularly in the areas of authorship, reli-ability of chatbot outputs, and personal data protection. The introduction of European legislation on the use of AI, not only in healthcare, is mentioned. Based on personal experience, the authors recommend the use of the latest ChatGPT model as a useful support tool in the daily practice of pediatric surgeons and believe that the practical usefulness of chatbots will continue to grow over time.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"105 1","pages":"20-28"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Circumcision for penile deep burn with phimosis. 阴茎深烧包茎包皮环切术。

Rozhledy v Chirurgii Pub Date : 2026-01-01 DOI: 10.48095/ccrvch2026

Y T Weng, J Bartková, I Di Santo, Y S Yu, Ch W Wu, Ch Ch Hou, S L Tsai, T H Liu, D W Huang, Y S Tzeng

{"title":"Circumcision for penile deep burn with phimosis.","authors":"Y T Weng, J Bartková, I Di Santo, Y S Yu, Ch W Wu, Ch Ch Hou, S L Tsai, T H Liu, D W Huang, Y S Tzeng","doi":"10.48095/ccrvch2026","DOIUrl":"https://doi.org/10.48095/ccrvch2026","url":null,"abstract":"In this case report, we present the management of an uncommon case of genital burns in a patient with pre-existing phimosis. Generally, a burn wound on the prepuce is -treated with a standard burn wound care strategy; however, in this case, circumcision was performed to address both the phimosis and the genital burns simultaneously. To the best of our knowledge, no similar cases have been reported in the literature. Genital burns are not often encountered due to their protected anatomic location and the additional coverage provided by clothing. Thus, genital burns are usually associated with extensive total body surface area (TBSA) burn injuries. Currently, there is no available standardized algorithm or treatment guideline for genital burn injuries. The treatment of burns in this region is primarily conservative. In this case, a 55-year-old male patient presented with extensive scald burn injury, including genital burns. He was diagnosed with third-degree scald burns on both upper extremities and deep second-degree burns on the lower extremities, abdomen, perineum and genitals, covering 46% of the TBSA. However, his penis was protected by native phimosis. We performed fluid resuscitation and burn wound management, including circumcision. The use of circumcision as a simultaneous treatment for genital burns and phimosis led to a highly favorable outcome, including good wound healing, effective pain control, satisfactory prognosis, and excellent cosmetic appearance.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"105 1","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Posterior thigh flap in the reconstruction of the perineum and scrotum after Fournier's gangrene. 股后皮瓣在富尼耶坏疽后会阴阴囊重建中的应用。

Rozhledy v Chirurgii Pub Date : 2026-01-01 DOI: 10.48095/ccrvch2026128

G Marková, A Fibír

{"title":"Posterior thigh flap in the reconstruction of the perineum and scrotum after Fournier's gangrene.","authors":"G Marková, A Fibír","doi":"10.48095/ccrvch2026128","DOIUrl":"https://doi.org/10.48095/ccrvch2026128","url":null,"abstract":"Objective: The posterior thigh flap is a fasciocutaneous flap predominantly based on perforating branches of the profunda femoris artery and the medial circumflex femoral artery, with additional vascular supply from perforators of the inferior gluteal artery. It can be used for reconstruction of perineal defects.Method: We describe the case of a 40-year-old man with extensive Fournier's gangrene resulting in complete loss of perineal skin coverage, the entire scrotum, and a large portion of penile skin. After radical necrectomies, intensive resuscitation for septic shock, and supportive therapy including hyperbaric oxygenation, the defect was reconstructed using bilateral posterior thigh flaps. All procedures were in accordance with the Helsinki Declaration.Results: The postoperative course was uneventful. Both flaps remained fully viable, and donor sites healed per primam. No further necrectomy or surgical revision was needed.Conclusion: The posterior thigh flap represents a reliable and safe method for reconstruction of extensive perineal defects with acceptably low donor-site morbidity.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"105 3","pages":"128-133"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimization of burn patient transfers - transporting patients to specialized centers in the Czech Republic. 优化烧伤病人转移-运送病人到专门的中心在捷克共和国。

Rozhledy v Chirurgii Pub Date : 2026-01-01 DOI: 10.48095/ccrvch2026107

J Bartková, V Přichystalová, G Bakšová, I Tresnerová

引用次数: 0

Immediate breast reconstruction with implants in patients undergoing mastectomy for carcinoma - review article. 乳房切除术后立即用假体重建乳房-综述文章。

Rozhledy v Chirurgii Pub Date : 2026-01-01 DOI: 10.48095/ccrvch202680

K Rošetzká, M Patzelt, A Sukop

{"title":"Immediate breast reconstruction with implants in patients undergoing mastectomy for carcinoma - review article.","authors":"K Rošetzká, M Patzelt, A Sukop","doi":"10.48095/ccrvch202680","DOIUrl":"https://doi.org/10.48095/ccrvch202680","url":null,"abstract":"Immediate breast reconstruction (IBR) with implants has become an integral part of comprehensive care for patients undergoing mastectomy for breast cancer. This review summarizes current evidence on indications, contraindications, surgical techniques, complications, and clinical outcomes of IBR with an implant. Properly selected pa-tients benefit from enhanced psychological well-being, shorter recovery, and improved cosmetic results. IBR is primarily indicated in women with stage T1-T2 tumors without metastases. Contraindications include advanced disease, the requirement for adjuvant radiotherapy, comorbidities such as diabetes mellitus, obesity, or smoking, and poor skin flap qual-ity. The most widely used surgical approach is the direct-to-implant (DTI) technique, allowing definitive reconstruction in a single operation. Potential complications include infection, seroma, capsular contracture, skin necrosis, and implant exposure. Their incidence depends on tissue quality, surgical exper-tise, and patient-related risk factors. Current studies demonstrate that IBR does not adversely affect oncologic safety nor delay adjuvant treatment. In addition, IBR has been shown to be cost-effective and to yield high patient satisfaction, particularly in domains of body image, sexuality, and psychosocial adjustment. In conclusion, IBR with implants represents a safe and effective reconstructive option for appropriately selected patients.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"105 2","pages":"80-85"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0