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Acta chirurgica Hungarica最新文献

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Videothoracoscopy and muscle flaps in the treatment of bronchial stump fistula. 胸腔镜及肌瓣在支气管残端瘘治疗中的应用。
Acta chirurgica Hungarica Pub Date : 1999-01-01
J Kowalewski, M Brocki, M Galikowski, K Kapron
{"title":"Videothoracoscopy and muscle flaps in the treatment of bronchial stump fistula.","authors":"J Kowalewski,&nbsp;M Brocki,&nbsp;M Galikowski,&nbsp;K Kapron","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of the paper is to report our surgical technique applied for treatment of broncho-pleural fistula (BPF) as well as the results of the treatment. From 1992 to 1998 we performed 127 pneumonectomies for lung cancer. In 5 cases (3.9%) bronchial stump insufficiency developed postoperatively. Three patients were treated by means of videothoracoscopy (the Multifire Endo Hernia Stapler was used to clipped the fistula). Rethoracotomy with myoplasty was performed four times in 3 patients. In one patient both the methods were employed. In 2 out of 3 cases videothoracoscopic treatment was successful and the patients were discharged without signs of BPF and pleural empyema. In one case the recurrence of the fistula occurred and the stump of the bronchus was successfully covered with the pectoral musce flap 3 days later. In two cases after rethoracotomy and myoplasty (one of them was reoperated twice) the recurrence of BPF occurred and both the patients died due to cardiopulmonary failure. Despite the limited experience, we think videothoracoscopy is worth considering as a tool for treatment of BPF.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"79-81"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304722","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
Sequential treatment of the common bile duct stones and cholecystolithiasis. 胆总管结石及胆囊结石的序贯治疗。
Acta chirurgica Hungarica Pub Date : 1999-01-01
I Farkas, A Pap, J Kamuti
{"title":"Sequential treatment of the common bile duct stones and cholecystolithiasis.","authors":"I Farkas,&nbsp;A Pap,&nbsp;J Kamuti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The orthodox method of the treatment of gallstone disease is laparoscopic cholecystectomy (LC) days or weeks after endoscopic retrograde cholangiopancreatography + endoscopic spincterotomy (ERCP+ES). It can be advantageous from the point of financing, that is double reimbursement (2 x DRG). On the other hand there are some disadvantages of this procedure: longer hospital stay, further suffering of the patient, difficulties at operation because of inflammation provoked by ERCP (11% 14/120 in 3 month). We report on our experience with the treatment of common bile duct stones within 24 h by sequential endoscopic-laparoscopic management. The gallstone disease of a 32 year old woman was diagnosed by ultrasonography and laboratory tests. She had ERCP+ES in the morning and LC 7 hours later. There was no complication and the patient was discharged already on the 3rd day.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"147-9"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21455188","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
Eosinophilic cystitis in view of two cases. 嗜酸性膀胱炎两例。
Acta chirurgica Hungarica Pub Date : 1999-01-01
F Szabó, Z Simon, G Arató
{"title":"Eosinophilic cystitis in view of two cases.","authors":"F Szabó,&nbsp;Z Simon,&nbsp;G Arató","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Authors present their experiences with eosinophilic cystitis. In both of their cases the preoperative evaluation presumed bladder cancer, the histologic examination, however, showed eosinophilic cystitis. In this report a discussion is given on the diagnostic and treatment possibilities of the entity.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"253-60"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21774276","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
Chest wall deformities. 胸壁畸形。
Acta chirurgica Hungarica Pub Date : 1999-01-01
Y Akçali, H Ceyran, L Hasdiraz
{"title":"Chest wall deformities.","authors":"Y Akçali,&nbsp;H Ceyran,&nbsp;L Hasdiraz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Pectus deformities and atypical costal anomalies are congenital thoracic wall defects that can cause a marked cosmetic defect with attendant psychological trauma and limited physical performance.</p><p><strong>Patients and methods: </strong>We reviewed 43 patients with chest wall deformities, 24 (55.8%) were pectus excavatum, 13 (30.2%) pectus carinatum and 6 (14%) atypical costal anomalies, in the last sixteen years. There were nine female and 34 (79.1%) male patients. The mean age of the patients was 14.4 years (range, 5 to 23). Scoliosis (13.5%), Poland's syndrome (5.4%), Marfan's syndrome (5.4%), neurofibromatosis (2.7%), atrial septal defect (2.7%) and mitral valve prolapse (13.5%) were associated with pectus deformities. The modified Ravitch's technique was used in pectus cases. Concomitant surgery was performed in two patients with pectus carinatum.</p><p><strong>Results: </strong>The complications of pectus deformity repair were pneumothorax (24.3%), wound infection (8.1%), and local tissue necrosis (2.7%). There was no major recurrence, while minor recurrence rate was 10.8%. There was no mortality.</p><p><strong>Conclusion: </strong>Timely surgical procedures for the treatment of pectus deformities result in an excellent cosmetic outcome and improve cardiorespiratory function, providing both physical and psychological benefits.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21303598","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
Sedation for ambulatory endoscopy. 镇静用于门诊内镜检查。
Acta chirurgica Hungarica Pub Date : 1999-01-01
K Darvas, M Tarjányi, Z Molnár, M Borsodi, Z Eles, P Kupcsulik
{"title":"Sedation for ambulatory endoscopy.","authors":"K Darvas,&nbsp;M Tarjányi,&nbsp;Z Molnár,&nbsp;M Borsodi,&nbsp;Z Eles,&nbsp;P Kupcsulik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Diagnostic and therapeutic fiberoscopy of gastrointestinal tract is often performed ambulatory and sedation is sometimes also required. Indication for sedation can be the intervention itself or the patient's psychological state. Aim of the study was to compare the effects of midazolam and combination of midazolam and fentanyl during endoscopy. Twenty eight cases were investigated: oesophagogastroduodenoscopy (n = 14) and colonoscopy (n = 14). Anaesthetics were midazolam (M) in 16 cases, midazolam-fentanyl (MF) in 12 cases. Non-invasive mean arterial pressure, pulse rate, acid-base balance and blood gases (by Astrup method) were recorded before endoscopy, at the 5th and 10th minutes of endoscopy, 15 minutes after intervention and also before emission. Pulse rate changed between 78-92/min. Mean arterial pressure appeared between 84-90 mm Hg. In MF group both were lower but there was not significant difference between the groups. The values were in normal range, there were not metabolic acidosis which needed correction. Onset of sedative effect was 2.8 min. in M group, 2.3 min. in MF group. The ability for adequate reaction returned within 11 min. in M group, within 14 min. in MF group. Fentanyl prolongs sedative effect of midazolam and offers sufficient pain relief. After 3 hours, patients could be emitted from the hospital.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"143-6"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21454475","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
Management of corrosive injuries of the esophagus. 食道腐蚀性损伤的处理。
Acta chirurgica Hungarica Pub Date : 1999-01-01
A Vereczkei, G Varga, L Pótó, O P Horváth
{"title":"Management of corrosive injuries of the esophagus.","authors":"A Vereczkei,&nbsp;G Varga,&nbsp;L Pótó,&nbsp;O P Horváth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During a 5-year period from 1993 to 1998, 22 cases of caustic esophageal injuries were referred to our clinic, caused by acid consumption as suicidal intentions or as an accident. Four out of 10 cases where acute exploration was performed the corrosion was so extended that no further intervention could be done, and all of them died within 24 hours. In the remaining 6 cases acute esophagogastrectomy, or total gastrectomy with esophageal exclusion was performed. Three out of 6 patients survived primary surgery, who later underwent esophageal reconstruction with a colon substitute. In 12 patients no indication for acute surgery arose, but later during the follow-up in 5 of them dysphagia and corrosive stricture developed. All underwent successful esophageal reconstruction with colon substitute. Case reports, acute management, indications for surgery and prognostic factors are also discussed.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"119-22"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304615","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
Risk of lung resections in patients after inductive chemotherapy of non-small cell bronchogenic cancer. 非小细胞支气管癌诱导化疗后患者肺切除的风险。
Acta chirurgica Hungarica Pub Date : 1999-01-01
K Novák, M Pesek
{"title":"Risk of lung resections in patients after inductive chemotherapy of non-small cell bronchogenic cancer.","authors":"K Novák,&nbsp;M Pesek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Results of 43 patients who were operated on after chemotherapy in the period 1986-1998 are presented. Authors evaluate the morbidity, mortality and survival. Relatively low mortality and good survival rate is considered to be success. In many patients, without the combination therapy their tumors would have been inoperable and quality of life would be poor.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"101-2"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304727","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
Penetrating thoraco-abdominal gunshot wounds procedure. 穿透胸腹枪伤手术。
Acta chirurgica Hungarica Pub Date : 1999-01-01
T Przystasz, E Stanowski, A Chmieliński
{"title":"Penetrating thoraco-abdominal gunshot wounds procedure.","authors":"T Przystasz,&nbsp;E Stanowski,&nbsp;A Chmieliński","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gunshot injuries of the trunk in the peace time are rare, but always represent great therapeutic and organisational problems. It concern especially thoraco-abdominal injury. Aim of this report is to present our treatment experiences with 19 wounded patients. Different procedure was applied. In 16 cases wounded laparotomy was done, in 4 cases following pleura cavity drainage. After that in 4 wounded thoracotomy was performed. In the 3 rest wounded thoraco-phrenolaparotomy was done. All of them had lung injury and a few of them have had great vessel and heart lesions. In the abdomen we found 1-4 organs injury. 7 (37%) wounded died, among these 6 after abdominal complications. Injuries mentioned above are severe, complicated and required individual and differentiated procedure. Above all severity of abdominal organs injury determined prognosis. Not enough experienced thoracic surgeon can cooperate with abdominal specialist surgeon during treatment procedure such a patients.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"107-9"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304729","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
Fibro-osseous lesion of rib. 肋骨纤维骨性病变。
Acta chirurgica Hungarica Pub Date : 1999-01-01
S Gürsoy, S Yaldiz, G Yuncu, M Ulgan, D Aykanli, A G Yener
{"title":"Fibro-osseous lesion of rib.","authors":"S Gürsoy,&nbsp;S Yaldiz,&nbsp;G Yuncu,&nbsp;M Ulgan,&nbsp;D Aykanli,&nbsp;A G Yener","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 3 x 4 cm homogeneous opacity was incidentally detected over the first rib at routine chest radiography. Radionuclide bone scan identified a hot spot, not excluding malignancy and excision of the rib revealed fibro-osseous lesion. A review of the literature showed 12 cases of this extremely rare lesion.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"249-52"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21774275","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
Testicular biopsy helping assisted reproduction. 睾丸活检有助于辅助生殖。
Acta chirurgica Hungarica Pub Date : 1999-01-01
E Erdei, E Magyar, I Lellei, J Rózsahegyi, A Laki, A Rusz, G Papp
{"title":"Testicular biopsy helping assisted reproduction.","authors":"E Erdei,&nbsp;E Magyar,&nbsp;I Lellei,&nbsp;J Rózsahegyi,&nbsp;A Laki,&nbsp;A Rusz,&nbsp;G Papp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Authors have performed testis biopsy on 21 male patients according to the predesigned protocol. The biopsy has been carried out from scrotal excision, with the exposure of both testis with microsurgical method. The results have been evaluated according to the spermogram groups. Correlation of FSH values and histological appearance of both testis was analyzed. Their method and experiences have been evaluated the effectiveness of assisted reproduction.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"279-87"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21774279","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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