Stomach torsion in pregnancy as a complication of laparoscopic adjustable gastric banding.

Laparoscopic Adjustable Gastric Banding (LAGB) was done for the first time in Belgium in 1993. Gastric torsion after band slippage is extremely rare. Literature review of gastric banding and complications in pregnancy did not reveal any case of gastric torsion.

[Conversion of an external fixation to that with an intramedullary pin in cases of complicated diaphyseal fractures].

In this study the authors present a method of conversion of external fixations to closed intramedullary ones in the treatment of complicated diaphyseal fractures of the calf and femur. According to the conditions, the fixation is secured by a pin. The above mentioned procedure is advantageous especially in cases of patients with open fractures, in patients with polytraumas as well as in patients with a threatening or with a present compartment syndrome.

Autofluorescence (safe) bronchoscopy and p21/ki-67 immunostaining related to carcinogenesis.

Archival biopsy materials from 20 randomly selected asymptomatic volunteers from the Czech uranium miners (CZ UM) risk group (n=98) were examined for p21 and ki-67 immunostatning. There were 16 areas with normal respiratory epithelium and 22 areas with bronchial intra-epithelial neoplasia (IEN). Normal and IEN areas were identified by autofluorescence (System Autofluorescence Endoscopy, SAFE-1000) and monitored during 1998-2002.

[Surgical treatment of peritoneal adhesions--personal experience].

Peritoneal adhesions develop virtually in all abdominal operations. In about 30% they cause subsequent complications, especially disorders of intestinal passage, spasms and female infertility. The authors describe their first experience with implantation of resorptive foil Seprafilm and recommend general scheme for the approach in prevention and subsequent solution of the problem of adhesion-lysis.

[The compartment syndrome--still a threat in traumatology].

Paper presents current opinions on the definition, causes, classification, diagnosis and treatment of the compartment syndrome (CS). The development of CS after the long-bone fractures of the lower extremity and also after the limb operations or trauma without fracture is discussed. The importance of early and correct diagnostics and treatment is also revealed.

[Differential diagnosis of pain in the right lower abdominal quadrant--case reports].

In the submitted case-records the authors present interesting peroperative findings--a coprolith obturing the lumen of the appendix, the torsion of an ovarian cyst and torsion of the omentum during diagnosis of acute appendicitis. The authors discuss the reliability of preoperative sonography for the diagnosis of pathological conditions in the appendical region which despite its falsely negative results are considered by the authors a useful method in the differential diagnosis of pain in the right iliac fossa.

[Cholestasis--an indication for surgical treatment].

Disorders of common bile duct function are among adults relatively frequent. Formal treatment schemes are gradually transformed, and the interdisciplinary co-operation becomes the basic principle. The goal is to recognise the type of the mechanic jaundice, followed by elimination of the obstruction or to ensure biliary drainage without delay.

[Coagulopathy as an unusual manifestation of splenic artery aneurysm. Case report].

Meticulous examination of patient treated for infertility with clinical signs of coagulopathy reveals lienal artery aneurysm. Such presentation of mentioned pathology is very rare. Surgical resection of aneurysm enabled to cure coagulopathy and very probably infertility as well.