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Biomedical subjects

F Antos

Publications and source records attributed to F Antos.

At least 19 recordsLinked to original sources
PubMed1996

[Comparative study of 2-piece colostomy systems (ConvaTec Combihesive Flexible, Coloplast 2002 and Hollister Guardian in the Czech Republic)].

In three surgical centres in the Czech Republik three modern two-piece colostomic systems where compared which are at present available in the Czech republik, incl. an attempt to assess how they influence the quality of life of the patients. The investigation comprised 117 patients mean age 59 years-93 after colostomy, 13 with ileostomy. The investigated systems were ConvaTec Combihesive Flexible, Coloplast 2002, Hollister Guardian two-piece ostomy systems with a closed sac and inner filter. The main investigated parameters were: tolerance of the products, preference expressed by the patient, the state of the skin beneath the plaster and the index of general health (GWBI). From the investigation ensued that in the Czech Republic the system ConvaTec Combihesive proved very useful and there probably will not be a demand for a change to another system offered by distinguished producers, as such a change would not entail any advantages. It was revealed that when the ConvaTec Combihesive system is used, the skin is maintained in a good condition which has a favourable impact on the feeling of wellbeing and improves the quality of life.

Colostomy↗
PubMed1995

[A method of using intraluminal splints in the treatment and prevention of recurrent ileus of the small intestine].

The authors present a group of 23 patients where splints were used in the loops of the small intestine. The group is divided into two sub-groups. The first one comprises patients where the splint was inserted because of relapsing ileus of the small intestine after previous surgical operations. The second sub-group comprises patients where this operation was performed either preventively or as part of a primary operation or as part of a reoperation called for by complications immediately preceding operation. The internal splint is inserted via jejunostomy and through the loops of the small intestine it is guided by means of a sutured Foley catheter which after proper insertion of the splint is left in the caecum. The authors emphasize the importance of effective decompression of the small intestine during the early postoperative period which is made possible by suction of the ileous contents through lateral openings of the inserted probe. After three years' work, using this method, the authors confirm that it gives good results.

Adult↗
PubMed1995

[Toxic colitis from the viewpoint of the surgeon].

The submitted review deals with the diagnosis and treatment of severe forms of toxic colitis from the gastroenterological and surgical aspect. The author emphasizes the importance of early diagnosis of the disease and early onset of conservative treatment which, however, should not exceed 72 hours without obvious improvement of the patient's condition. For surgical intervention the method of choice is subtotal colectomy with ileostomy and a mucous fistula of the rectosigmoid. In cases of early intervention the lethality is less than 10%; when the operation is late (frequently with complications) it is 30% or more. Better information of medical professionals on the disease is desirable.

Colitis↗
PubMed1995

[Toxic colitis. II. Personal experience].

The author presents his own experience with the diagnosis and treatment of 19 patients with acute manifestations of toxic colitis. Patients with ulcerative colitis developed toxic colitis in 11 instances. The second most frequent background for the development of toxic colitis was pseudomembranous colitis. Conservative treatment before 72 hours was successful only in two patients. Seventeen patients were operated at varying intervals after the onset of the disease (1-21 days) and subtotal colectomy was performed with ileostomy and a mucous fistula of the rectosigmoid. The lethality in the whole group was 10.5%. All patients who died (2) were from the group operated on the 5th-7th day, while in the groups operated on the 2nd-5th and 14th to 21st day there were no deaths. In the group two cases of carcinoma were detected.

Adolescent↗
PubMed1995

[Subtotal colectomy in emergency situations].

One-stage subtotal colectomy is the most radical solution of ileous conditions caused by an obturating tumour of the left half of the colon. The authors report on their experience with this procedure in 10 patients operated in the course of three years. They emphasize the advantages such as oncological radicality, immediate detoxication of the organism, a favourable postoperative course with a low morbidity (10% dehiscences) and lethality (10%), shorter hospitalization period, life of the patients without a stoma, lower costs and satisfactory functional results. For an experienced surgeon, if perfect intensive postoperative care is available, this operation is the method of choice even in very old patients.

Aged↗
PubMed1995

[Surgical wound dehiscence and a technique for laparotomy closure with continuous loop sutures].

The authors evaluate two groups of patients after laparotomy where during the postoperative period complete dehiscence of the laparotomic wound occurred. In the first group A the laparotomies were closed in anatomical layers by individual silon stitches, in group B for closure a single layer continuous PDS loop suture was used. After introduction of this technique the percentage of dehiscent laparotomies declined from 2,2% to 1,2%.

Adult↗
PubMed1995

[Prevention and treatment of persistent perineal sinuses. Literature review and initial experience].

The objective of the work was to demonstrate possibilities of radical treatment of a perineal sinus, a very unpleasant complication after proctectomy. The authors prefer the use of a fasciocutaneous gluteofemoral flap based on the descendent branch of the inferior gluteal artery. The authors describe the whole surgical procedure and recommend to assemble experience with solution of decubital defects in the pelvic region.

Humans↗
PubMed1995

[Desmoids: are there any new developments?].

In the submitted review of the literature the authors evaluate contemporary therapeutic possibilities of mesenterial desmoids. A more detailed pattern of cytotoxic and non-cytotoxic chemotherapy, actinotherapy and hormonal therapy is presented. Surgical resection is limited by the size of the tumour and above all by early detection before the size of 15 cm is reached. In larger tumours conservative treatment by a combination of non-cytotoxic and hormonal treatment is better. Actinotherapy of the intraabdominal region is not suitable. The percentage of relapses is high, a standard therapeutic procedure has not been elaborated so far. Despite rather surprising remissions of desmoids in individual cases the general results of different groups are not encouraging. In a case-history the authors describe their experience with the treatment of a young female patient with a mesenterial desmoid which, however, was not successful.

Adult↗
PubMed1994

[Pseudo-obstruction of the colon (Ogilvie's syndrome) and its significance in the differential diagnosis of ileus of the large intestine].

The authors submit an analysis of a group comprising 33 patients who were in the course of two years (1991-1992) hospitalized as emergency cases on account of ileus of the large bowel. All patients were subjected urgently in addition to a basic clinical examination and a native X-ray of abdomen also to irrigographic examination. On its basis in three patients the diagnosis of pseudoobstruction of the large intestine-Ogilvie's syndrome was established. These three patients were successfully treated by a conservative approach. The author summarizes data from the literature pertaining to this disease and confronts them with his own clinical observation. He draws attention to the fundamental importance of irrigography for the differential diagnosis in patients admitted with sings of obstruction of the colon.

Adult↗
PubMed1993

[Peroperative glove damage as a possible risk for the surgical team].

With regard to the relative absence of data in our as well as the world literature on possible peroperative injuries of the surgical team, the authors investigated damage of surgical gloves during operation. They divided operations by types and the structure of the surgical team. It was found that on average 45.5% of the gloves used during operations were damaged.

General Surgery↗
PubMed1993

[Use of the Convatec Wound Manager and Stomahesive flanges in local treatment of external gastrointestinal fistulas].

The authors used in 1989-1992 for local treatment of postoperative external gastrointestinal fistulas the Wound Manager of Convatec Co. This aid ensures perfect protection of the skin, a good access to the fistula and dehiscent wound and accurate removal and measuring of the secretion. The authors used as an alternative method Stomahesive Convatec flanges with permanent suction. In this way during the above mentioned period 16 patients were treated at the Surgical Clinic of the Institute for Postgraduate Medical Training, Faculty Hospital Bulovka in Prague. Thirteen patients were treated by conservative methods only, but also in the remaining three prolonged conservative treatment made the operation possible. The total lethality was 25%. The authors recommend these aids as an integral part of comprehensive treatment of postoperative enterocutaneous fistulas.

Adult↗
PubMed1993

[Perianal pyoderma].

Perianal pyoderma (hidradenitis suppurativa-acne conglobata) is a chronic disease which in its progressive form cannot be treated by conservative methods. Extensive suppurative foci must be radically excised incl. all systems of fistulas right down to the fascia and the defects which develop are allowed to heal per secundam or after several weeks they can at a different period of time be covered by a skin transplant. The authors present their 30-year experience with surgical treatment of 39 patients. Treatment was in all instances successful after radical surgical excision. All these patients have fully recovered as regards work capacity as well as social aspects.

Adolescent↗
PubMed1993

[Laparostomy as a part of intensive surgical care].

The presented paper is based on an analysis of 24 cases where as part of comprehensive surgical care the laparostomic procedure was used. In nine patients advanced diffuse peritonitis was involved, nine times the method was applied in patients with haemorrhagic necrotizing pancreatitis, four times in intestinal ischaemia and twice as a temporary closure of an extensive defect of the abdominal wall. In all instances a zipper of Ethicon Co. was used. Eight patients died i.e. lethality was 33%. The main contribution of the method is according to the authors the possibility of easy repetition of the surgical intervention in the abdominal cavity with elimination of septic foci and effective decompression of the abdominal cavity which has a positive impact on ventilation.

Female↗
PubMed1992

[Primary resection of the large intestine].

The authors evaluate their own group of 49 patients subjected in 1982-1990 to primary resection of the large intestine with an immediately established anastomosis. 32 patients (65.31) recovered per primam and were discharged on average after 14.9 days. A disorder of the anastomosis was recorded in 5 patients, i.e. on 10.2%. In the conclusion the authors express conditions essential for the safety of these operations.

Anastomosis, Surgical↗
PubMed1990

[Our attitude to the so-called extended surgical procedures for colorectal carcinoma].

The authors present their experience with 29 extended operations performed on account of tumours of the sigmoid, rectosigmoid and rectum. These operations accounted for 13.4% of all operations on account of operable tumours of the colon and rectum in 1984-1988. In addition to the basic operation one organ was removed 11 times, two organs twice, three organs four times and four organs were removed en bloc twice. Complications occurred in 61% of the patients, the mortality rate was 6.9%. The authors submit an account of recent views published in the literature on the given subject with emphasis on en bloc resection, and conclude that when certain principles are respected, these extended operations are justified.

Adult↗
PubMed1990

[Spinocellular carcinoma as a rare complication in pilonidal cyst].

The authors present two cases where on the basis of the pilonidal sinus spinocellular carcinoma developed. Both patients were successfully operated. The first one has been for three years, the second one for eight months without relapse. From the paper ensues that cancerization of the pilonidal sinus must be considered a very serious complication and must be prevented by early surgery.

Adult↗
PubMed1989

[Sexual disorders after colorectal operations].

After extensive colorectal operations there are sexual dysfunctions in the patients in 16-100%. In our cohort of 36 men the post-operation sexual disorders were reported in 21.3%. The authors present an anatomical survey of nerve supply of the organs influencing sexual activity emphasizing tactical and technical measures during the operations which could prevent the damage of important nervous structures.

Colon↗