[The restoration of hand functions after irreparable injury of the radial nerve].

Introduction: The aim of our study was to evaluate the methods used and results achieved for the restoration of function of the hands in patients with irreparable injury to the radial nerve.

Materials And Methods: We studied the type and number of methods used for the restoration of mobility function of the hands by tendon transfer of active muscle to affected muscle. Moreover, we implemented rehabilitation treatment in patients with irreparable injury to the radial nerve.

[Assessment of tissue responsiveness after implantation of a new block copolymer into rat tissue].

The report describes tissue response an implantation of new block copolymer and compares with tissue response after presently used in medicine polymer implants. Implants shaped as 15 x 3 mm cylinders were placed subcutaneously on the abdomen and into muscles of both tight of Wistar rats. After 3, 7 and 14 days was taken tissue specimens with implants and kidneys to gross and light microscope examination.

The influence of new polyester block copolymer on morphology of hepatocytes of rats liver.

The liver is a complex organ with metabolic, excretory, and defence functions, so the effect of toxic polymers is often find in disorganisation of hepatic structure and may induce cell damage. In this study it is estimated the influence of recently synthesised multiblock copolymers based on poly/butylene terepthalate) and a dimerized fatty acid. The films of polymers were implanted intra-abdominally in 45 rats of Wistar breed covering the right lobe of liver.

[Stab wound of the chest with penetration into abdominal cavity].

The case of the 33 year old woman with stab wound of the chest with penetration into abdominal cavity was presented. Due to injury mechanism the diagnostic thoracotomy was recommended. The operation confirmed the lung, diaphragm, spleen and kidney lesion.

[The advanced stomach cancer].

In the years 1993 to 1997, 106 patients with gastric carcinoma were treated. The age of patients ranged from 24 to 90 years. There were 73 males and 33 females.

[Minor blunt abdominal trauma can be dangerous].

Four cases with apparently mild abdominal trauma were presented. Finally, all but one were operated. On laparotomy ruptured spleen was found in two patients, the third had hematoma of the ileal mesentery.

[Transplantation of the greater omentum and complication].

A series of 13 patients (12 males, 1 female, aged 5-57) operated between 1990 and 1997 is presented. In 12 cases the greater omentum was used to cover tissue defect within upper extremity, in 1 case--lower extremity. Complications at donor site and within extremity were assessed in two groups (group I--5 cases of free omentum graft, group II--8 cases of pedicled omentum graft).

[The traumatic amputation of the forearm complicated by pneumocephalus].

The case of 37-year old man is reported who had traumatic amputation of the right forearm together with brachial plexus and cervical roots and third right rib fracture without pneumothorax. Due to a large damage of the limb replantation was dropped and only surgical elaboration of the wound was made. A few hours after the operation, dyspnoe and headache appeared.

[The use of radial artery for the revascularization of the amputated thumb].

We present one of several methods for revascularization of the replanted thumb. Index radial artery is prepared, transposed and anastomosed to pollicis princeps artery. Twenty-seven patients aged 12-67 operated between 1991 and 1997 due to total or subtotal thumb amputation were included in this study.

[The use of the ulnar artery in hand replantation].

A method for restoring arterial circulation at replantation of the metacarpus with reversed ulnar artery is presented. It was employed in 31 years old patient who underwent replantation of the metacarpus with index, middle and ring finger. The little one was abandoned due to the vast damage.

[Post-traumatic painful ulnar nerve compression syndrome treated by wrapping the nerve with the vein: preliminary report].

Three cases of post-traumatic painful ulnar nerve compression syndrome are presented. Previous treatment both conservative and surgical (neurolysis) proved unsatisfactory. The method described-wrapping of the nerve with the saphenous vein graft in the area of scarification-gave satisfactory outcome in 2 of 3 operated patients (significant resolution of pain and improvement of sensation) in one year follow-up.