Biomedical subjects

J Horný

Publications and source records attributed to J Horný.

11 recordsLinked to original sources

PubMed1996

[A paratibial fasciotomy technic in chronic venous insufficiency].

From extensive paratibial fasciectomies on account of crural ulcers W. Hach changed to subcutaneous fasciotomy from an incision 30 to 40 mm long with digital severing of the perforating veins. Its main effect is the creation of wide communication between the subfascial and suprafascial space. The subcutaneous tissue affected with lipodermatosclerosis rest on muscles well supplied with blood which can improve the trophics of surface tissues. The reduction of the surgical approach to 10 mm calls for special instruments. Instruments designed by the author proved useful. The author operated eight patients with advanced varicosis of the saphena maior with incompetence of two to three Cockett veins and with developed lipodermatosclerosis. After stripping of the saphena maior the smaller varicosities were extracted by dented strippers, haemostasis was ensured by tamponade by means of an applicator. Cockett's veins were interrupted in the subfascial layer from a paratibial incision in the middle of the leg by means of a 10 mm L-shaped chisel and straight chisel. This was followed by prolongation of fasciotomy by means of a fasciotome to the inner ankle. The postoperative course was devoid of complications with minimal pain, the cosmetic effect was excellent.

Chronic Disease↗

PubMed1993

[A cosmetic surgery technique for varices in the lower extremities].

The author describes a variant of a cosmetic operation of varicosities of the lower extremities which proved successful in the course of 17 years. The operation was performed in a total of 1823 patients. Minimalization of the size and number of surgical incisions is made possible by the use of very simple instruments comprising an elevator of the saphena magna, strippers for subsidiary varicosities (4 sizes), an applicator of temporary tamponade and two types of chisels for suprafascial and subfascial severing of perforating veins. The number of operations on account of relapses is 9.04% during a representative period in 1990 and 1991. The period of work incapacity is by one week shorter. The cosmetic results are excellent. The instruments and the described technique are at present used in 35 institutes.

Humans↗

PubMed1991

[Electrocoagulation--a curative method in the treatment of rectal carcinoma].

The authors analyze a group of 27 patients with carcinoma of the rectum who were treated in the authors' department in 1975-1990 by electrocoagulation. The authors emphasize the view of local treatment of rectal carcinoma in conjunction with modern findings on biological properties of this tumour and with regard to clinical results published in the world literature. The prerequisite of success of the method is high standard technical equipment of the department. The achieved results in the group of treated patients (66% five-year survival, 50% ten-year survival) despite the possible error of small numbers justify the authors' conviction that under conditions of strict selection and perfect technical equipment this method holds it place in the treatment of carcinoma of the rectum.

Aged↗

PubMed1989

[A technic for radical subcutaneous fasciotomy of the leg].

At the surgical department of District Institute of National Health in Prostĕjov in 1984-1986 eight subcutaneous fasciotomies were performed after embolectomies with prolonged is haemia. The surgical technique was standardized and its safety was proved on 20 lower limbs of corpses. For the implementation a special instrument is needed--a fasciotome made from a Küntschner nail. For reliable decompression of all four osteofascial spaces of the leg it is sufficient to make a 50 mm long transverse incision, about 30 mm proximally from the apex of the external ankle. Local anesthesia of the extent of the skin incision is sufficient, the fasciotomy itself is not painful. Due to its rapid and unpretentious character the procedure is suitable in postischaemic syndrome or a prophylactic operation.

Embolism↗

PubMed1989

[Pre-peritoneal reconstruction in recurrent inguinal hernia].

In 1973 Horný described preperitoneal implantation of a skin graft in relapses of inguinal hernias by the inguinal route. The graft is fixed to Cooper's ligament and by stitches across the entire abdominal wall attached by knots to the aponeurosis of the external oblique abdominal muscle on the sheath of the m. rectus abdominis. Above it the fascia transversalis is sutured. Its margin must be beyond the outline of the trigona imguinale by at least 20 mm. In this way since Jan. 1, 1966 to Dec. 31, 1979 82 men were operated and followed up for five years. During this period a total of two secondary relapses developed, i.e. 2.44%. It was found that the effect of this type of operation depends on covering of the trigonum inguinale by a skin graft and its perfect stretching.

Adult↗

PubMed1987