[Intestinal endometriosis - a case report].

Endometriosis is defined as the presence of functional endometrial tissue outside the uterine cavity. The most common clinical symptoms of endometriosis are infertility and chronic pelvic pain. Endometriosis affects 8-10% of women of reproductive age and the condition is highly associated with infertility.

[Meckel´s diverticulum in adults - our five-year experience].

Material And Methods: Between 2005 and 2009, 19 patients underwent surgery with an accidental finding of Meckel´s diverticulum (MD) at the Second Department of Surgery in Louis Pasteur University Hospital in Košice. Twelve patients were primarily operated on for acute appendicitis, 3 of them for ileus, 3 patients underwent an elective operation for a gastrointestinal malignity, and in 1 case Meckels diverticulum was found during a complicated cholecystectomy. The average age of the patients was 40.

[Experimental use of the recipient's epithelial cells in tracheal allotransplantation--initial outcomes].

The management of long tracheal lesions requires development of tracheal implants, which would enable resection combined with anastomosis. The authors' scientific study is based on tracheal allotransplantation on an animal model (sheep), using tracheal epithelial cells of the recipient. The project covers preparation of the graft, so that all components of the major histocompatibility complex (MHC), which participate in graft rejection, are removed.

Surgical management of bronchopulmonary carcinoid tumors: experience over 8 years and review of the literature.

Aims And Background: An increased incidence of neuroendocrine tumors in the last decade has been noticed worldwide. Our purpose was to study the characteristics, surgical approaches and outcome in patients with primary bronchopulmonary carcinoid tumors.

Methods: Between 2001 and 2007, bronchopulmonary carcinoid tumors were removed in 11 of a total of 287 patients who underwent surgery for primary lung malignancies in our tertiary referral center.

[Giant solitary fibrous tumor of the pleura--case report].

Solitary fibrous tumors of the pleura are rare malignant pathological findings, accounting for only 5% of all pleural neoplasms. Clinical manifestations are very unspecific and over 50% of the cases are asymptomatic. The commonest clinical symptoms include cough, pains, dyspnoea, fever and weight loss.

[Appendix protrusion from perforation of uterus--the rare complication during abortion].

Aim: Point to an extremly rare complication of a curettage during abortion and follow up surgical treatment of this complicated state.

Case: In the case of 32 years old woman, multipara, was perforated cervix uteri during the abortion curettage and fat tissue of mesentery was aspirated into canulla. Apendix vermiformis was aspirated into cannula with its protrusion through the neck of the womb during repeated revision.

[Appendicitis in pregnancy].

Unlabelled: THE AIM OF THE STUDY was to highlight the problems related to acute appendicitis in pregnancy. We present our own experiences with the diagnostics and therapy of this surgical complication during gravidity. Nausea, vomiting and pain in lower right abdomen as symptoms of appendicitis are often confused with the I.

[Parenteral nutrition before surgery in patients with upper gastrointestinal tract resection].

Background: The aim of this retrospective analysis was the evaluation of the effect of parenteral nutrition before surgery in malnourished patients on the reduction of risks during postoperative period after upper gastrointestinal tract resection. 57 patients with the diagnosis of oesophageal or stomach carcinoma were included into the selected group. Patients were divided into three groups: I.

[Omentoplasty as a part of complex management of postpneumonectomy empyema with large bronchopleural fistula].

The authors present a case reivew of a patient with thoracic empyema and large bronchopleural fistula. Following preceeding failing procedures, the condition was managed using Eloesser open drainage, the pleural cavity was cleared and the main bronchus fistula was sutured using omentoplasty. A pediculated omental flap (Kiricutu) was transposed into the pleural cavity through the diaphragm.

[Autofluorescence videothoracoscopy--our initial experience].

The authors present their initial clinical experience with the use of autofluorescence videothoracoscopy in diagnostics of pleural disorders. The study used Richard Wolf DAFE fluorescence endoscopy system. Preliminary results show that autofluoresence imaging is more precise in locating the pathology, which improved the diagnostic yield of videothoracoscopy in pleural disorders.

[Biliary ileus--a rare complication of cholecystolithiasis].

The diagnosis of ileus caused by biliary stones occurs very rarely, with the range of 2 % worldwide. This complication of cholecystolithiasis caused by the stone fistulation into gastrointestinal tract and its subsequent obstruction occurs mostly in elderly and has a high mortality rate. During the course of ten years (1996-2006) in the 2nd surgical clinic FNLP in Kosice, 1640 cholecystectomies and 255 operations, due to the obstruction ileus, were performed.

[Actinomycosis of the lungs mimicking a Pancoast tumor].

The authors present a case-review of a patient with a thoracic form of actinomycosis, simulating a "pancoastoid" lung tumor clinical picture- furthermore, confirmed by a false-positive cytological examination. The disorder was managed by enlarged lobectomy from the right lung, followed by postoperative antibiotic therapy, lege artis. The long-term outcome is very good.

[Postintubation stenosis of the trachea--case reviews].

Stenoses of the respiratory tract are life threatening conditions of various origins. The authors give referrence on 21 patients operated for postintubation stenoses of their trachea at the IInd Surgical Clinic of the UPJS Medical Faculty, the Faculty Hospital of L. Pasteur in Kosice, from 01.

[Tracheal tumor--a case review].

Tracheal tumors make a histologically variant group of tumors. Our case review describes a case of a forty-five year-old female patient with an endoscopically and CT- diagnosed tracheal tumor. The patient was hospitalized at the IInd Surgical Clinic of the UPJS LF, the Faculty Hospital of L.

[Surgical treatment of paraesophageal hernia].

Four types of hernia may occur in the area of esophageal hiatus. Type I is represented by hiatus slipping hernia. Type II is represented by hernia, which is generally known as paraesophageal hernia.

[Mediastinal cysts].

Mediastinal cysts, described also as homoplastic dysembryomas, account for 20% of mediastinal lesions. There are bronchogenic, oesophageal, gastrogenic and enterogenic, pericardial, non-specific cysts and cystic lymphangiomas. The authors present 6 patients with mediastinal cysts from a total number of 96 patients with mediastinal tumours subjected to surgery during a 14-year period (from Jan.

[Actinomycosis of the small intestine--an unusual cause of acute abdomen].

Actinomycosis is subacute or chronic disease manifested by a defined granulomatous inflammation with the development of infiltrates, abscesses and fistulae. A 35-year-old female patient was admitted and operated at the Second Surgical Clinic because of symptoms of diffuse peritonitis. Laparotomy revealed a duplicit tumour of the small intestine, an abscess of the abdominal wall in the left mesogastrium and pyoovarium bilaterale.

[A "dumbell" tumor of the mediastinum--case report].

Tumours situated in the posterior mediastinum and spreading to the spinal canal via the intervertebral opening are described as "dumbbell" tumours. The authors submit the case-history of a 44-year-old patient admitted to the Second Surgical Clinic Pasteur Faculty Hospital, Safarík University Kosice after repeated laminectomy and extirpation of the intraspinally spreading part of a mediastinal tumour. The mediastinal part of the tumour was removed surgically, the histological result was described as a melanotic schwannoma.

[Mediastinal teratomas--diagnosis and therapy].

The authors present an account on patients with a teratoma of the mediastinum who were operated at the Second Surgical Clinic, L. Pasteur Faculty Hospital in Kosice. In the course of 10 years (Jan.

Digoxin prevents ouabain and high salt intake-induced hypertension in rats with sinoaortic denervation.

Digoxin prevents ouabain-induced hypertension in rats. In the present study, we tested whether this effect of digoxin depends on its sensitizing effect on baroreflex function or is due to an antagonistic action on exogenous ouabain or endogenous ouabain-like activity ("ouabain") in the brain. In Wistar rats, resting mean arterial pressure (MAP) was significantly increased by long-term subcutaneous (SC) ouabain (75 microg/d) plus high salt (8%) intake for 12 days (but not after only 5 days).

[Pleural exudate as a complication of inflammatory pancreatic disease].

The authors present an account on six patients with a pleural exudate associated with inflammatory pancreatic disease, treated during the six-year period from 1992-1998. The authors succeeded after two-week conservative treatment which involved complete parenteral nutrition and repeated thoracocenteses that the pleural exudate disappeared in five patients with chronic pancreatitis. In one instance, a female patient with haemorrhagic necrotic pancreatitis, the bilateral exudate disappeared only after surgical removal of the necrotic portions of the pancreas.

[A splenic abscess of unknown etiology].

The authors describe the case-history of a 7-year-old female patient with a lienal abscess of unknown etiology. The patient was treated by classical splenectomy with a very good final outcome. The authors draw attention to the serious character of the disease even nowadays and to contemporary diagnostic and therapeutic possibilities.