[Management of groin wound infection after arterial surgery using negative-pressure wound therapy].

Introduction: Infection is a serious complication in vascular reconstructive surgery. When the entire graft is infected, its excision and subsequent replacement is the only option of treatment. In case of localised graft infection in the groin, the vascular reconstruction can be saved using negative-pressure wound therapy (NPWT).

[The use of V.A.C. system for the treatment of infected vascular prosthesis--a case report].

Infected vascular prosthesis is a serious therapeutic issue and a dreaded complication in vascular surgery. We present a case of an 87-year-old man with an infected femoroprofundal crossover PTFE bypass. In this case of a high-risk patient not suitable for surgery, we used a conservative approach using a V.

[Urgent thyroidectomy for a mechanical syndrome caused by a toxic nodular goiter--a case report].

We present a case of emergency surgery of an 86-year-old patient with an extensive cevicomediastinal toxic nodular goiter. Acutely onset mechanical syndrome during hospitalization of the patient in another department for a different diagnosis (vertebrogenic algic syndrome of Th-L spine) warranted acute intubation and mechanical ventilation. After the transfer of the patient to our department, we performed total thyroidectomy.

[Ruptured mycotic aneurysm of the abdominal aorta managed using a superficial femoral vein graft--a case review].

Mycotic aneurysm of the abdominal aorta is a rare, but potentially lethal disorder because of the risk of rupture. It presents a permanent problem in vascular surgery. Despite recent advances in endovascular procedures, one of the available surgical interventions generally remains the method of choice.

[Infection in vascular reconstructive surgery].

Purpose: Infection is one of the most serious complications in vascular surgery.

Methods: We summarize the patients operated on in our clinic during a 3-year period for infection of the arterial reconstruction.

Results: 577 primary arterial reconstructions were performed in the region of abdominal aorta and lower limb arteries during the years 2003-2005.

[Incidence of carcinomas in goiters and their combination with Hashimoto's thyroiditis].

In the investigated group 300 patients were operated for a thyropathy mostly struma nodosa, tumours were proved in 69 cases; 38 of them were carcinomas of various extent and 3 of them were combined with Hashinoto's lymphomatous goitre. The overwhelming majority of the carcinomas were papillary carcinomas (22 cases). The incidence of papillary carcinoma in Hashimoto's goitre was about 8%; this fact calls for more attention to autoaggressive thyroiditis both in examination of surgical material, and during autopsies in middle-aged women, where this thyroiditis is often clinically silent.

[Total thyroidectomy as the most frequent surgical procedure on the thyroid gland].

In 1997 and 1999 at the Second Surgical Clinic 35 patients with thyroid disease were operated. The authors reflect on the increasing radicality of operations from the aspect of the endocrinologist and surgeon. Extended surgical operations in relation to the original endocrinological indications are explained by the surgical finding and results of the histological examination.