Rozhledy v Chirurgii最新文献_第9页

Surgical treatment of hyperparathyroidism with a pathologically changed parathyroid gland found in the mediastinum. 纵隔甲状旁腺病变甲状旁腺功能亢进的外科治疗。

Rozhledy v Chirurgii Pub Date : 2023-01-01 DOI: 10.33699/PIS.2023.102.4.169-173

M Podhráský, P Libánský, J Tvrdoň

{"title":"Surgical treatment of hyperparathyroidism with a pathologically changed parathyroid gland found in the mediastinum.","authors":"M Podhráský, P Libánský, J Tvrdoň","doi":"10.33699/PIS.2023.102.4.169-173","DOIUrl":"https://doi.org/10.33699/PIS.2023.102.4.169-173","url":null,"abstract":"The most common indication for surgical treatment of parathyroid gland pathology is primary hyperparathyroidism where extirpation of the pathologically changed parathyroid gland is the first-choice treatment. Embryonic development of the lower pair of parathyroid glands is quite complex and is closely related to the tissue of the thymus; for this reason it is not uncommon for a parathyroid adenoma to be located in the mediastinum or directly in the tissue of the thymus. The treatment of primary hyperparathyroidism is becoming a multidisciplinary issue in which radiodiagnostics and nuclear medicine methods play a significant role as they are needed to accurately localize the affected gland and to plan an adequate surgery. In case of intrathoracic localization of parathyroid adenoma, the therapy belongs in the hands of thoracic surgery. At our department, the endocrine surgery program, including parathyroid gland surgery, has a long tradition, and complicated patients are concentrated here, often patients with refractory hyperparathyroidism after a previous procedure. In the last 10 years, almost 2,300 procedures for parathyroid pathology have been performed at the IIIrd Department of Surgery of the 1st Faculty of Medicine, Charles University and University Hospital in Motol, of which some pathologies with mediastinal localization were managed using minimally invasive methods, i.e. videothoracoscopy or robotic-assisted surgery.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"102 4","pages":"169-173"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10050259","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

Bosworth ankle dislocation fracture - current concept review. 博斯沃思踝关节脱位骨折--当前概念回顾。

Rozhledy v Chirurgii Pub Date : 2023-01-01 DOI: 10.33699/PIS.2023.102.12.444-452

J Bartoníček, M Tuček, J Malík

引用次数: 0

Paraperitoneal inguinal hernia of ureter. 腹膜旁输尿管腹股沟疝。

Rozhledy v Chirurgii Pub Date : 2023-01-01 DOI: 10.33699/PIS.2023.102.12.470-475

L Drab, J Barla, J Vaško, T Muszka, I Minčík

{"title":"Paraperitoneal inguinal hernia of ureter.","authors":"L Drab, J Barla, J Vaško, T Muszka, I Minčík","doi":"10.33699/PIS.2023.102.12.470-475","DOIUrl":"10.33699/PIS.2023.102.12.470-475","url":null,"abstract":"Introduction: The ureter is present in surgical field during inguinal hernia repair in 0.5-4% of cases. It typically occurs in obese patients, in men and patients after kidney transplants. Right-sided and indirect location of ureteral herniation prevails. The clinical picture is mostly asymptomatic, but possible manifestations include increased frequency of urination with urgency, nocturia, recurrent pyelonephritis, urosepsis, feeling of incomplete emptying of the bladder, signs of GIT obstruction. Diagnostic methods include retrograde pyelography or CT urography. Surgical treatment is indicated in every case of ureteral herniation. Reposition of the ureter retroperitoneally and standard plasty of the inguinal canal is the method of choice.Methods: 33 cases of ureteral hernia were reviewed in order to write a systematized review of the topic. The case report describes a 68-year-old patient with prostatic hyperplasia and dysuria treated at our institution. A preoperative CT examination with intravenous contrast showed herniation of the right ureter into the inguinal area with hydronephrosis of 2nd degree. Preoperative insertion of a mono-J stent into the right ureter and reposition of the ureter retroperitoneally followed by hernia repair using alloplastic material was performed. There were no postoperative complications.Results and conclusion: In risky cases, the surgeon should assume the possible presence of a ureter in the inguinal region. Careful dissection in the inguinal area reduces the risk of iatrogenic damage to the ureter.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"102 12","pages":"470-475"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914047","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

Novel surgical procedure in design of advancement endorectal flap in the surgical treatment of complex anal fistulas. 在复杂肛瘘手术治疗中设计推进式肛门直肠内皮瓣的新手术方法。

Rozhledy v Chirurgii Pub Date : 2023-01-01 DOI: 10.33699/PIS.2023.102.10.387-394

J Korček, A Lazorišák, T Jankovič

{"title":"Novel surgical procedure in design of advancement endorectal flap in the surgical treatment of complex anal fistulas.","authors":"J Korček, A Lazorišák, T Jankovič","doi":"10.33699/PIS.2023.102.10.387-394","DOIUrl":"10.33699/PIS.2023.102.10.387-394","url":null,"abstract":"Introduction: Anal fistula is a common disease with incidence of 5.6 per 100,000 women and 12.3 men. It is most often of cryptoglandular origin. The aim of this study is to evaluate our experience with patients treated for complex anal fistula with our own complex surgical procedure with advancement endorectal flap.Methods: 524 patients with complex anal fistulas who were sent to our surgical clinic from January 2005 to the end of December 2022 were in- cluded in the study. We established the diagnosis by detecting the fistula tract by physical examination, anoscopy, probing the fistula tract and endorectal ultrasonography. We performed a complex operation together with the construction of the advancement endorectal flap in our own modification for all patients.Results: Primary surgical intervention in a group of 326 patients with complex anal fistulas (excluding patients with Crohn's disease) was successful in 283 (87%) patients. We identified advancement endorectal flap defect in the postoperative period in 17 (5.2%) patients, soiling in 16 (4.9%) and flatus incontinence in 9 (2.7%) patients. In a group of 120 patients after multiple surgeries (excluding patients with Crohn's disease), our surgical procedure was successful in 92 (76.6%) patients. In the postoperative period, we identified a advancement endorectal flap defect in 6 (5%) patients, soiling in 8 (6.6%) and flatus incontinence in 3 (2.5%) patients.Conclusions: The construction of the advacement endorectal flap was curative and without affecting the level of anal continence in 87% of patients after primary surgical intervention and in 76.6% after multiple surgical procedures. Complex surgery with the construction of the advancement endorectal flap according to our procedure preserves the function of the sphincters and has a relatively low percentage of recurrences. The number of previous surgical interventions had no affect on the level of anal continence.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"102 10","pages":"387-394"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673591","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

Surgical therapy of chronic lung allograft dysfunction. 慢性肺移植功能障碍的手术治疗。

Rozhledy v Chirurgii Pub Date : 2023-01-01 DOI: 10.33699/PIS.2023.102.9.345-351

R Novysedlák, J Tavandžis, J Balko, Z Ozaniak Střížová, J Vachtenheim, R Lischke

引用次数: 0

The history of inguinal hernia surgery. 腹股沟疝手术史。

Rozhledy v Chirurgii Pub Date : 2023-01-01 DOI: 10.33699/PIS.2023.102.4.149-153

I Bulyk, V Shkarban, S Vasyliuk, V Osadets, I Bitska, O Dmytruk

{"title":"The history of inguinal hernia surgery.","authors":"I Bulyk, V Shkarban, S Vasyliuk, V Osadets, I Bitska, O Dmytruk","doi":"10.33699/PIS.2023.102.4.149-153","DOIUrl":"https://doi.org/10.33699/PIS.2023.102.4.149-153","url":null,"abstract":"The article reviews the history of inguinal hernia surgery. At various times, different procedures and diverse materials were used for hernia repair. However, the effectiveness and safety of inguinal hernia repair emerged only after the anatomic features of the inguinal region had been elucidated in a monograph by Henri Fruchaud \"Anatomie des hernies de l'aine\" published in 1956. The Italian surgeon Edoardo Bassini began a new era in herniology. For a longtime, his classic procedure with its modifications was the most popular in surgical practice. In 1959, Lloyd M. Nyhus proposed inguinal hernia repair according to the concept of the pre-abdominal (posterior) approach that later became the basis for developing the transabdominal preperitoneal hernia repair (TAPP). In 1992, M. Arregui performed the first ТАРР using a prolene mesh. In 1986, Irving Lichtenstein proposed the concept of \"tension-free repair\". Basing on his concept, Lichtenstein described an open technique of inguinal hernia repair, which now bears his name and is popular in surgical practice. In 1993, the term \"extraperitoneal hernia repair\" first appeared in an article by Edward H. Phillips. However, J. Dulucq developed the modern ТЕР technique. Currently, three tension-free inguinal hernia repairs (TAPP, ТЕР and Lichtenstein procedure) and one tension inguinal hernia repair (Shouldice procedure) dominate in inguinal hernia surgery.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"102 4","pages":"149-153"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9675968","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

Abuse of a newborn - the need for professional awareness of this increasingly common social problem. 虐待新生儿——需要专业人士意识到这一日益普遍的社会问题。

Rozhledy v Chirurgii Pub Date : 2023-01-01 DOI: 10.33699/PIS.2023.102.4.174-179

A Bozic, M Baskovic, G Ivanac

引用次数: 0

Unusual foreign body in the nasal cavity after craniofacial injury. 颅面外伤后鼻腔内异常异物。

Rozhledy v Chirurgii Pub Date : 2023-01-01 DOI: 10.33699/PIS.2023.102.4.165-168

V Novák, L Hrabálek, J Hoza, P Stejskal

引用次数: 0

Acute hemorrhagic cholecystitis as a rare cause of hemobilia. 急性出血性胆囊炎是胆道出血的罕见病因。

Rozhledy v Chirurgii Pub Date : 2023-01-01 DOI: 10.33699/PIS.2023.102.2.80-84

M Bockova, F Pazdírek, J Šťovíček, A Stolz