Rozhledy v Chirurgii最新文献_第2页

Extra-intracranial bypass. Extra-intracranial绕过。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch2025247

J Dostál, V Přibáň, J Mraček

{"title":"Extra-intracranial bypass.","authors":"J Dostál, V Přibáň, J Mraček","doi":"10.48095/ccrvch2025247","DOIUrl":"https://doi.org/10.48095/ccrvch2025247","url":null,"abstract":"Extra-intracranial bypass represents a controversial yet significant component of neurosurgical treatment for cerebrovascular diseases. The indications are moyamoya dis-ease, steno-occlusive atherosclerotic disease of the internal carotid artery, acute ischemic stroke, and, more rarely, complex intracranial aneurysms and skull base tumors. Although historical studies have yielded mixed results and limited its use, modern diagnostic and surgical techniques are reopening the path for selective application of bypass in high-risk patients. A clear indication is the rare moyamoya disease, where bypass is a proven method for preventing ischemic or hemorrhagic strokes. In patients with symptomatic chronic internal carotid artery occlusion and exhausted cerebrovascular reserve, bypass may serve as a potential treatment modality, provided it is carefully indicated -through comprehensive specialized evaluation. Emergent bypass should be considered for a narrow group of patients with acute ischemic stroke when standard treatment fails or is not feasible. Despite ongoing debate, extra-intracranial bypass remains an essential part of cerebrovascular surgery. The key to success lies in the proper selection of patients and precise microsurgical execution. Modern approaches and technologies help reduce the risk of complications and enhance the effectiveness of this intervention, offering hope to patients with otherwise limited treatment options.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"104 6","pages":"247-251"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638657","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 rare case of mediastinal pseudocyst in patient after acute pancreatitis. 急性胰腺炎后纵隔假性囊肿1例。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch2025146

P Koželský, D Hoskovec, J Ulrych, Z Krška

引用次数: 0

Extralobar pulmonary sequestration as an intraabdominal tumour. 作为腹内肿瘤的肺叶外肺隔离。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch2025155

M Skála, J Moláček, J Vodička, J Šebek, Š Hadravská

{"title":"Extralobar pulmonary sequestration as an intraabdominal tumour.","authors":"M Skála, J Moláček, J Vodička, J Šebek, Š Hadravská","doi":"10.48095/ccrvch2025155","DOIUrl":"https://doi.org/10.48095/ccrvch2025155","url":null,"abstract":"Introduction: Pulmonary sequestration is a rare congenital anomaly of the lower respiratory tract, usually diagnosed in childhood. It involves lung parenchyma that has abnormal or absent communication with the tracheobronchial tree. The blood supply is not connected to the pulmonary circulation but comes from the systemic circulation. Intralobar pulmonary sequestration refers to pulmonary sequestration that shares a common pleura with normal parenchyma. In contrast, extralobar sequestration has its own visceral pleura that is not continuous with the normal lung. Extralobar pulmonary sequestration, unlike intralobar pulmonary sequestration, typically does not present with infectious manifestations due to the absence of a connection to the tracheobronchial tree. Instead, it may manifest as hypoxia, cardiac failure, or rarely, torsion of the sequestrum. However, it is more often an incidental asymptomatic finding. Computed tomography currently plays a leading role in diagnosis, enabling visualization of the feeding vessels. Surgical resection is the mainstay of the treatment, primarily to prevent hemorrhage or malignant transformation of the tissue. Resection also provides material for biopsy examination.Case report: A 68-year-old patient with nephropathy was referred by her nephrologist for abdominal ultrasound, which incidentally detected a tumor in the left retroperitoneum. A CT scan was performed, and the patient was then referred for tumor excision due to suspicion of a neurogenic tumor. Postoperatively, she was monitored in the intensive care unit with oxygen therapy for hypoxemia. The further course was uncomplicated. She was discharged home on postoperative day 5.Conclusion: We present a case of this very rare diagnosis, which is even rarer in an adult patient.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"104 4","pages":"155-159"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638671","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

Laparoscopic treatment of Rapunzel syndrome - a case report and literature review. 腹腔镜下治疗莴苣综合征1例并文献复习。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch2025165

J Szarzec, J Žatecký, K Krauzová, M Peteja

引用次数: 0

Abdominal wall gangrene as a source of sepsis: a rare complication of laparoscopic cholecystectomy - case report or do we need specialized intensive care units in the 21st century? 腹壁坏疽作为脓毒症的来源：腹腔镜胆囊切除术的一种罕见并发症-病例报告或在21世纪我们是否需要专门的重症监护病房？

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch2025205

D Šmíd, T Kanyicska, M Stejskalová, V Opatrný

{"title":"Abdominal wall gangrene as a source of sepsis: a rare complication of laparoscopic cholecystectomy - case report or do we need specialized intensive care units in the 21st century?","authors":"D Šmíd, T Kanyicska, M Stejskalová, V Opatrný","doi":"10.48095/ccrvch2025205","DOIUrl":"https://doi.org/10.48095/ccrvch2025205","url":null,"abstract":"Introduction: Laparoscopic cholecystectomy is currently the gold standard of treatment for cholecystolithiasis. The authors present a rare postoperative complication that -caused the development of septic shock with multiorgan failure and necessitated a number of other operations.Case report: A 57-year-old woman underwent elective uncomplicated laparoscopic cholecystectomy for symptomatic cholecystolithiasis. The postoperative period was complicated by the development of septic shock with extensive abdominal wall gangrene. The finding necessitated surgical management and complex resuscitative care.Discussion: Knowledge and skills in intensive and resuscitation care are nowadays among the basic minimum that an erudite surgeon working in hospital surgery must possess. One cannot rely solely on the intensive care provided by anaesthetists. Intensivists recruited from a specific specialty (surgery, internal medicine, pediatrics) may have a better insight into the problem due to their knowledge of the complexity of the disease and are complemented by anesthesiologists.Conclusion: Initial treatment of septic shock must be early and aggressive, after stabilization of the condition it is necessary to sanitize the source of infection, if possible. Intensive care is an mandatory and necessary part of adequate treatment of septic patients.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"104 5","pages":"205-210"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638649","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

Isolated inflammatory process of the caecum. 孤立的盲肠炎症过程。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch202571

L Truong, H H Truong, P Kofroň

引用次数: 0

Retained gallstone as a rare cause of recurrent fistula in the scar after laparoscopic cholecystectomy. 胆囊结石是腹腔镜胆囊切除术后瘢痕复发性瘘管的罕见原因。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch202576

M Škrabal, V Pěkný, J Bělehrádek, A Polcar

{"title":"Retained gallstone as a rare cause of recurrent fistula in the scar after laparoscopic cholecystectomy.","authors":"M Škrabal, V Pěkný, J Bělehrádek, A Polcar","doi":"10.48095/ccrvch202576","DOIUrl":"10.48095/ccrvch202576","url":null,"abstract":"Introduction: Cholecystectomy is one of the most common operations in surgical departments. Complications after gallbladder removal are mainly bleeding, infection including abscess in the gallbladder bed or in the abdominal wall, wound dehiscence, acute pancreatitis or injury of the bile ducts. In the further course, hernias in the scar may appear after both laparoscopic and open cholecystectomy, strictures of the bile ducts and symptoms of the so-called postcholecystectomy syndrome. The presence of residual gallstones is rare, statistically reported in 0.08-0.3%.Case report: The goal of our message is to present the case of a patient taken into our care 7 years after laparoscopic cholecystectomy indicated for cholecystitis with wedged lithiasis in the gallbladder neck, proven by ultrasound. In our department, the -patient was treated for a re-current fistula in the scar of the right subcostal area. Definitive -healing from the initial manifestation of the fistula occurred despite repeated revisions after the precise localization and removal of the retained gallstone.Conclusion: Thanks to the use of an extensive spectrum of diagnostic methods and at the same time thinking about the rare causes of a recurrent purulent collection with a fistula, we purposefully searched for an infectious source. Only perioperative radiography with injection of contrast material identified the presence of a retained gallstone. It was possible to extirpate it from the space between the intercostal muscles and the peritoneum, thereby relieving the patient of her problems.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"104 2","pages":"76-81"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674550","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

Use of Amnioderm in combination with negative pressure wound therapy in a patient with trauma of the lower limb - first experience. 羊膜联合负压创面治疗下肢创伤1例。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch2025160

J Křečková, D Šmíd

{"title":"Use of Amnioderm in combination with negative pressure wound therapy in a patient with trauma of the lower limb - first experience.","authors":"J Křečková, D Šmíd","doi":"10.48095/ccrvch2025160","DOIUrl":"https://doi.org/10.48095/ccrvch2025160","url":null,"abstract":"Introduction: Dislocation fractures of the distal lower leg require surgical treatment. If the quality of the soft tissues and skin does not allow primary suture of the wound, it presents a serious challenge for the surgeon. In our case, after reposition and fixation of the fractures, we were able to perform a fascia suture with a residual large skin and subcutaneous defect. We decided to use a combination of Amnioderm application and negative pressure therapy.Methods: The authors describe the procedure for the treatment of an acute wound in a young, morbidly obese patient with an ankle injury following a traffic accident.Discussion: Closure of the surgical wound in the field of swelling and hematoma is a frequent problem encountered in patients after ankle osteosynthesis. There are several possible approaches, one of which is the use of negative pressure therapy. Its effect can be enhanced by the application of Amnioderm.Conclusion: Although this is the first use of the presented technique, based on our other general experience with Amnioderm and the frequent use of negative pressure wound therapy from other indications, we dare to say that it is a safe method that offers an effective solution to a complex, critical situation.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"104 4","pages":"160-164"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638647","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

Carotid surgery from the perspective of a vascular surgeon. 颈动脉手术从血管外科医生的角度。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch2025238

B Čertík, J Moláček, R Šulc, K Houdek, V Opatrný

引用次数: 0

Surprising finding of desmoid in a young man by an urologist. 泌尿科医生在一名年轻男子身上发现了令人惊讶的硬纤维瘤。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch202561

J Marešová, J Kočárek-, M Čermák, L Plincelnerová

引用次数: 0