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Acta chirurgica Hungarica最新文献

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Corneal transplantation in children. 儿童角膜移植。
Acta chirurgica Hungarica Pub Date : 1999-01-01
E Balázs, K Balázs, L Takács, A Berta
{"title":"Corneal transplantation in children.","authors":"E Balázs,&nbsp;K Balázs,&nbsp;L Takács,&nbsp;A Berta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Authors discuss the special problems related to childhood keratoplasties. They evaluate the results of the keratoplasties carried out in children during the past 10 years in their service. They review the concerning literature and summarize their opinion on the corneal transplantations of this age group.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"225-9"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21773075","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
Metabolic consequences of orthotopic ileal neobladder. 原位回肠新膀胱的代谢后果。
Acta chirurgica Hungarica Pub Date : 1999-01-01
D L Répássy, A Bécsi, G Tamás, T Weninger
{"title":"Metabolic consequences of orthotopic ileal neobladder.","authors":"D L Répássy,&nbsp;A Bécsi,&nbsp;G Tamás,&nbsp;T Weninger","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>Orthotopic ileal bladder substitution is a well accepted form of urinary diversion providing high quality of life. However, potential metabolic consequences remain a serious problem. These complications are discussed in the present article.</p><p><strong>Material and methods: </strong>Authors review the metabolic complications of 45 orthotopic ileal neobladder cases.</p><p><strong>Results: </strong>Insufficient absorption (malabsorption) associated with ileal resection is quite rare, while hyperchloremic metabolic acidosis after ileal neobladder is a rather common phenomenon (55%).</p><p><strong>Conclusion: </strong>Authors suggest careful patient selection, correct operative technique and vigilant follow-up for successful treatment of metabolic complications.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"321-8"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21774284","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 role of CT examination in diagnostics and surgery of chronic empyema thoracis. CT检查在慢性胸脓肿诊断和手术中的作用。
Acta chirurgica Hungarica Pub Date : 1999-01-01
G Balogh, J Mendly, G Horváth, I Repa
{"title":"The role of CT examination in diagnostics and surgery of chronic empyema thoracis.","authors":"G Balogh,&nbsp;J Mendly,&nbsp;G Horváth,&nbsp;I Repa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Computer tomography (CT) has become one of the most important modern diagnostic procedure in the detection, differential diagnosis, treatment and the postoperative follow up of patients suffering from chronic intrathoracic suppuration. Although CT examination is nowadays almost unlimitedly available it is still not regarded as a routine diagnostic procedure. It proves to be remarkably useful in the surgical treatment of neglected, chronic cases of suppuration in the thoracic cavity. On the basis of the Moores empyema thoracis classification [3] patients in the third stage belong to the group with chronic intrathoracic suppuration. Their empyema can only be treated by a major surgery or a series of operations.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304213","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 position of spiral CT in the complex diagnostics system for pulmonary embolism. 螺旋CT在肺栓塞复杂诊断系统中的地位。
Acta chirurgica Hungarica Pub Date : 1999-01-01
J Mendly, G Bajzik, I Repa
{"title":"The position of spiral CT in the complex diagnostics system for pulmonary embolism.","authors":"J Mendly,&nbsp;G Bajzik,&nbsp;I Repa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The development of CT technology, the more widespread use of spiral CT and the application of contrast injection techniques now enable such levels of contrast intensity in the segmental and larger pulmonary arteries to be attained as to allow the minimally invasive, direct detection of emboli. This technique has a role to play in the strategy for check-up examinations for pulmonary embolism. By providing a realistic alternative the spiral CT examination serves to reduce the number of scintigraphy examinations to be performed. At the same time, the role played by invasive pulmonary angiography examinations is now shifting towards intervention.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"91-3"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304725","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 history and the future of teaching and training of laparoscopic surgery in Hungary. 匈牙利腹腔镜手术教学与培训的历史与未来。
Acta chirurgica Hungarica Pub Date : 1999-01-01
I Furka, E M Gamal, I Mikó, P Metzger, J Sándor, I Rózsa, J Kiss
{"title":"The history and the future of teaching and training of laparoscopic surgery in Hungary.","authors":"I Furka,&nbsp;E M Gamal,&nbsp;I Mikó,&nbsp;P Metzger,&nbsp;J Sándor,&nbsp;I Rózsa,&nbsp;J Kiss","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Laparoscopic biliary surgery was introduced in Hungary at the end of the 1990. A variety of experimental training and teaching courses had been performed in basic techniques and the human field, which was followed by laparoscopic biliary surgery and various advanced fields.</p><p><strong>Aims of the study: </strong>To review the history of teaching and training of laparoscopic surgery in Hungary in both the experimental and the human field, and to draw the consequences of this experience.</p><p><strong>Material and methods: </strong>In a period of 6 years 704 qualified surgeons received a full hands--on hands experimental training in laparoscopic biliary surgery, laparoscopic advanced surgery, laparoscopic gynaecologic and laparoscopic urology surgery.</p><p><strong>Discussion: </strong>The courses performed in the first and the second phase were of theoretical and practical components. The theoretical knowledge was based with emphasise to the new instruments and equipment, the indications, the new surgical technique. The practical knowledge gave every participant the full time to acquire this new type of surgery. At the end of the courses the successful participants received certificates to shift for training to the human field. Each institution needs to wrestle with issues concerning credentialling in advanced laparoscopic surgery. Like many technical skills, proficiency is maintained through repetition. A philosophy must be developed to determine whether each surgeon will perform this highly specialised type of surgery or whether it will be considered a general skill.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"159-61"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21454478","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
Pericardial abscess--a rare complication of sepsis. 心包脓肿，败血症的罕见并发症。
Acta chirurgica Hungarica Pub Date : 1999-01-01
I Capov, J Wechsler, J Sumbera, M Pavlík, V Jedlicka
{"title":"Pericardial abscess--a rare complication of sepsis.","authors":"I Capov,&nbsp;J Wechsler,&nbsp;J Sumbera,&nbsp;M Pavlík,&nbsp;V Jedlicka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pericardial abscess is a very rare complication of sepsis. Authors describe the case of a 69-year-old woman. In her case staphylococcus sepsis led to pericardial abscess. During the course positive blood cultures (3x) indicated the sepsis and pus was obtained from the left pleural cavity (pleuropneumonia). Concomitant purulent process in the left shoulder also was noted. Decline immunity due to long-standing corticoid therapy (prednisone) for proctocolitis idiopathica was observed. Following antibiotic treatment successful surgical evacuation of the pericardial abscess was performed.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304216","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
High frequency jet ventilation in trachea reconstructions--its advantages in our experience. 高频喷射通气在气管重建中的应用——以我们的经验来看其优势。
Acta chirurgica Hungarica Pub Date : 1999-01-01
I Dzuberová, L Sabaková, O Juráková, S Harustiak, I Majer
{"title":"High frequency jet ventilation in trachea reconstructions--its advantages in our experience.","authors":"I Dzuberová,&nbsp;L Sabaková,&nbsp;O Juráková,&nbsp;S Harustiak,&nbsp;I Majer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Maintaining sufficient airflow in the distal airways during tracheal resection remains to be a challenging task. Disadvantages of cross-field intubation are well known. Experiences with using two models (CHIRAJET NCA and PARAVENT PAT) of ventilators for High Frequency Jet Ventilation (HFJV) during 82 resection of trachea (94 applications) are reported. Postintubation or post-tracheostomy stenosis required surgery in 76% of the cases. 11% of the cases required surgery for tumour stenosis. In 4/82 cases trauma necessitated the trachea surgery. Six tracheo-esophageal fistulas were operated on using this technique. No perioperative technique related complications was encountered. No perioperative and early postoperative mortality was noted. The usage of HFJV is method of first choice in our experience, especially in lesions of upper part of the trachea. It proved to be safe, effective and easy to use ventilation technique.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"31-4"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304219","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
Difficulties with CT-guided needle biopsy and VATS, as combined approach for the diagnosis and treatment of peripheral pulmonary nodules: a case report. ct引导下的穿刺活检和VATS联合诊断和治疗周围性肺结节的困难:1例报告。
Acta chirurgica Hungarica Pub Date : 1999-01-01
M Grazia, L Ansaloni, A Bini, G Grani, M Mastrorilli, D Pagani, F Sellitri, F Stella, R Bazzocchi
{"title":"Difficulties with CT-guided needle biopsy and VATS, as combined approach for the diagnosis and treatment of peripheral pulmonary nodules: a case report.","authors":"M Grazia,&nbsp;L Ansaloni,&nbsp;A Bini,&nbsp;G Grani,&nbsp;M Mastrorilli,&nbsp;D Pagani,&nbsp;F Sellitri,&nbsp;F Stella,&nbsp;R Bazzocchi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To re-evaluate the use of CT-guided needle biopsy and VATS, as our combined approach protocol for the diagnosis and treatment of peripheral pulmonary nodules.</p><p><strong>Methods and results: </strong>We describe the case of a male smoking patient, 50-year-old, who came to our service for the histological diagnosis of a right pulmonary lesion incidentally revealed. He was submitted to our diagnostic and therapeutic protocol for peripheral pulmonary nodules, that is a combined approach of CT-guided needle biopsy, anchorage of the lesion and VATS resection. Difficulties with this technique can raise when: 1. the cytological CT-guided needle biopsy is not diagnostic, 2. the anchorage is not successful, 3. the malignancy of the lesion cannot be surely determined by the extemporary histological examination. In this patient all these difficulties were encountered.</p><p><strong>Conclusions: </strong>We conclude that our diagnostic and therapeutic protocol for peripheral pulmonary nodules is not invalidated by this experience, even in consideration of the fact that we applied successfully the protocol in several previous cases.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"39-41"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304113","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
Catamenial pneumothorax--3 case reports and view of literature. 肠系气胸3例报告及文献回顾。
Acta chirurgica Hungarica Pub Date : 1999-01-01
M Kadry, K Hässler, C Engelmann
{"title":"Catamenial pneumothorax--3 case reports and view of literature.","authors":"M Kadry,&nbsp;K Hässler,&nbsp;C Engelmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The unusual correlation between chronic recurring spontaneous pneumothorax and the menstrual cycle, was first presented by Maurer in 1958. In our clinic we had 3 cases in 5 years. The anamnesis shows that this syndrome is unknown to many of our colleagues. Not mentioned in several standard textbooks, warrants our attention.</p><p><strong>Methods: </strong>In 5 years we had 3 cases of C.P., all of them had already on admission, at least one recurrence; all of them had right sided thoracic pain and dyspnoea. They undergone video-assisted thoracoscopy, with histological examination of diaphragm specimen. Gynaecological consultations was followed by hormonal therapy and follow up.</p><p><strong>Results: </strong>In all 3 cases we found no signs of lung defects or bullae, instead, we identified diaphragm defects of different extension, even a liver prolapse in one of the cases. Endometriosis extra genitalis could be diagnosed in only one case which undergone a hysterectomy 8 years before.</p><p><strong>Conclusion: </strong>A spontaneous pneumothorax which recurs in correlation with menses has a pathogenesis which concern only women, that is why is referred to as catamenial. Our experience supports the hypothesis, that air in the pleural cavity originates from the peritoneal one, arriving here via uterus and tuba. Beside the symptomatic therapy ther is an etiological one, by inhibition the menstrual cycle. Thoracosurgical intervention could help preventing recurrence, and contributes in clarifying the pathogenesis.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"63-6"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304117","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
Isolated urethral amyloidosis (case report). 孤立性尿道淀粉样变性(1例报告)。
Acta chirurgica Hungarica Pub Date : 1999-01-01
D L Répássy, A Tankó, T Weninger, E Babarczi, G Tamás
{"title":"Isolated urethral amyloidosis (case report).","authors":"D L Répássy,&nbsp;A Tankó,&nbsp;T Weninger,&nbsp;E Babarczi,&nbsp;G Tamás","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of urethral amyloidosis is presented in a 31-year-old male patient. Through this case, authors draw attention to the recommended forms of examination in the event of this illness being suspected, and also discuss problems in differential diagnosis. A reviewed the relevant data in the literature is also provided.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"329-33"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21774285","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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