Biomedical subjects

J Vajó

Publications and source records attributed to J Vajó.

At least 19 recordsLinked to original sources

PubMed2006

[Postintubation stenosis of the trachea--case reviews].

Stenoses of the respiratory tract are life threatening conditions of various origins. The authors give referrence on 21 patients operated for postintubation stenoses of their trachea at the IInd Surgical Clinic of the UPJS Medical Faculty, the Faculty Hospital of L. Pasteur in Kosice, from 01. 01. 1999 to 30. 06. 2005. All patients had a tracheobronchoscopic examination and a CT examination completed prior to the procedure. Within 24 hours of their admission, 9 patients were operated, 7 underwent resection procedures and 2 patients had Montgomery's T-cannula introduced. 12 patients had their procedures planned, and were operated later than 24 hours after their admission. 10 patients underwent resections of the trachea, 2 had Montgomery's T-cannula implanted. The postoperative course following the resection of the trachea was without complications in 14 patients, 1 patient experienced transitional oedema in the anastomosis and 2 patients suffered restenoses. In this patient group, no fatal case was recorded. The authors stress up multidisciplinary approach in the diagnostics and treatment of the postintubation stenoses of trachea. In cases of postintubation stenoses of trachea, resection of the trachea with primary anastomosis represents the most advantageous treatment approach for the patient.

Adult↗

PubMed2004

[Pneumaturia as a sequela of asymptomatic diverticulitis].

Pneumaturia is sometimes the first symptom of colovesical fistula. Colovesical fistula presents a difficult problem with complicated diagnosis and therapy. Most common are fistulas between the colon (sigmoid) and bladder, which results from sigmoiditis and diverticulitis. The paper reports the case of a 61-year-old man with diagnosis of diverticulitis and symptom of pneumaturia in duration of 3 months. The operation was successfully performed in cooperation with a surgeon and an urologist.

Diverticulitis, Colonic↗

PubMed2004

[Surgical treatment of pulmonary metastases--long-term results].

A group of 103 patients operated for lung metastases in the Surgical clinic of the FNsP of L. Dérer and in the II Surgical clinic of L. Pasteur is assessed in this work. Minor operations of atypical resection prevailed among the resections. The postoperative mortality in the whole group was 1.9%. The best long-term survival rates were reached in tumors primarily treated by chemotherapy and followed by the lung metastasectomy. All patients in this group suffered from testical tumors and their long-term survival rate was 69%. In tumor cases, where the metastasis was primarily removed by surgery, the long-term survival rate correlated with the literature data of 30%. When the prognostic factors were considered, the number of removed metachrone metastases being less than 3, appeared statistically significant from the point of view of the patient survival. Based on the evaluated results, it can be concluded that surgical treatment of the lung metastases performed within the interdisciplinary oncological concept, currently remains a generally accepted therapeutic procedure.

Adolescent↗

PubMed2003

[Mediastinal cysts].

Mediastinal cysts, described also as homoplastic dysembryomas, account for 20% of mediastinal lesions. There are bronchogenic, oesophageal, gastrogenic and enterogenic, pericardial, non-specific cysts and cystic lymphangiomas. The authors present 6 patients with mediastinal cysts from a total number of 96 patients with mediastinal tumours subjected to surgery during a 14-year period (from Jan. 1 1987 to Dec. 31 2001). The group comprised 5 adults and one child. In four patients the authors selected thoracotomy as the route of access to the mediastinum, in one instance total sternotomy and once upper partial sternotomy. The cysts were removed as a whole. Histological examination revealed in four patients the diagnosis of a bronchogenic cyst, once a connective tissue cyst with respiratory epitheliumm and once a cyst lined with squamous epithelium. The postoperative course was in all patients free from complications. In the conclusion the authors emphasize the importance of complete removal of mediastinal cysts as relapses occur if part of the secretory eoithelium is not removed.

Adolescent↗

PubMed2003

[Surgical treatment of paraesophageal hernia].

Four types of hernia may occur in the area of esophageal hiatus. Type I is represented by hiatus slipping hernia. Type II is represented by hernia, which is generally known as paraesophageal hernia. In this type of hernia, cardia and distal stomach remain under diaphragm. The weakened tissue in phreno-esophageal membrane is the place, where stomach fundus penetrates into thorax above the diaphragm. The authors present 10 patients with paraesophageal hernia, who were operated on at the 2nd Surgery Clinic of Medical Faculty, UPJS, Faculty Hospital L. Pasteur in Kosice. These were adult patients, five man and five women. In four patients, so called "upside-down stomach" was the case. Hernias were operated on in all cases by laparotomy, after reposition of the stomach into abdominal cavity the area of hiatus and diaphragm was reconstructed. One patient was operated on under emergency conditions for bleeding from stomach ulcer. Immediate postoperation results were good, the postoperation course was favorable in all patients, no complications occurred. In conclusion, the authors are of the opinion that every diagnosed paraesophageal hernia should be indicated for surgical intervention. An anti-reflux operation should be executed in symptoms of gastro-esophageal reflux. The question of operation approach (thoracotomy or laparotomy) is a matter of continuous discussion, each of them having its advocates. However, in recent years laparoscopic solution of paraesophageal hernia is getting increasing attention.

Adult↗

PubMed2002

[Fallopian tube torsion in appendicitis--case report].

The authors report a rare clinical case of coincidence appendicitis and Fallopian tube torsion. A 14-years-old girl is presented with acute pelvic pain, dysuria and diarrhoea. Acute appendicitis and right side Fallopian tube torsion were detected by laparotomy. Symptoms, differential diagnoses, etiology and diagnostic procedures are discussed.

Acute Disease↗

PubMed2001

[Cervical pulmonary hernia].

Pulmonary hernia is in general a rare affection--in particular in the cervical region. Symptoms are as a rule slight and are encountered only in exceptional cases. The diagnosis is based on physical examination and imaging techniques. The authors submit a case-history of a cervical pulmonary hernia in a young woman. It was noteworthy because of marked complaints of the patient which involved professional damage. Therefore it had to be treated by surgery which was successful.

Adult↗

PubMed2001

[Sudden acute vascular diseases requiring surgery--still a reality].

In the introduction the authors emphasize that despite the fact that acute angiosurgical attacks have a fairly typical symptomatology with a characteristic clinical finding, physicians who participate in their diagnosis and treatment are not aware of it. In the clinical explanation and the material the authors mention the causes of acute angiosurgical attacks and the fact that after acute ischaemia reperfusion occurs. In a summary table they demonstrate the dynamics of the development and increase of acute angiosurgical attacks in 1985 and 1995 in the Slovak Republic, based on statistical data of the Institute of Health Information and Statistics. In the discussion it is emphasized that in the therapeutic results of acute angiosurgical attacks an important part is played by early restoration of the circulation, at least within 6 hours, but preferably within 3 hours after the onset of clinical symptoms. In conjunction with ischaemia and reperfusion attention is drawn to the fact that during early reperfusion in the tissue or organ oxygen radicals are formed which participate in a significant way in reperfusion damage. On account of the complexity of ischaemia and reperfusion in acute angiosurgical attacks it is useful to use the clinical term "acute ischaemic reperfusion syndrome". The authors mention possibilities how this syndrome can be favourably influenced by suitable angiosurgical procedures and pharmacological preparations. In the conclusion the authors emphasize the rising trend of acute angiosurgic attacks, whereby the therapeutic results are not always satisfactory.

Acute Disease↗

PubMed2001

[A "dumbell" tumor of the mediastinum--case report].

Tumours situated in the posterior mediastinum and spreading to the spinal canal via the intervertebral opening are described as "dumbbell" tumours. The authors submit the case-history of a 44-year-old patient admitted to the Second Surgical Clinic Pasteur Faculty Hospital, Safarík University Kosice after repeated laminectomy and extirpation of the intraspinally spreading part of a mediastinal tumour. The mediastinal part of the tumour was removed surgically, the histological result was described as a melanotic schwannoma. The postoperative course was without complications, the patient was discharged home in a good condition on the 8th day after the operation. In the conclusion the authors emphasize the necessity to remove the tumour in toto. A one-stage operation in collaboration with a neurosurgeon seems appropriate.

Adult↗

PubMed2001

[Actinomycosis of the small intestine--an unusual cause of acute abdomen].

Actinomycosis is subacute or chronic disease manifested by a defined granulomatous inflammation with the development of infiltrates, abscesses and fistulae. A 35-year-old female patient was admitted and operated at the Second Surgical Clinic because of symptoms of diffuse peritonitis. Laparotomy revealed a duplicit tumour of the small intestine, an abscess of the abdominal wall in the left mesogastrium and pyoovarium bilaterale. 70 cm of the small intestine were resected, incision of the abscess and bilateral adnexotomy were performed. Histological examination revealed a suppurative, partly fibroproductive inflammation with an actinomycotic etiopathology. After antibiotic treatment the patient was discharged home, the gynaecologist removed an intrauterine device. Three months after the first operation the patient in a serious septic condition was readmitted to the clinic with signs of diffuse peritonitis. A double perforation of the small intestine was found and an end-to-end anastomosis was made after resection of the small intestine. The postoperative course was complicated by respiratory failure and failure of the circulation associated with septic shock and subsequent death. In the conclusion the authors emphasize the problem of preoperative diagnosis of the abdominal form of actinomycosis, its possible development in relation to intrauterine contraceptive devices and its clinical manifestation as acute abdomen.

Abdomen, Acute↗

PubMed2000

[Recurrent acute hemorrhage in the duodenum as a symptom of Bouveret's syndrome].

The authors demonstrate on the case-history of a 51-year-old patient the rare cause of repeated haemorrhage into the digestive tract calling for emergency surgery. On operation they found as the cause a solitary biliary concrement which penetrated into the duodenum and caused haemorrhage of its wall. The disease was described in 1896 by Bouveret as a syndrome of duodenal obturation by a large gallstone. In the described case the whole concrement did not yet penetrate into the duodenum to cause its obturation but it produced repeated haemorrhage which could not be treated by conservative methods.

Acute Disease↗

PubMed2000

[Complaints of patients or their relatives regarding surgical complications].

The authors analyse complaints of patients or their relatives in connection with surgical complications in 1987 to 1997 and illustrate them by short case-records. During this period, they evaluated 52 complaints and among them 27 fatal. Most complaints were from abdominal surgery. Finally, they emphasize the importance of high surgical professionality, early discovery of a complications, early, sufficient and suitable informing of the patient and his relatives, by the head of the department and in severe or fatal complications the management of the hospital. They emphasize also the requirement of precise and exhaustive records and autopsy.

Adolescent↗

PubMed2000

[Mediastinal teratomas--diagnosis and therapy].

The authors present an account on patients with a teratoma of the mediastinum who were operated at the Second Surgical Clinic, L. Pasteur Faculty Hospital in Kosice. In the course of 10 years (Jan. 1, 1990-Dec. 31 1999) 73 patients with tumours of the mediastinum were operated. In four the diagnosis of teratoma of the mediastinum was confirmed by histological examination (5.47%): three adult patients and one child. In two patients the tumour of the mediastinum was diagnosed accidentally during X-ray examination of the chest. In one female patient surgical revision was indicated on account of a relapse of the process. In the conclusion the authors emphasize that teratomas of the mediastinum are frequently asymptomatic, and in case the process is in the anterior or upper mediastinum, teratomas must be taken into account and removed as a whole during surgical intervention.

Adolescent↗

PubMed2000

Benign glomus tumor of the superior posterior mediastinum.

An unusual location of a benign glomus tumour, outside of the constantly located regions, e.g. in the subungual location or deeply sited in extremities, was diagnosed in a 56-year-old white female in her posterior upper mediastinum. The single similar case report was published before the era of electron microscopy and immunohistochemistry and single cases of atypical and malignant forms in this unusual location were published only recently. The tumour measuring 5 x 4 x 2 centimeters has caused cough and was associated with occasional righ-sided chest pain. Its rich vascular supply has caused intensive intraoperative bleeding. The postoperative course was uneventful and the patient is free of neoplastic disease or symptoms six years after surgery. Numerous mast cells present within the tumour's interstices must be considered in relation to the possible pathogenesis of the up to now unexplained pain in glomus tumours.

Female↗

PubMed1999

[An uncommon localized form of retroperitoneal fibrosis].

The authors describe an uncommon case of a localized form of idiopathic retroperitoneal fibrosis in a 70-year-old patient. They considered the tumour in the right hypogastrium (20 x 18 x 10 cm) malignant. The result of histological examination was surprising--Ormond's disease. The process could not be removed without damaging the common iliac artery. Simple suture of the artery proved unsuitable. During the postoperative period occlusion of the artery developed which was successfully resolved by an aorto-femoral bypass. Half a year after surgery the patient did not suffer a relapse.

Aged↗

PubMed1998

[When and how we perform surgery for inguinal hernia in children].

In the course of 15 years in the authors department 4,694 operations of inguinal hernias and hydrocele were performed in children at the age of 0-15 years. Most frequently children aged 2-5 years were involved (45%). There were 4.5 times more boys than girls and the lateral distribution was also consistent with data in the literature. A relapse of hernia occurred in 33 children (i.e. 0.7%) operated in the authors department and in 19 children originally operated elsewhere. The total percentage of relapses in the group is 1.1%. In 25 children factors were identified which predispose for relapses. Relapses were most frequent in children operated before the age of one year (52%). The authors recommend therefore that operations of these children should be entrusted to a paediatric surgeon.

Adolescent↗

PubMed1997

[Antibiotic prophylaxis in thoracic surgery].

On a group of patients operated during the last three months under standard precautions the authors explain their views as regards antibiotic prophylaxis in thoracic surgery. They justify not only "short-term prophylactic administration of antibiotics" but also prolonged prophylaxis with antibiotics. Useful in this respect proved Mandol, cefalosporin of the 2nd generation, which is used as a standard drug without preoperative examination of the bacterial flora in sputum. Their patients did not develop infectious complications.

Adolescent↗

PubMed1997

[Incarcerated scrotal hernia containing a sigmoid colon carcinoma].

The authors describe the case-history of a 65-year-old patient with an incarcerated scrotal hernia on the left side. An unexpected finding in the sac of the scrotal hernia was the sigmoid colon with an obturating tumour. The patient was subjected to two-stage surgery with a favourable final effect.

Aged↗