MultiCenter Study of Intra-Abdominal Abscess Formation After Major Operative Hepatic Trauma.

Introduction: One of the significant complications of operative liver trauma is intra-abdominal abscesses (IAA). The objective of this study was to determine risk factors associated with postoperative IAA in surgical patients with major operative liver trauma.

Methods: A retrospective multi-institutional study was performed at 13 Level 1 and Level 2 trauma centers from 2012 to 2021.

Multicenter Study of Perioperative Hepatic Angioembolization as an Adjunct for Management of Major Operative Hepatic Trauma.

Background: The management of major liver trauma continues to evolve in trauma centers across the US with increasing use of minimally invasive techniques. Data on the outcomes of these procedures remain minimal. The objective of this study was to evaluate patient complications after perioperative hepatic angioembolization as an adjunct to management of major operative liver trauma.

Leadership in Surgical Residency.

Surgical training can be compared with a functioning military unit with chain of command, responsibility/accountability relationship, and graduated leadership assignments. Proficiency, commitment, communication, consistency, ownership, relationships, confidence, humility, feedback and evaluation, exemplary behavior, empathy, and humanity are all aspects of leadership. Leadership skills developed in the protected environment of residency are the basis for a successful career.

[Acute necrotizing pancreatitis: traditional laparotomy vs. minimally invasive procedures].

Introduction: Treatment of necrotizing pancreatitis continues to evolve. The standard therapeutic method for infected pancreatic necrosis and its subsequent septic complications is open surgical drainage. The advances in radiological imaging and interventional radiology have enabled the development of minimally invasive procedures, i.

Gastrointestinal stromal tumors (GIST): a single center experience.

Background: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the gastrointestinal (GI) tract. They are believed to originate from the interstitial cells of Cajal (ICCs) or from the precursors of ICCs. Most GISTs show an activating mutation in either the c-kit or platelet-derived growth factor receptor alpha (PDGFRA) gene.

[Post-traumatic pseudocyst of the spleen].

Introduction: Post-traumatic splenic pseudocysts are rare condition and comprise more than 75% of non-parasitic cysts. They result from subcapsular or intraparenchymatous hematoma, by its liquefaction and creation of the fibrous peripheral capsula. Splenic pseudocysts have no epithelial lining, its diameter could be more than 15 cm and are mostly symptomatic.

[Hemorrhagic complications of warfarin therapy].

Introduction: Introduction of warfarin use in prevention and treatment of thromboembolic diseases resulted in lower rates of thromboembolic complications, however, on the other hand, it has been associated with increased incidence of hemorrhagic complications,which often require surgical management. AIM, MATERIAL, METHODS: The aim of the study was a retrospective analysis of hemorrhagic complications in 184 patients, hospitalized in the FNKV (Královské Vinohrady Faculty Hospital) Surgical Clinic during 2000-2008, following warfarin overdose. The following diagnostic or treatment methods were used: endoscopy of the upper or lower GIT in GIT hemorrhages and spiral CT when peritoneal bleeding was suspected.

[Liposarcoma of the spermatic cord].

Liposarcoma of the spermatic cord is rare. It usually presents as a painless slowly-growing scrotal mass of consistency like lipoma. Inguinal orchiectomy is an adequate surgical approach.

Isolated superior mesenteric vein injury from blunt abdominal trauma: report of a case.

Solitary injury of the superior mesenteric vein (SMV) after blunt abdominal trauma is a rare but frequently fatal injury. A 63-year-old man was admitted to our hospital after falling on his right side from a height of 5 m. Computed tomography (CT) showed blood in the peritoneal cavity, but no liver or spleen injury.

[Acute bleeding in the Crohn's disease].

Acute bleeding is a rare, however a very serious complication of the Crohn's disease. Stabilization of the circulation, identification of its source and a consecutive therapeutical strategy remain the principal problem of its management. In addition to classical diagnostic methods, such as colonoscopy, enteroscopy, angiography or radionucleotide scanning, several other methods have emerged recently, e.

Massive, life-threatening bleeding in Crohn's disease.

Background: Acute lower gastrointestinal bleeding is a rare complication in Crohn's disease (CD).

Materials And Methods: We characterized the clinical features and course of such bleeding in six of 156 patients with CD, treated between 1985 and 2003 at our institution. The data on the patients were gathered through retrospective data analysis.

[Indications for emergency surgery in thoraco-abdominal injuries].

Purpose Of The Study: Under the conditions of an increasing number of car accidents and criminal injuries the thoracis and abdominal trauma is a source of a significant morbidity and mortality in blunt and penetrating mechanism of injury. On the basis of a group of patients operated on for blunt and penetrating injury of the chest and abdomen evaluation was made of the current indication and results of lifesaving surgery in case of these injuries.

Patients: The group included 68 patients requiring a lifesaving surgery for a blunt and penetrating injury of the chest and abdomen hospitalized between the beginning of 1966 and the end of April 2001.

[Acute hemorrhage in Crohn's disease].

The authors present a case of profuse haemorrhage into the lower part of the digestive tract in a 17-year-old patient where Crohn's disease of the terminal ileum and right colon up to the hepatal flexure was diagnosed by sonographic examination. The haemorrhage occurred after preparation for coloscopic examination with Fortrans only 2 months after the onset of the first symptoms of the disease. Because of developing signs of haemorrhagic shock emergency surgery was necessary.

[Myogenic tumors of the digestive tract].

Background: Myogenic tumours of the digestive tract are not very frequent. Most often they are found in the stomach, less frequently in the colon and rectum. Many are symptom-free and are an incidental finding on examination or surgery.

[Significance of blunt injury of thorax in polytrauma.].

Based on the analysis of a group of 100 patients with polytrauma evaluation was made of the impact of thoracic injury on post-injury period, including the incidence of complications, and on the outcome of the treatment. Blunt thoracic injury occurred in 64 patients. The most frequent complications of intrathoracic injury were pneumothorax, haemothorax and contusion of lungs.

[Immunotherapy as part of comprehensive therapy in abdominal reoperations with septic complications].

On the base of literature and clinical experience indications of human immunoglobulins in the treatment of infections in surgical patients are presented. Besides prophylactic using in elective operations immunoglobulins were administered as a part of treatment in septic complications, postinjured infections, hospital acquired infections in ICU and immunosuppression. Application of immunoglobulins are regularly part of adjuvant therapy of sepsis in surgical patients.

[Crohn's disease of the duodenum].

Affection of the stomach and duodenum by Crohn's disease is rare and varies according to the majority of data in the literature between 0.5 and 4%. A pre-existing or concurrent distal affection, most frequently on the ileum, is common.

[Acute terminal ileitis and Crohn's disease].

The finding of acute inflammation of the terminal ileus frequently leads to differential diagnostic reflections whether it is the first stage of Crohn's disease or acute ileitis with a different aetiology. At the Surgical Clinic of the Third Medical Faculty in Prague 10 in 1981-1992 21 patients with this condition were hospitalized and operated. Crohn's disease developed subsequently only in six patients and in five of them the development of the disease called for another operation.

[Appendicitis, pseudoappendicitis and Crohn's disease].

Abdominal pain which is a basic symptom of Crohn's disease was in a group of 53 patients treated in 1981-1982 at the Surgical Clinic of the Third Medical Faculty in Prague 10 the initial symptom in 73.3% of the patients. The inflammation was most frequently in the terminal ileum and in the ileocaecal region, in the authors' group in 49.

[Prophylactic and therapeutic use of Avrazor in abdominal surgery].

The authors investigated in a group of 30 patients the prophylactic and therapeutic action of ornidazole (the Czech preparation Avrazor) injections for infusion produced by Léciva Co. Prophylactically Avrazor was used most frequently in elective colorectal surgery, therapeutically in peritonitis. In a control group comprising 30 patients with the same indications the commonly used Metronidazole was administered and the results in the two groups were compared.

[Surgical complications in Crohn's disease].

Although the primary role of the specialist in internal medicine in treatment of Crohn's disease is generally accepted, frequently the surgeon is the first person to take action. In patients with hitherto not diagnosed Crohn's disease he performs laparotomy because of suspected acute appendicitis or on account of surgical complications, most frequently ileus, which may be a very early manifestation of the disease. In a group of 40 patients with Crohn's disease and treatment ileitis the author gives an account of surgical indications, affections of different portions of the gastrointestinal tract and surgical operations.

[Malignant lymphoma of the stomach].

The authors present their own experience with the diagnosis and therapy of six primary malignant gastric lymphomas. They draw attention to the pitfalls of preoperative and peroperative diagnosis. From six patients treated in the department in 1978-1985 the correct diagnosis was established before operation only in one patient.