Rozhledy v Chirurgii最新文献_第2页

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024294

L Martínek, J Hoch

引用次数: 0

Conservative therapy for acromioclavicular joint dislocation - Rockwood III: a cohort analysis.

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.5.181-186

J Kovařík, M Krtička, D Ira, P Dráč, K Benešová, P Korpa

{"title":"Conservative therapy for acromioclavicular joint dislocation - Rockwood III: a cohort analysis.","authors":"J Kovařík, M Krtička, D Ira, P Dráč, K Benešová, P Korpa","doi":"10.33699/PIS.2024.103.5.181-186","DOIUrl":"https://doi.org/10.33699/PIS.2024.103.5.181-186","url":null,"abstract":"Introduction: Acromioclavicular joint dislocation (AC) - Rockwood III (RIII) is a controversial topic with a wide range of therapeutic approaches. Operative therapy offers dozens of stabilization methods, which only confirms the absence of a \"gold standard\". The currently available literature tends to favor conservative therapy, involving several consecutive phases of physiotherapeutic care after the pain has subsided. The aim is to gradually improve the mobility of the shoulder and subsequently strengthen and stabilize the entire shoulder girdle.Methods: A study was conducted between 01/2014 and 12/2017 in patients with Rockwood III type AC joint injury. Each patient was educated in detail about the surgical and conservative treatment options and expected outcomes. Patients who opted for conservative therapy were invited to evaluate the results of the therapy at a minimum of one year after the injury. Each patient was clinically examined. Coracoclavicular (CC) distances were measured, and the presence of arthrosis and calcifications was assessed on follow-up comparison scans of both shoulders. The Constant Score (CS) and the American Shoulder and Elbow Surgeons (ASES) score were evaluated in the patients. The results were statistically processed and compared to each other and/or to the healthy shoulder.Results: A total of 37 patients were evaluated with a mean CS of 96.1 and a mean ASES score of 92.02. Lateral clavicle instability was found in 64% of the patients (n=24). The mean difference of the CC interval versus the healthy side was 8.6 mm. There was no statistically significant difference between the CS of the injured and healthy shoulder. No statistically significant association was found between CS and lateral clavicle prominence, AC joint stability, and workload, or between return to work and workload.Conclusion: Conservative therapy of AC joint dislocation - type RIII provides good functional outcomes.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 5","pages":"181-186"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400585","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

Pathoanatomy and pathomechanics of pertrochanteric fractures - an MRI study. 股骨粗隆上骨折的病理解剖学和病理力学--磁共振成像研究。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024299

R Bartoška, J Bartoníček, J Alt, M Tuček

{"title":"Pathoanatomy and pathomechanics of pertrochanteric fractures - an MRI study.","authors":"R Bartoška, J Bartoníček, J Alt, M Tuček","doi":"10.48095/ccrvch2024299","DOIUrl":"10.48095/ccrvch2024299","url":null,"abstract":"Background and study aims: Magnetic resonance imaging (MRI) has been used for more than 20 years in the region of the proximal femur to diagnose occult, or incomplete, fractures of the femoral neck and the trochanteric segment. MRI has also potential to contribute to the understanding of the pathogenesis and pathoanatomy of trochanteric fractures.Methods: The group including 13 patients was examined by MRI for a suspected, or incomplete, fracture of the trochanteric segment within 24 hours post-injury. In all cases, this was the first injury to the hip joint, with the other hip joint remaining intact.Results: The coronal scans showed a marked fracture line which, in the region of the intertrochanteric line, extended from the base of the greater trochanter (GT) medially and distally and involved the medial cortex. This inclination, however, was gradually changing posteriorwards and close before the posterior cortex. The fracture line was passing vertically along the lateral trochanteric wall as far as the level of the lesser trochanter (LT). Then the fracture line changed its course and ran horizontally to the cortex of the LT. Sagittal scans showed clearly the primary fracture line originating in the greater trochanter, extending medially and starting to separate the posterior cortex.Conclusion: Analysis of MRI findings has documented that the primary fracture line in pertrochanteric fractures originates in the GT and extends distally, medially and anteriorly towards the anterior cortex, the intertrochanteric line and the LT. Thus, the GT presents a rather vulnerable site and is always broken into more fragments than shown by a radiograph.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 8","pages":"299-304"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309119","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

Intranodal embolization for lymphocele after revascularization procedure in the groin. 腹股沟血管再通术后淋巴结栓塞术。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.6.228-231

D Janák, R Pavlík, T Meliš, Š Černý

引用次数: 0

Incarceration of Bochdalek hernia in an adult - case report. 成人波赫达勒克疝嵌顿--病例报告。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.3.100-103

V Přibáň, P Pták

引用次数: 0

Endoscopic sleeve gastroplasty - where we are and where we are heading. 内镜袖状胃成形术--我们的现状和未来。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024331

Jan Král, E Machytka

引用次数: 0

Skin pigmented lesions in the hands of an ambulatory surgeon. 门诊外科医生手上的皮肤色素损伤。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024381

Ondřej Troup, A Růžičková, A Koy, Vlastimil Woznica, Inka Třešková

{"title":"Skin pigmented lesions in the hands of an ambulatory surgeon.","authors":"Ondřej Troup, A Růžičková, A Koy, Vlastimil Woznica, Inka Třešková","doi":"10.48095/ccrvch2024381","DOIUrl":"10.48095/ccrvch2024381","url":null,"abstract":"The ambulatory surgeon deals daily with patients who come for various pigmented skin lesions. A number of patients come on the recommendation of a dermatologist, but for the majority of patients, the primary visit is directly to the surgical clinic. The reason for removing a pigmented lesion may be an unsatisfactory cosmetic appearance or frequent irritation due to inappropriate location of the lesion, but also the fear of the development of malignancy. Pigmented lesions of the skin are a very hetero-geneous group represented from benign nevi to malignant melanoma. They occur in all age groups. Congenital nevi and hemangiomas are most often treated at an early age, and the incidence of skin malignancies increases in older patients. The ambulatory surgeon is often faced with the decision whether and how radically the pigmented lesion needs to be removed. Skin lesions such as lentigo solaris do not need to be treated surgically. Other lesions, such as basal cell carcinoma, require radical excision and subsequent professional dispensary. However, the treatment of melanoma is complex, it is led by specialists in dermato-oncology centers and therefore interdisciplinary approach is neces-sary. Every ambulatory surgeon should be knowledgeable and experienced enough to be able to decide on the need for removal of pigmented lesions and, in case of uncertainty, refer the patient to a skin specialist. This article provides a brief overview and specifics of basic skin pigment manifestations and criteria for their surgical removal.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 10","pages":"381-386"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958635","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

Endoscopic treatment of complications after bariatric surgery - overview of issues and retrospective analysis of our own results. 减肥手术后并发症的内窥镜治疗--问题概述和对我们自身结果的回顾性分析。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024336

V Nosek, M Řehoř, J Pintová, M Man, M Vraný, R Procházka

{"title":"Endoscopic treatment of complications after bariatric surgery - overview of issues and retrospective analysis of our own results.","authors":"V Nosek, M Řehoř, J Pintová, M Man, M Vraný, R Procházka","doi":"10.48095/ccrvch2024336","DOIUrl":"https://doi.org/10.48095/ccrvch2024336","url":null,"abstract":"Bariatric and metabolic surgery is the most invasive but also the most effective treat-ment for severe obesity and associated comorbidities. The most common procedures performed are laparoscopic sleeve gastrectomy and Roux-Y gastric bypass. Postoperative complications occur in 4-10% cases. The majority of them are mild and are treated conservatively. Complex management of severe complications often involves surgical re-intervention, which is associated with high morbidity. Technological advancements in therapeutic endoscopy expand the options for minimally invasive treatment of these complications and, in selected cases, may even be the method of choice in their management. The authors present a summary of current endoscopic procedures for managing ulcerations, leaks, fistulas, strictures, and other complications. Based on a cohort of 45 patients treated over a period of 10 years (11/2013-11/2023) at the district hospital in Jablonec nad Nisou, an overview of the endoscopic methods used, procedure numbers, duration, and outcomes of endoscopic treatment is provided. The author's commentary describes trends leading to further improvement in the outcomes of endoscopic treatment.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 9","pages":"336-345"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677446","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

The variable histogenesis and biology of selected bland fibroblastic lesions of the breast - pitfalls in the differential diagnostics and optimal therapeutic approach (three case reports). 乳腺特定平滑纤维瘤病变的多变组织发生机制和生物学特性--鉴别诊断和最佳治疗方法中的陷阱（三份病例报告）。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024275

Z Kinkor

引用次数: 0

Pancreatic surgery at the University Hospital Kralovske Vinohrady: 10-year review with a survival analysis for pancreatic ductal adenocarcinoma.

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.4.132-137

R Gürlich, A Whitley, Z Šubrt, M Oliverius

{"title":"Pancreatic surgery at the University Hospital Kralovske Vinohrady: 10-year review with a survival analysis for pancreatic ductal adenocarcinoma.","authors":"R Gürlich, A Whitley, Z Šubrt, M Oliverius","doi":"10.33699/PIS.2024.103.4.132-137","DOIUrl":"https://doi.org/10.33699/PIS.2024.103.4.132-137","url":null,"abstract":"Introduction: The aim of the study was to summarize the results of pancreatic surgery over a ten-year period at the surgical department of the university hospital Kralovske Vinohrady and analyse the prognostic factors of pancreatic ductal adenocarcinoma.Methods: From October 2012 to December 2022, 331 patients underwent proximal pancreatectomy, 142 patients underwent distal pancreatectomy, and 84 patients underwent total pancreatectomy. Of the total number of resected patients, the analysis was performed only in patients with proven findings of ductal adenocarcinoma of the pancreas (221 patients). Survival analysis was conducted using the Kaplan-Meier method, and prognostic factors were assessed using Cox analysis for these patients.Results: The average length of hospitalization was 13 days (3-53 days). According to the Clavien-Dindo classification, 90 patients had an uncomplicated postoperative course, 65 had minor complications (grade I and II), and 66 patients had major complications (grade III-V). Based on TNM staging, 27 patients were in stage I, 136 in stage II, 41 in stage III, and 17 in stage IV. The median survival was 304 days. Overall, 1-, 2-, 3-, and 5-year survival rates were 62.7% (95% confidence interval (CI) 55.9%-70.4%), 39.0% (95% CI: 31.9-47.6%), 27.3% (95% CI: 20.7-36.0%), and 12.8% (95% CI: 6.9%-24.0%), respectively. Using the Cox model, the following negative prognostic factors were identified: severe postoperative complications, positive lymph nodes, T stage, and positive resection margins.Conclusion: Pancreatic ductal adenocarcinoma is an aggressive tumour. Radical resection represents the only chance for long-term survival. The best results are achieved in specialized centres with a high volume of pancreatic resections.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 4","pages":"132-137"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383945","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