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Biomedical subjects

P Pafko

Publications and source records attributed to P Pafko.

At least 19 recordsLinked to original sources
PubMed1998

[Rupture of the trachea and main bronchus after intubation].

The authors present two cases of post-intubation perforation of the trachea and main left bronchus resp. One was diagnosed incidentally during thoracotomy, on the second to third day after attempted intubation during which perforation occurred. The patient's life was threatened by the development of ARDS syndrome. The authors emphasize therefore the necessity of acute tracheobronchoscopy when perforation of the major airways during difficult intubation is suspected. Uncertain suture of the pars membranacea should be covered by the oesophagus.

Bronchi↗
PubMed1998

[Techniques and tactics in multiorgan harvesting].

The eighties and nineties are characterized by potent development of transplantology. Despite this the number of patients with organ failures waiting for a suitable organ is steadily increasing. Due to the permanent shortage of donors transplantation surgery tries to implement the maximum possible multiple organ collection. In the conclusion the authors emphasize the importance of satisfactory cooperation of the anaesthesiologist attending donors and the organ collection teams.

Humans↗
PubMed1997

[Alveolar adenoma of the lung (case report)].

A case of a rare benign solitary pulmonary neoplasm of alveolar adenoma type in a 42-year-old man was presented. The tumor consisted of a glandular component which reacted with antibodies against cytokeratins CAM5,2, AE1-3 as well as against epithelial membrane antigen (EMA) in superficial parts of cytoplasmatic membrane, while actin and desmin were positive in the stromal component. Ultrastructurally, glandular component represented chiefly type II pneumocytes, while pneumocytes of type I occurred rarely. Stroma of the tumour consisted of myofibroblasts, fibrocytes, and collagen fibrils.

Adenoma↗
PubMed1997

[Perforation of gastric and duodenal ulcers--laparoscopic sutures].

The authors compare in a small group of patients the results of treatment of perforation of peptic gastroduodenal ulcers. Some patients were treated by suture using a miniinvasive approach and some by classical laparotomy. The first laparoscopic treatment of a perforated ulcer was made at the Third Surgical Clinic in July 1995. Since then up to February 1997 thus eight patients were treated. During the same period seven patients were treated by the classical approach. Comparison of the period of hospitalization, postoperative complications, consumption of analgesics and postoperative temperature in these almost identical groups revealed that the results are more favourable after laparoscopic sutures.

Adult↗
PubMed1996

[Caroli's disease].

As compared with the past Caroli's disease will be more frequently diagnosed due to new examination methods. In case of clinical manifestation when the disease is confined to one lobe the possibility of lobectomy should be considered, as it is the method of choice as regards the surgical approach. It is important to emphasize the possible concurrent presence of cystic degeneration of the extrahepatic biliary pathways and renal cystosis, the possible occurrence and risk of development of cholangiocarcinoma which increases with advancing age.

Adult↗
PubMed1996

[Reoperation after gastroesophageal reflux surgery].

In a group of 19 patients reoperated after a primary operation on account of gastrooesophageal reflux the authors demonstrate that the reason for reoperation can be either a relapse of the reflux or also other complaints (most frequently dysphagia). The selection of a suitable operation is strictly individual. Cases of a short oesophagus are most difficult to resolve. The decisive factor is a correct surgical approach-laparotomy or thoracotomy.

Adult↗
PubMed1996

[Zenker's diverticulum].

In the course of 10 years 72 patients with an oesophageal diverticulum were operated, incl. 56 with a Zenker diverticulum. The incidence of operative and postoperative complications declined markedly after the introduction of peroperative fibroscopy and the use of fine absorbable atraumatic fibres, in indicated cases also puncture pharyngostomy was used. The authors did not record practically any relapses of diverticula, 81.4% of the patients are after a long-term follow up free from complaints.

Aged↗
PubMed1996

[The first 300 videothorascopic (VTS) and video-assisted (VATS) operations].

Videothoracoscopic and Videoassisted thoracic surgery makes diagnostic and therapeutic operation in the pleural cavity possible with minimal injury of the thoracic wall. The basic prerequisite is a free pleural cavity and selective pulmonary ventilation. VTS is a great asset in pulmonary biopsy, final treatment of a spontaneous pneumothorax, surgery of the thoracic sympathetic nerve and splanchnic nerves. VATS makes even such operations as lobectomy or pneumonectomy possible. According to the authors experience and views of the European Society of Thoracic Surgeons pulmonary carcinoma should be however operated by classical thoracotomy. The authors discuss the problem of indications and analyze operations implemented at the Third Surgical Clinic in Prague during the last three years.

Contraindications↗
PubMed1994

[Mesotheliomas].

The authors deal with the problem of mesotheliomas, their incidence and types. Most frequent are pleural mesotheliomas, which may be defined/localized/ or diffuse. Localized forms are indicated for surgery and have a favourable prognosis, diffuse forms are highly malignant and are considered a non-resectable malignity. The authors report on their own experience with a group of 47 patients with mesotheliomas. For diagnosis the part played thorocoscopy is significant.

Heart Neoplasms↗
PubMed1994

[Surgical treatment of esophageal reflux disease associated with a short esophagus].

Supradiaphragmatic fundoplication is effective therapy of complicated GER with a feasible morbidity and low mortality. These favourable results moreover do not apply to patients with primary oesophagitis but to a small percentage of patients suffering either from severe transmural oesophagitis or previous unsuccessful fundoplication. Under these conditions surgery is difficult regardless of the selected technique. An alternative possibility of supradiaphragmatic fundoplication in short oesophagus is Collis gastroplasty and fundoplication. The authors recorded good results of this operation/4, 12/. It may be, however, assumed that, at least in patients after previous fundoplication, mobilization of the oral portion of the stomach is associated either a further alteration of its blood supply and thus the risk of ischaemia of the "neo-oesophageal" suture. Supradiaphragmatic fundoplication is thus in the author's opinion the most effective therapeutic method in oesophagitis, performed on account of gastroesophageal reflux in short oesophagus.

Esophagus↗
PubMed1994

[Carcinoma of the cervical esophagus].

Resection of carcinoma of the cervical portion of the oesophagus, if it is to be radical surgery, calls as a rule for concurrent laryngectomy. Patients with severe dysphagia accept gladly even this variant of surgery. In the authors' opinion it is safest to replace the extirpated oesophagus by the colon on a vascular pedicle of the left colic arteries. In some instances in that case even the caecum remains vital. Perspectively the method of choice of a resected cervical oesophagus will be replacement by an isolated jejunal loop.

Esophageal Neoplasms↗
PubMed1993

[Initial experience with videothoracoscopy].

In the course of five months the authors made 32 videothoracoscopies. They consider this surgical operation as a completely new quality in thoracic surgery. The hitherto limited scope of these examinations will, no doubt, expand as a result of the assembled experience.

Humans↗
PubMed1993

Swallowing function and gastric emptying in patients undergoing replacement of the esophagus.

In order to assess functional changes after esophagectomy, esophageal transit scintigraphy and gastric emptying measurements were performed in a group of 10 patients after esophagus substitution by the tubulized stomach, and in a group of 12 patient with an interposed colon. The swallowing function of the rest of the esophagus was preserved in 15 out of 22 patients. The best results were obtained on using a liquid bolus in an upright position, the worst function was found on using a solid bolus in a supine position. Reflux at the level of the anastomosis with the esophagus was detected in only 7 out of 22 patients. The gastric emptying rate was normal in 4 out of 12 examined patients. Scintigraphic methods proved to be suitable for the detection of functional changes after surgery. The function tests performed proved that substitution of the esophagus by either tubulized stomach or interposed colon provides the patient with adequate comfort, provided that he adopts certain habits.

Colon↗