Magyar sebeszetPub Date : 2022-03-24DOI: 10.1556/1046.2021.10009
Zsolt Kanyári, Miklós Tanyi, Dezső Tóth
{"title":"Akkor és most a kolorektális sebészetben, Debrecenben.","authors":"Zsolt Kanyári, Miklós Tanyi, Dezső Tóth","doi":"10.1556/1046.2021.10009","DOIUrl":"https://doi.org/10.1556/1046.2021.10009","url":null,"abstract":"","PeriodicalId":74097,"journal":{"name":"Magyar sebeszet","volume":" ","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40327818","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}
Magyar sebeszetPub Date : 2022-03-24DOI: 10.1556/1046.2021.10004
Dezső Tóth
{"title":"100 éves a sebészet a Debreceni Egyetemen - Köszöntő.","authors":"Dezső Tóth","doi":"10.1556/1046.2021.10004","DOIUrl":"https://doi.org/10.1556/1046.2021.10004","url":null,"abstract":"","PeriodicalId":74097,"journal":{"name":"Magyar sebeszet","volume":" ","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40327813","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}
Magyar sebeszetPub Date : 2021-11-25DOI: 10.1556/1046.74.2021.4.7
Andrea Ferencz, Khashayar Farahnak, Krisztián Bocskai, Krisztina Juhos, Daniella Fehér, Domokos Csukás, Anna Blázovics, Györgyi Szabó, József Sándor
{"title":"Peritoneum, the multifunctional membrane","authors":"Andrea Ferencz, Khashayar Farahnak, Krisztián Bocskai, Krisztina Juhos, Daniella Fehér, Domokos Csukás, Anna Blázovics, Györgyi Szabó, József Sándor","doi":"10.1556/1046.74.2021.4.7","DOIUrl":"https://doi.org/10.1556/1046.74.2021.4.7","url":null,"abstract":"<p><p>Introduction: Not only atraumatic surgical technique, precise bleeding control, removal foreign materials from the abdomen, but also avoiding desiccation or mechanical damage of peritoneal surface at abdominal surgery mean today evidence based expectation. Peritoneum with its extensive surface and special histological structure represents an important factor in normal physiological processes, furthermore as “Guard of abdomen” it has an important role to localise inflammatory reactions, useful as dialysing surface and provides also possibility for hyperthermic abdominal chemotherapy in tumour treatment. Largest part of peritoneal sac covers small intestine and colon. To prevent postoperative complications it is necessary to avoid desiccation of intestinal tract at laparoscopic and at open procedures as well – consequently “rehyration” is a routine recommendation today. Desiccation of intestinal tract results postoperative adhesions, furthermore damage of serosa will increase permeability of intestine wall and can result perforation. All the surgical recommendations suggest keeping intestine moist, whereas there are only a few real studies in surgical literature to support or to deny this theory. Our study reviews the pathophysiological and surgical respects of this situation and summarizes the results of latest researches of combined functions of peritoneum.</p>","PeriodicalId":74097,"journal":{"name":"Magyar sebeszet","volume":"74 4","pages":"142-147"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10718862","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}
Magyar sebeszetPub Date : 2021-11-25DOI: 10.1556/1046.74.2021.4.2
Ottó Kovács, Zoltán Szántó, Gábor Vida, Árpád Juhász
{"title":"Left upper lobe pulmonary adenocarcinoma with partial anomalous pulmonary venous connection in the same lobe: Case report","authors":"Ottó Kovács, Zoltán Szántó, Gábor Vida, Árpád Juhász","doi":"10.1556/1046.74.2021.4.2","DOIUrl":"https://doi.org/10.1556/1046.74.2021.4.2","url":null,"abstract":"<p><p>Authors present a case of a 60-year-old male patient with left upper lobe cancer in association with partial anomalous pulmonary venous connection (PAPVC) in the same lobe. The hemiazygous vein joined the left superior pulmonary vein above the aorta in the thorax cavity draining into the left brachiocephalic vein causing left to right shunt flow. PAPVC was clearly identified intraoperatively and left upper lobectomy was performed as definitive solution for both. PAPVC was closed by stapler. To our knowledge 32 operated cases of lung cancer with PAPVC has been described in the literature (PubMed), including our patient.</p>","PeriodicalId":74097,"journal":{"name":"Magyar sebeszet","volume":"74 4","pages":"114-116"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10733703","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}
Magyar sebeszetPub Date : 2021-11-25DOI: 10.1556/1046.74.2021.4.4
Krisztina Berner-Juhos, József Sándor, Györgyi Szabó, Daniella Fehér, Domokos Csukás, Krisztián Bocskai, Andrea Ferencz
{"title":"#Erasmus+ – or surgical research, development and innovation at the Department of Surgical Research and Techniques at Semmelweis University","authors":"Krisztina Berner-Juhos, József Sándor, Györgyi Szabó, Daniella Fehér, Domokos Csukás, Krisztián Bocskai, Andrea Ferencz","doi":"10.1556/1046.74.2021.4.4","DOIUrl":"https://doi.org/10.1556/1046.74.2021.4.4","url":null,"abstract":"<p><p>The European Union is earmarking more and more resources each cycle to support research, development and innovation, and the projects set up by the working groups are helping to develop innovative solutions to reflecting societal issues of today. Since 2014, the Department of Surgical Research and Techniques of the Cardiovascular Center at Semmelweis University has been participating in international consortia supported by the Erasmus+ programme, which aim to modernise the teaching methodology of surgical training and to integrate IT technology into the training of surgical residents at pan-European level. This paper briefly summarises the international projects in which the Department has been involved over the last 7 years.</p>","PeriodicalId":74097,"journal":{"name":"Magyar sebeszet","volume":"74 4","pages":"122-126"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10733704","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}
Magyar sebeszetPub Date : 2021-11-25DOI: 10.1556/1046.74.2021.4.10
Örs Péter Horváth
{"title":"Megjelent dr. Oláh Tibor Nem vagyunk istenek, de ennél többet érdemelnénk című könyve.","authors":"Örs Péter Horváth","doi":"10.1556/1046.74.2021.4.10","DOIUrl":"https://doi.org/10.1556/1046.74.2021.4.10","url":null,"abstract":"","PeriodicalId":74097,"journal":{"name":"Magyar sebeszet","volume":" ","pages":"166"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39657331","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}
Magyar sebeszetPub Date : 2021-11-25DOI: 10.1556/1046.74.2021.4.1
Örs Péter Horváth, András Papp, András Vereczkei, Gábor Pavlovics
{"title":"Esophagoplasty with hybrid-supercharged jejunum","authors":"Örs Péter Horváth, András Papp, András Vereczkei, Gábor Pavlovics","doi":"10.1556/1046.74.2021.4.1","DOIUrl":"https://doi.org/10.1556/1046.74.2021.4.1","url":null,"abstract":"<p><p>Introduction: In this case report an esophageal resection due to cancer was performed with a primary left colonic replacement, as the stomach was resected previously. Due to graft necrosis, the necrotized section of the colon was removed. One year later a long jejunal segment with a combined blood supply was used for secondary reconstruction. Even after the ligation of three straight branches, the Roux loop was not long enough to reach up to the neck, however the division of the arcade between the 2nd and 3rd straight branches lengthened it satisfyingly. Blood supply to the region of the farthest branch was provided from the internal mammary artery and venous drainage was provided by a saphenous vein graft to the external jugular vein. The continuity of the jejunal graft was preserved. The patient recovered uneventfully. If neither the stomach nor the colon routinely used for esophageal replacement are available due to anatomical reasons, previous surgeries, or complications, jejunal replacement can be the last resort. Jejunum is only suitable for safe esophageal replacement by either free transplantation or by supercharging. The procedure when a combined blood supply is provided for the jejunal replacement was named the hybrid-supercharged method.</p>","PeriodicalId":74097,"journal":{"name":"Magyar sebeszet","volume":"74 4","pages":"110-113"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10714999","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}
Magyar sebeszetPub Date : 2021-11-25DOI: 10.1556/1046.74.2021.4.6
Györgyi Szabó, Daniella Fehér, Krisztina Juhos, Mohamed Gamal Eldin, Gabriella Arató, Domokos Csukás, József Sándor, Andrea Ferencz
{"title":"Adhesion stabilization in the early postoperative period in a rat model","authors":"Györgyi Szabó, Daniella Fehér, Krisztina Juhos, Mohamed Gamal Eldin, Gabriella Arató, Domokos Csukás, József Sándor, Andrea Ferencz","doi":"10.1556/1046.74.2021.4.6","DOIUrl":"https://doi.org/10.1556/1046.74.2021.4.6","url":null,"abstract":"<p><p>Introduction: Adhesion formation is a complex series of events that results from cellular and molecular processes where, in contrast to the normal case, events that support adhesion genesis dominate over adhesion lysis. Tissue injury, haemorrhage, tissue desiccation and inflammatory processes, among others, play a role in its induction. Since the presence of adhesions can be associated with a number of negative complications, the primary aim is to prevent their development. There are several preventive targets for the process, but in many cases therapy is only provided immediately after the procedure. In this study, we present an experimental rat model of adhesion, where the aim is to understand the stabilization period of adhesion. All animals underwent the same surgical procedure, inducing tissue injury, minor haemorrhage and tissue desiccation, differing only in the timing of reoperations and sampling. On postoperative days 1–7, we assessed macroscopically and histopathologically the type of adhesions formed, the adhesive tissue, the stability of the adhesion. We found that stabilization was a process lasting several days, with unstable and moderately stable adhesions predominating by postoperative day 4. Knowing this allows to broaden the therapeutic window, targeting the most appropriate period in the early postoperative period, possibly combining treatments, to make adhesion prevention even more effective.</p>","PeriodicalId":74097,"journal":{"name":"Magyar sebeszet","volume":"74 4","pages":"136-141"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10715000","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}