Fibrinolytic intra-arterial therapy in treatment of arterial occlusion in femoropopliteal segment.

Aim: Local intra-arterial thrombolysis is one of the methods of treatment of acute ischemia of extremities. Its aim is rapid restoration of arterial patency and the reperfusion of the ischemic extremity. It allows the identification of the cause of arterial occlusion.

[Ten years of experience with laparoscopic cholecystectomy].

Unlabelled: The laparoscopic cholecystectomy has been performed for almost 20 years in the world. This technique has gained its permanent place in the treatment of cholecystolithiasis. The purpose of this study is the analysis of the results of the treatment of patients with cholecystolithiasis with the use of the laparoscopic technique as we were gaining experience in the field of video-surgical operations.

Progress of local symptoms of superficial vein thrombosis vs. duplex findings.

Background: Risk of subsequent deep vein thrombosis (DVT) following superficial vein thrombosis (SVT) is not fully appreciated. Mechanisms, time relations and risk factors for DVT arising upon earlier SVT remain unclear. The aim of this study was to analyze time relations between local symptoms of lower limb superficial vein thrombosis, duplex findings and onset of deep vein thrombosis during clinically evident course of SVT.

[Prevalence of abdominal aortic aneurysm and peripheral arterial diseases in ambulatory patients with coronary disease].

Presence of peripheral arterial disease in patients with coronary artery disease is associated with worse outcome. The aim of this epidemiological study was to evaluate the prevalence of different manifestation of atherothrombosis and its risk factors in the group of 2969 ambulatory patients with coronary artery disease. Mean age of investigated group was 61.

False aneurysms of the proximal anastomosis of the arterial prosthesis and the abdominal aorta.

Due to a false aneurysms of the aortic-prosthetic anastomosis ten patients aged 42-74 years underwent surgery. In three patients, an aneurysm occurred twice. One was operated on after the aneurysm had ruptured.

[False aneurysms of lower extremity arteries: noninvasive preop diagnosis with magnetic resonance angiography and Doppler ultrasonography].

The purpose of this study was to work out a diagnostic algorithm to be used in patients surgically treated because of a false aneurysm of arteries supplying the lower limb. The study includes preoperative vessel evaluation as well as treatment results assessment with MRA and US methods. Examinations included until now 16 patients with clinical false aneurysm suspicion.

[Iatrogenic reasons for conversion after laparoscopic cholecystectomy].

The authors discusses causes of conversion after laparoscopic cholecystectomy (LC). 16 cases of technical and emergency conversions have been presented. The link between the experience of the surgeon and the frequency of such conditions has been emphasized.

[Laser laparoscopic cholecystectomy].

Clinical use of the Polish Nd-YAG laser with "naked fibre"--type tip in the laparoscopic cholecystectomy is discussed. Eleven subsequent patients with the symptomatic cholelithiasis confirmed with ultrasonography have been operated with this technique. Laser served mainly to dissect gall bladder from the liver.

[Usefulness of transcutaneous oximetry in vascular surgery].

The assessment is presented of the value of transcutaneous oximetry in vascular surgery and in choosing the level of ischaemic limb amputation. Transcutaneous measurements of oxygen pressure (tcp02) were performed in 172 patients operated on for chronic ischaemia of the lower limbs before and three weeks after the operation. The studied subjects had the following operations done: bifurcated or unilateral aortofemoral bypass, femoropopliteal bypass, restoration of patency of the iliac and femoral arteries, lumbar sympathectomy, lower limb amputation.

[Results of intra-arterial administration of PGE1 prostaglandin].

On the basis of own clinical material the results are presented of intra-arterial administration of PGE1 prostaglandin (Prostavasin) to 18 patients with chronic lower limb ischaemia in II, III and IV stage of the disease according to Fontaine. In the group of 15 patients (four treated as outpatients) Prostavasin was administered in multiple infusions of 20 micrograms of the drug, according to the schema recommended by the producer. Three very good, six good and three poor results were observed.

Application of transcutaneous oxymetry in vascular surgery.

Our study is aimed at the assessment of transcutaneous oxygen pressure tension measurements (tcpo2) application in relation to evaluation of results of vascular operations upon chronic ischaemic limbs and choice of amputation level if necessary. 269 patients were examined. All measurements were performed with the help of Hellige Oxymonitor SM 361 and a Polish one.