[Retroperitoneal perforation of duodenum - surgical approach].

Retroperitoneal perforation of the duodenum, caused by abdominal trauma, endoscopic examination or diverticulitis, is a serious clinical problem, because of it's lack of specific symptoms. Surgical treatment is often performed in sepsis. That is why the knowledge of adequate techniques is crucial for surgeons.

[New trends in bariatric surgery].

The surgical treatment of obesity reaches the 50th of last century. The first operations were based on significant shortening of digestive tract and were associated with many metabolic disturbances. The growing epidemic of obesity was the most decisive factor for the development of bariatric surgery.

[Treatment of large postoperative hernias using intraperitoneal meshes].

Unlabelled: Most common hernias among men and women are inguinal hernias (75-80%) and postoperative (incisional) hernias (8-10%). Management of large incisional hernias (hernia gate bigger than 10 cm) both primary and recurrent could be an encounter for a surgeon. In surgical repair of large hernia use of synthetic materials (mesh) is being prefered.

Successful treatment of gastric fistula following rhabdomyolysis after vertical banded gastroplasty.

Vertical banded gastroplasty is a gastric restrictive operation which has been performed with very satisfactory results in our department. We present a 46 year-old male with BMI 48, who experienced rhabdomyolsis after a VBG operation, complicated by perforation of an upper pouch ulcer and subsequent gastric fistula. Cardiac and renal failure occurred, necessitating intensive therapy with catecholamines, diuretics and hemodialysis.

[The impact of postoperative weight loss on concomitant obesity-related diseases].

Obesity-related diseases, especially diabetes mellitus and hypertension, have huge impact on mortality in obese patients. The aim of the study was the assessment of relationship between postoperative weight loss and further management of concomitant, obesity related diseases (hypertension and diabetes). The group of 106 patients who underwent restrictive procedures for morbid obesity at our department was retrospectively analyzed.