Rozhledy v Chirurgii最新文献_第3页

Molecular testing of gastrointestinal tumours - current status and future prospects. 胃肠道肿瘤分子检测的现状与展望。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024437

Aleš Ryška

引用次数: 0

Endoscopic extraction of a loose Fobi ring in a patient with gastric bypass. 内窥镜下取出胃旁路手术患者松动的 Fobi 环。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024358

K Knotková, E Machytka, J Martínek, Jan Král

引用次数: 0

Acute hand infections and surgical treatment. 急性手部感染和手术治疗。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024369

A Schmoranzová, T Hellmuth, D Horáčková, L Smrčková, F Hájek, E Čermáková

引用次数: 0

Loss injuries of the hand. 手部损失损伤。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024387

Vlastimil Woznica, Richard Billich, Inka Třešková

{"title":"Loss injuries of the hand.","authors":"Vlastimil Woznica, Richard Billich, Inka Třešková","doi":"10.48095/ccrvch2024387","DOIUrl":"10.48095/ccrvch2024387","url":null,"abstract":"Loss injuries of the hand are a common trauma primarily encountered by outpatient surgeons on the front lines. The aim of this article is to systematically describe a thorough examination of the hand and the various options for reconstructing loss injuries of the hand, thereby creating an overview that can be utilized in practice. The article focuses on methods ranging from simple healing by secondary intention to basic techniques of flap reconstruction. It describes the coverage of defects with various types of skin grafts, which are a common and effective solution in many cases. Furthermore, the article addresses the use of local flaps, which provide a reliable alternative where simple skin grafts are not suitable. The article also describes the use of axial, distant flaps, and free flaps, which allow the reconstruction of larger and more complicated defects. Finally, the issue of replantation is discussed, which, despite its difficulty and complexity, can offer the best solution for the preservation and restoration of hand function in certain cases. The goal of the article is to provide a clear and practical guide that can facilitate decision-making for outpatient surgeons and improve treatment outcomes for loss of hand injuries.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 10","pages":"387-399"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958648","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

Conservative therapy of scaphoid waist fractures. 舟状骨腰骨折的保守治疗。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024400

Martin Vlček, S Štefanisko, J Pech, D Veigl

{"title":"Conservative therapy of scaphoid waist fractures.","authors":"Martin Vlček, S Štefanisko, J Pech, D Veigl","doi":"10.48095/ccrvch2024400","DOIUrl":"https://doi.org/10.48095/ccrvch2024400","url":null,"abstract":"Introduction: The goal of this work is to determine, using the analysis of our own patient group and current professional publications, in which cases fractures of the scaphoid waist can be treated conservatively by short-term plaster fixation with a low risk of non-union developing.Material and method: A group of 19 patients (17 men and 2 women) with the mean age 31 years (range 20-43, SD 7.3) with fractures of scaphoid waist were indicated for conservative treatment. The diagnosis was made on the basis of X-ray and CT examination. Conservative therapy consisted of applying plaster fixation of the wrist and thumb for a minimum of 6 weeks in completely non-dislocated fractures (mean 6.4 weeks, range 6-10 weeks). The other fractures were immobilized with a plaster cast for a total of 9 weeks. All patients were followed for at least 6 months.Results: At 6 months after the injury, 2 of the patients reported mild pain at rest (1× with healed fracture, 1× with a non-union). Pain during movement occurred in 5 patients with a developed non-union. Good healing of the fracture in the anatomical position was observed in 10 patients (53%), in 2 cases (11%) an angular dislocation occured during healing, and in 7 patients (37%) the result of treatment was a non-union.Conclusion: Conservative therapy is suitable for fractures of the scaphoid waist without dislocation and with dislocation of bone fragments up to 1.5 mm. In these fractures, conservative therapy has a low risk of non-union developing. X-ray imaging is insufficient. In case the fracture line does not appear on the X-ray and there is a significant clinical finding, especially in the group of patients with a typical occurrence of a fracture of the scaphoid waist, i.e. in young men aged between 25 and 40 years, CT examination must be performed. The decision on the type of treatment must always be based on the CT scan.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 10","pages":"400-405"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958641","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

Optimizing ischemic preconditioning for esophagogastric anastomosis: A standardized rat model to evaluate histological changes. 优化食管胃吻合术的缺血预处理：评估组织学变化的标准化大鼠模型

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.3.84-90

I Kovac, Z Hribíková, M Miklosova, K Kovacova, J Gajdos, D Matiova, D Petrasova, J Belák

{"title":"Optimizing ischemic preconditioning for esophagogastric anastomosis: A standardized rat model to evaluate histological changes.","authors":"I Kovac, Z Hribíková, M Miklosova, K Kovacova, J Gajdos, D Matiova, D Petrasova, J Belák","doi":"10.33699/PIS.2024.103.3.84-90","DOIUrl":"https://doi.org/10.33699/PIS.2024.103.3.84-90","url":null,"abstract":"Introduction: A reproducible and simple model is essential for verifying gastric conduit vitality before esophagectomy. Ischemia is a major cause of esophagogastric anastomotic dehiscence and leakage. Ischemic conditioning of the stomach prior to esophageal surgery has been shown to lower the incidence of postoperative complications, including anastomotic leakage. However, the optimal timing and technique of ischemization remain uncertain.Methods: Male Sprague-Dawley rats (n=24) were randomly divided into four groups: ischemic group - samples collected 1 hour after ischemia (I1H), ischemic group - samples collected 1 day after ischemia (I1D), ischemic group - samples collected 7 days after ischemia (I7D), and control group (C). Ischemia was induced by ligation of the left gastric (LGA) and short gastric arteries (SGA). The samples were verified using histological and macroscopic analysis, and the number and percentage of immunocompetent cells were determined.Results: One hour after ischemization (I1H), ischemic denudation with mucosal erosion was observed, and the total number of eosinophils was significantly higher (p.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 3","pages":"84-90"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421859","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 most common mistakes in intensive care - antibiotics. 重症监护中最常见的错误--抗生素。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.3.79-83

V Adámková

引用次数: 0

Single anastomosis sleeve ileal bypass a single anastomosis sleeve jejunal bypass in the surgical treatment of severe obesity. 单吻合套管回肠搭桥术和单吻合套管空肠搭桥术在重度肥胖症外科治疗中的应用。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.1.13-18

M Hrubý, D Vodičková

引用次数: 0

Sleeve gastrectomy - still popular bariatric method. 袖带胃切除术--目前仍很流行的减肥方法。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.1.6-12

M Kasalický, E Koblihová, R Pohnán

{"title":"Sleeve gastrectomy - still popular bariatric method.","authors":"M Kasalický, E Koblihová, R Pohnán","doi":"10.33699/PIS.2024.103.1.6-12","DOIUrl":"https://doi.org/10.33699/PIS.2024.103.1.6-12","url":null,"abstract":"Introduction: Obesity is currently the most common multifactorial disease affecting almost all social strata of the population. Conservative therapy of obesity usually succeeds in reducing excess weight by an average of 10-15%. After surgical treatment of severe obesity (bariatric surgery), the average decrease in excess weight is several times greater and, in most cases, has a long-term positive effect on the overall clinical condition of the patients.Methods: Sleeve gastrectomy (SG) is the most used bariatric method of treating severe obesity today. The principle of SG is a vertical resection of a major portion of the gastric greater curvature. After the resection, the residual stomach has the shape of a sleeve with a remaining volume of about 120-150 ml. The effect of the method is both restrictive and hormonal, because after SG, the plasma level of active ghrelin decreases in the long term, among other things.Conclusion: Obesity is considered one of the most serious global health problems today. In 2018 a total of 696,191 bariatric procedures were performed worldwide. Sleeve gastrectomy was originally used in high-risk severely obese patients as the first stage of a duodenal switch (DS) or gastric bypass. Since 2003, this method has been used independently because for most of the patients, SG had a sufficient effect on weight reduction and improvement of comorbidities, and that is why since 2015, SG has become the most frequently used bariatric method.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 1","pages":"6-12"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177712","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

Current trends in breast cancer surgery. 乳腺癌手术的当前趋势。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.48095/ccrvch2024247

Z Chaloupková, O Coufal, L Gabrielová

{"title":"Current trends in breast cancer surgery.","authors":"Z Chaloupková, O Coufal, L Gabrielová","doi":"10.48095/ccrvch2024247","DOIUrl":"https://doi.org/10.48095/ccrvch2024247","url":null,"abstract":"The incidence of breast cancer has been increasing significantly over the past decades, while the mortality rate has, actually, been decreasing. Behind this favorable trend in the decrease in mortality are not only high-quality screening programs, but also undoubtedly advances in therapy, especially new methods in surgical treatment. The importance of oncoplastic approach integrating resection and reconstruction procedures is obvious. Our efforts continue to maximize breast-conserving therapy, which is being improved in parallel with the development of new localization methods of non-palpable lesions. Breast-conserving therapy indication spectrum is also increasing with the use of oncoplastic approach allowing the resection of a significant part of the mammary gland while achieving an acceptable cosmetic result. We improve guidelines for skin-sparing procedures and also possibilities and availability of breast reconstruction. Most popular is breast reconstruction with free abdominal flap transfer. However, due to such demanding complex procedure with limited availability, there is also a significant development of silicone-implant-based reconstruction or methods of fat transfer. Constant attention is focused on axillary surgery, now especially in cases of initial nodal involvement that responds favorably to neoadjuvant systemic treatment. Current findings indicate tendency to modify and differentiate surgical indications according to the tumor phenotype. Complex lymphedema prevention surgery, such as lymphatic mapping or restoring lymphatic flow via microsurgical lymphaticovenous anastomosis, can provide effective and long-term improvement and is challenging. Recently in the Czech Republic, we reopened the discussion about the optimal concentration of medical care in a smaller number of specialized breast centers, which we think is one of a number of steps on the constant path to improve medical results.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 7","pages":"247-254"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983877","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