[Current issues related to nosocomial infections in general surgery].

The authors analyze the prevalence of nosocomial infections in their facility between 1999 and 2006. The annual rates ranged from 1.92 % to 4.

[The "pancreatic unit" in the treatment of severe necrotizing pancreatitis].

The course of acute pancreatitis varies from mild, fortuitous forms to grave, life threatening disease. Approximately 80-90% of all forms are mild with low morbidity and mortality. The rest consist of severe, sometimes even fatal forms with present necrosis.

Injuries of the intraabdominal organs at patients with polytrauma.

The authors analyse group of 77 patients with several injuries of the intraabdominal organs by polytrauma and intraabdominal continuing bleeding. The injuries were classified in compliance with the classification of the American Association for the Surgery of Trauma (AAST), 1994. At hemodynamically stable patients, the authors accept selective non-operative forms of treatment, however are aware of the risk of delaying the therapy of severe polytrauma.

Stabilisation of thoracic wall in patients with chest injury.

The authors analyse a group of 38 polytraumatised patients with unstable thoracic injury who were subdued to internal surgical stabilisation of the thoracic wall during the period from 1st October 1994 to 30th September 2001. The average period of controlled pulmonary ventilation (CPV) was 3 days and the average period of hospitalisation at the Anaesthesiology and Intensive Care Department (AICD) was 10 days. In indicated cases, the authors recommend an active surgical approach in the treatment of patients with unstable thoracic injuries.