Rozhledy v Chirurgii最新文献

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Successful treatment of gastrosplenic fistula after sleeve gastrectomy. 袖状胃切除术后胃脾瘘的成功治疗。
Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.1.26-30
D Toman, A Foltýs, P Ostruszka, L Tulinský, L Martínek
{"title":"Successful treatment of gastrosplenic fistula after sleeve gastrectomy.","authors":"D Toman, A Foltýs, P Ostruszka, L Tulinský, L Martínek","doi":"10.33699/PIS.2024.103.1.26-30","DOIUrl":"https://doi.org/10.33699/PIS.2024.103.1.26-30","url":null,"abstract":"<p><strong>Introduction: </strong>Laparoscopic sleeve gastrectomy (LSG) is one of the most performed bariatric procedures. But it is also associated with serious and potentially life-threatening staple line-related complications, such as stomach leak and bleeding.</p><p><strong>Case report: </strong>The article describes a case of surgical treatment of an early fistula between the stomach and the spleen 3 weeks after LSG. We have focused our attention on the diagnosis and possible treatment options for this potentially life-threatening complication.</p><p><strong>Conclusion: </strong>Efforts to reduce the frequency of leakage after LSG include a number of different measures. It is advisable to have expert knowledge not only in primary bariatric surgery, but also in the management of problems and reoperations in gastrointestinal surgery. An individualized approach and multidisciplinary teamwork are essential for successful therapy.</p>","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 1","pages":"26-30"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177713","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
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
{"title":"Acute hand infections and surgical treatment.","authors":"A Schmoranzová, T Hellmuth, D Horáčková, L Smrčková, F Hájek, E Čermáková","doi":"10.48095/ccrvch2024369","DOIUrl":"https://doi.org/10.48095/ccrvch2024369","url":null,"abstract":"<p><p>Hand infection is a common and frequent problem encountered by surgeons in their outpatient clinics. The causes are varied, ranging from trauma to surgical intervention and to the spread of infection from elsewhere on the body. The causative agents of infection are also varied, and although bacteria are the most common ones, viruses, fungi, and, of course, the problem of diagnosis after parasite infestation as well as rare causes of infections must also be considered. The diagnosis should be quick and the treatment should be as aggressive as possible without undue delay in a justified situation. This will avoid serious complications and consequences of infection on such a complex structure as the hand. The aim of this article is to provide an overview of the problem, and to provide information to support early diagnosis. Therapeutic options and interventions are proposed, with an emphasis on a modern, i.e. active, approach to the problem. Possible prevention of infection on the hand is mentioned. The article aims to improve clinical practice in the care of the hand with infection.</p>","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 10","pages":"369-380"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958623","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
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":"<p><p>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.</p>","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":"<p><strong>Introduction: </strong>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.</p><p><strong>Material and method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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
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
{"title":"Molecular testing of gastrointestinal tumours - current status and future prospects.","authors":"Aleš Ryška","doi":"10.48095/ccrvch2024437","DOIUrl":"https://doi.org/10.48095/ccrvch2024437","url":null,"abstract":"<p><p>In addition to the histological diagnosis, grade and stage, predictive testing plays a crucial role in gastrointestinal tumours today. This is mainly used to identify molecular targets for modern cancer therapy. In esophageal and gastric cancers, HER2 expression and amplification, mismatch repair (MMR) system protein deficiency and PD-L1 expression are tested routinely. In colorectal cancer, it is namely detection of RAS (KRAS and NRAS) and BRAF mutations, as well as the assessment of microsatellite instability; targetable gene fusions are found rarely only. In pancreatic cancer, cases of MMR deficiency, BRCA1/2 mutations and other targetable aberrations can be identified quite rarely. In gallbladder and biliary tract cancers, we are mainly looking for IDH1 and IDH2 mutations, FGFR2 gene fusions and mutations, HER2 amplifications or mutations, as well as mutations of BRAF or BRCA1/2. All results should be discussed within the molecular tumor board.</p>","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 11","pages":"437-442"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792721","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 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
{"title":"Endoscopic extraction of a loose Fobi ring in a patient with gastric bypass.","authors":"K Knotková, E Machytka, J Martínek, Jan Král","doi":"10.48095/ccrvch2024358","DOIUrl":"10.48095/ccrvch2024358","url":null,"abstract":"<p><p>Obesity has become a worldwide problem with a growing incidence, posing a risk to health, especially for cardiovascular disease, diabetes, certain types of cancer, depres-sive syndrome, and others. The methods of obesity treatment are still expanding, in addition to diet and exercise measures, pharmacological, endoscopic and surgical treatment is possible. One of the commonly performed bariatric surgical procedures is the Roux-en-Y gastric bypass, which combines restrictive and malabsorptive effects. As part of the development of new methods, the banded gastric bypass using the Fobi ring has been introduced. Its advantage is greater efficiency in reducing and maintaining -weight. One of the described complications is the migration of the Fobi ring, which can be addressed endoscopically today.</p>","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 9","pages":"358-361"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677437","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 clinical applications of 3D printing in the management of complex fractures.
Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.5.158-166
M Chovanec, M Krtička, J Šrámek, J Kovařík
{"title":"Current clinical applications of 3D printing in the management of complex fractures.","authors":"M Chovanec, M Krtička, J Šrámek, J Kovařík","doi":"10.33699/PIS.2024.103.5.158-166","DOIUrl":"https://doi.org/10.33699/PIS.2024.103.5.158-166","url":null,"abstract":"<p><p>The field of skeletal traumatology has undergone revolutionary changes worldwide over the last decade with the development of 3D printing technologies. This review aims to provide a comprehensive overview of how 3D printing is transforming fracture treatment and opening up new possibilities in the management of complex fractures. The use of 3D printing in medicine offers a new dimension in precision and customisation of treatment, enabling the creation of personalised surgical templates, individualised implants and tools. The development of 3D printing is closely linked to other technological advances, such as augmented reality methods, which represent a significant step forward in the visualisation and planning of surgical procedures. Although 3D printing offers many advantages, its integration into routine clinical practice still faces many challenges. This article examines the history and development of 3D printing technology, materials used in medicine, preoperative planning, the creation of surgical guides, the fabrication of patient-specific implants, and the integration of 3D printing and augmented reality in skeletal surgery, highlighting the technical, logistical, and ethical challenges of implementing this technology in surgical practice.</p>","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 5","pages":"158-166"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400588","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
Prophylactic osteosynthesis of long bones in patients with multiple myeloma.
Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.5.187-192
V Nekuda, D Ira, M Štork, V Válek, Z Knechtová, M Cvanová, L Pour, M Krtička
{"title":"Prophylactic osteosynthesis of long bones in patients with multiple myeloma.","authors":"V Nekuda, D Ira, M Štork, V Válek, Z Knechtová, M Cvanová, L Pour, M Krtička","doi":"10.33699/PIS.2024.103.5.187-192","DOIUrl":"https://doi.org/10.33699/PIS.2024.103.5.187-192","url":null,"abstract":"<p><strong>Introduction: </strong>Multiple myeloma (MM) is a neoplastic disease caused by clonal proliferation of plasma cells in the bone marrow. The median age of newly diagnosed patients is 69 years. Bone involvement occurs in most patients during the course of the disease. The management of bone involvement in MM includes surgical intervention. Bones affected by osteolytic lesions are weakened and require stabilization through implants or endoprostheses. The intramedullary osteosynthesis method appears to be an ideal choice for stabilizing osteolytic lesions in long bones. The aim of our study was to analyze whether prophylactic fixation of these lesions improves the quality of life of the patients and has any impact on bone changes.</p><p><strong>Methods: </strong>Patients undergoing prophylactic intramedullary osteosynthesis were operated on at the University Hospital Brno between 2013 and 2023. Patients included in this study had osteolytic lesions in long bones, Mirels' score equal to or greater than 8, and a minimum follow-up of 12 months. We evaluated the intensity of pain using a visual analog scale (VAS) assessed before the operation, after the operation, and one-year post-operation. The Musculoskeletal Tumour Society score (MSTS) score was assessed just before the planned stabilization procedure and one year later.</p><p><strong>Results: </strong>At the time of the assessment, a statistically significant difference was found between the VAS score before the operation and 14 days post-operation (p.</p>","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 5","pages":"187-192"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400663","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
Imaging methods in the diagnosis and treatment of pancreatic cancer.
Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.4.117-121
D Girsa, J Weichet
{"title":"Imaging methods in the diagnosis and treatment of pancreatic cancer.","authors":"D Girsa, J Weichet","doi":"10.33699/PIS.2024.103.4.117-121","DOIUrl":"https://doi.org/10.33699/PIS.2024.103.4.117-121","url":null,"abstract":"<p><p>Surgery is the only potentially curative treatment of pancreatic cancer. Imaging methods, especially computed tomography (CT), play an essential role in the detection and staging of pancreatic cancer. The primary CT finding determines the treatment strategy, namely the resectability of the cancer with a potentially curative outcome. Imaging (CT) assessments are important also throughout oncological treatment of the patients and after the surgery, as well. Our paper summarizes the current state of the art of computed tomography and magnetic resonance imaging in pancreatic cancer, including a structured CT report proposal in pancreatic cancer.</p>","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"103 4","pages":"117-121"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383937","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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>One hour after ischemization (I1H), ischemic denudation with mucosal erosion was observed, and the total number of eosinophils was significantly higher (p.</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
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