[Effects of infrainguinal bypasses on long-term patency in pelvic procedures--the significance of hybrid procedures].

Objective: The hitherto published data did not provide clear answer to whether the adjustment of poor runoff through infrainguinal by-pass can improve long-term patency of iliac interventions in patients with multiple-stage arterial lesion. Our intent was to respond to this question.

Material And Methods: In the period since 1st January 2003 until 31st May 2005 we evaluated two groups of revascularized patients with similar angiographic affection of the iliac and femoropopliteal arteries and statistically comparable input parameters.

Abdominal compartment syndrome in polytrauma.

Authors inform about the group of 8 patients with abdominal compartment syndrome (ACS) occurred as a complication in large blunt injury of abdominal cavity. To the ACS diagnose, the measurement of intracystic pressure is used routinely, whose values correlate fully with values of intraabdominal pressure (IAP). In case of increasing values of IAP over 25 mm Hg with positive clinical signs of ACS, authors indicate decompression laparotomy with temporary closing of abdominal cavity by sterile plastic foil or Ethizip.

[Major vascular injuries in laparoscopic operations].

The authors present three case-histories of major vascular injuries during laparoscopic operations. Subsequently they discuss causes and possible prevention of these rare but serious complications.

[Treatment of occlusions of deep femoral artery prostheses with a venous patch: the Bartos method of reoperation].

The author deals with the approach to a thrombosis of an aorto-femoral prothesis. The principle of the operation, described by the author as Bartos reoperation involves retrograde desobliteration of the prothesis and open desobliteration of the a. profunda femoris with a venous patch.

[Reconstruction of the femoro-popliteal and peripheral portion in saphenous insufficiency].

Implantation of a venous bypass is the best method of infraarticular and crural reconstructions. In 30%, however, a suitable saphenous vein is not available. If on account of severe ischemia revascularization is necessary, an alternative method must be selected.

[Surgical treatment of post-traumatic thrombosis of the inferior vena cava].

A 49-year-old man contracted a fracture of the 8th and 9th rib on the right side and developed after this injury thrombosis of the inferior vena cava in the renal and suprarenal portion and of both renal veins manifested clinically as nephrotic syndrome of obscure aetiology. Only detailed cavographic and CT examination revealed this thrombosis. Caval thrombectomy was performed according to Spencer's method because of concurrent phlebothrombosis of the left lower extremity.

[Personal experience with the use of acute isovolemic hemodilution in vascular surgery].

The authors present their eight-year experience with acute isovolaemic haemodilution during operations on blood vessels in the aorto-femoro-popliteal region. They remind of basic physiological findings, present actual results, and based on their experience and data in the literature, they formulate the main principles of indications and implementation of haemodilution.

[Arteriovenous shunt--a prerequisite for long-term hemodialysis therapy].

The authors give an account of the experience of their department with the establishment of arteriovenous fistulae during the preparation of patients for a dialyzation transplantation programme. In the course of 13 years a total of 685 a-v shunts were made. The results in 60 patients are evaluated in detail.

[Iatrogenic injuries of the abdominal aorta during surgery of intervertebral disks of the lumbar vertebrae].

The authors present the case-histories of two successfully treated patients following injury of the infrarenal part of the abdominal aorta. The injury occurred during extirpation of sequestra of discs of lumbar vertebrae. Some problems of the tactics of surgical treatment are discussed.

[Chemical lumbar sympathectomy].

After an account of historical facts the authors describe the technique of chemical lumbar sympathectomy. A 7.5% phenol solution in glycerol was used (7.

[The role of computer tomography in the diagnosis of aneurysms of the abdominal aorta].

The advantages of computer tomography are obvious. They include the non-invasive character of examination, the detection of aneurysms with a small diameter and the opportunity to check them systematically. Computer tomography is in the authors' opinion most effective in the differential diagnosis and for the assessment of the character of aneurysms--stable or unstable, and in particular in the diagnosis of initial stages of ruptures.

Significance of pedal arch for femoropopliteal vein bypass patency.

There are different opinions about the usefulness of preoperative arteriography. Therefore we resolved to show its importance for the distal runoff evaluation as well as for the indication and results of femoropopliteal vein bypasses. There were controlled 149 patients 1-5 years after femoropopliteal vein bypass implantations.

[Significance of the pedal arch for patency of femoropopliteal bypasses].

The authors pay attention to the evaluation of drainage in indications of femoropopliteal reconstructions with regard to the patency of the peripheral circulation. Based on comparison of preoperative arteriographic findings regarding the patency of venous femoropopliteal bypasses in 149 operated patients the authors were able to confirm their previous assumption that when evaluating the drainage it is necessary to take into consideration not only the number of patent arteries on the leg but also the patency of their continuation in the area of the sole where they form the plantar arch. When evaluating the drainage it is thus necessary to evaluate the patency of the entire complex: arteries of the leg+plantar arch.