Rozhledy v Chirurgii最新文献_第9页

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

Current clinical applications of 3D printing in the management of complex fractures. 3D打印在复杂骨折治疗中的临床应用现状。

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":"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.","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

Imaging methods in the diagnosis and treatment of pancreatic cancer. 胰腺癌的影像学诊断与治疗。

Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI: 10.33699/PIS.2024.103.4.117-121

D Girsa, J Weichet

引用次数: 0

Prophylactic osteosynthesis of long bones in patients with multiple myeloma. 多发性骨髓瘤患者长骨预防性植骨。

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":"Introduction: 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.Methods: 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.Results: 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.","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

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