The study of physicochemical properties of stabilizing plates removed from the body after treatment of pectus excavatum.

This paper presents the results of a physicochemical surface study and clinical observation of a new generation of plates for the treatment of pectus excavatum. Analysis of the data allowed us to investigate the effect of implant design and condition of their surface on the results of treatment of pectus excavatum. In the study, we performed an analysis of clinical data, obtained after a suitable period of treatment with the use of implants, as well as a study of physicochemical properties of stabilizing plates after their removal from the body.

Basic dissecting techniques in ultrasound-guided surgery.

Ultrasound-guided surgery is an area of minimally-invasive surgery where surgical procedures are performed with the aid of ultrasound imaging throghout the operation. This requires the operator to posses a certain degree of experience in endoscopic procedures, and to be adeptly skillfull in conducting US examinations. It is combining and finely tuning together these two elements that allows to perform efficiently an ultrasound-guided surgical procedure.

Experimental biomechanical assessment of plate stabilizers for treatment of pectus excavatum.

The paper discusses results of experimental research involving new generation of plate stabilizers used for the treatment of deformation of the front chest wall. Previous clinical monitoring revealed instances of minimal rotation, which caused destabilization of the anastomosis and pain in patients. In order to prevent this, transverse stabilizing plates were introduced to the structure of the stabilizer.

The advantages of combining sonotopogram with indication and fixation in invasive ultrasound.

The usefulness of sonotopogram, that is mapping of the operated area basing on ultrasound, is obvious and currently unquestionable. It is performed in order to improve safety level of a patient treated by means of invasive techniques. It constitutes an excellent complement of the Perioperative Control Card.

The assessment of usefulness of the qualification card and ultrasonographic consultation.

The result of therapeutic success is always the effect of medical professionals cooperation. The creation of adequate mechanisms of cooperation of these teams demands time and appropriate examples. In the understanding of differentiated behaviors in the line patient - diagnostician - surgeon, particularly the mechanism of the cascade of errors formation, giving simple examples may help - their awareness will facilitate the formation of an adequate pattern of diagnostic-therapeutic chain.

Foreign body aspiration in children: diagnostic and therapeutic role of bronchoscopy.

Purpose: Assessment of bronchoscopy usefulness for diagnosis and treatment in children suspected of foreign body aspiration.

Material And Method: There were 27 boys and 18 girls in the age from 15 month to 14 years (average 5.5 years).

Laparoscopic splenectomy in children--a multicenter experience.

Purpose: Splenectomy is frequently required in children for various hematologic pathologic findings. Because of progress in minimally invasive techniques, laparoscopic splenectomy (LS) has become feasible. The objective of this report is to present a multicenter experience of 159 laparoscopic splenectomies.

Laparoscopic appendectomy for simple and complicated appendicitis in children--safe or risky procedure.

Objectives: The aim of the study was to present our experience and to assess the advantages of laparoscopic appendectomy, particularly in children with perforated appendicitis.

Materials And Methods: Between 1999 and 2005, 505 laparoscopic appendectomies were performed. In children aged between 2 and 18 years, number, sex, age, histologic type of appendicitis, additional surgical procedures, number and type of complications, time of procedure, and hospitalization were analyzed.

Stabilization of forearm fractures in children using intramedullary Kirschner wires.

Background. Minimally invasive intramedullary stabilization is a widely accepted method for treating long bone fractures in children. Indications concerning age and type of fracture have increased in the last decade.

Difficulties and limitations in minimally invasive repair of pectus excavatum--6 years experiences with Nuss technique.

Objective: In 1998, Dr Donald Nuss proposed minimally invasive repair of pectus excavatum (MIRPE) which did not require the osteochondrous parts of the anterior chest wall to be resected. The paper aims at presenting the authors' own 6 years of experience in funnel chest repair with MIRPE technique. Also, many technical problems of this method are discussed.

Citric acid cough threshold in patients with gastroesophageal reflux disease rises after laparoscopic fundoplication.

Background: It has been reported that antireflux surgery can diminish chronic cough due to gastroesophageal reflux disease (GERD) that is resistant to pharmacologic therapy. The aim of this study was the assessment of citric acid cough threshold (CACT) in patients with chronic cough due to GERD before and 3 months after laparoscopic Toupet fundoplication.

Methods: Thirty subjects (20 women and 10 men; median age, 45.

[Assessment of cough threshold in patients with gastroesophageal reflux disease].

The aim of this study was the assessment of citric acid cough threshold in patients with chronic cough due to GERD, confirmed by 24-hour esophageal pH- monitoring, with other reasons of chronic cough excluded. Thirty subjects with chronic cough due to GERD and 15 healthy volunteers underwent cough challenge with doubling concentrations of citric acid using Asthma Provocation System (Jaeger). The cough threshold was defined as the first concentration of citric acid that induced cough.