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Biomedical subjects

T Mrázek

Publications and source records attributed to T Mrázek.

11 recordsLinked to original sources

Cleft palate repair by Furlow double-reversing Z-plasty: first speech results at the age of 6 years.

The authors evaluated the first 15 six-year-old children operated on for cleft palate using double-reversing Z-plasty. Examination by a surgeon did not reveal a higher morbidity as a results of the new surgical method. Examination by a phoniatrist provided evidence of marked improvement of speech functions as compared with the previous von Langenbeck method. The results are preliminary, based on a small group of patients.

Cleft Palate↗

[Laparoscopic surgery of the colon].

The authors describe their experience with laparoscopic operations of the colon. The first operation was made on February 1, 1993 and by the end of 1998 the authors implemented 115 of these operations on account of benign and malignant diseases. On the results of their work they provide evidence that laparoscopic operations of the colon meet all demands of radicality of surgery, while they ensure a greater postoperative comfort and more rapid convalescence of the patient.

Adult↗

[Unusual use of Ender rods in fractures of the femur].

In some supracondylar or multiple fractures of the femur the authors used in several instances osteosynthesis by means of Ender bars inserted from the condyles of the femur. This synthesis is not as stable as Küntscher nails or dynamic compression screw. Its advantage is however a minimal access area without exposing the site of fracture.

Aged↗

Use of two microsurgical flaps in one stage reconstructive surgery.

In the studied series of 167 free transfer two microsurgical flaps in one stage surgery were used in six cases. Two times latissimus + fibula in extensive defects of the tibia and soft tissues of the shin, two times forearm+forearm in isolated defects of the feet, in one case TRAMF + TRAMF for the reconstruction of both breasts and in one case of reconstruction of the penis and the urethra in a transsexual female to male. In this case three flaps were used--pedunculated rectus abdominis muscle and LAF for the reconstruction of the urethra and a sensitive flap from the forearm for the cover of both preceding flaps. The healing of all flaps was satisfactory and individual case records are described in detail and discussed.

Adult↗

[Experience with laparoscopic cholecystectomy].

We have been performing laparoscopic cholestystectomies since 1991. Despite of initial mistrust this method became unusual operation in most of surgical departments. This time is the only laparoscopic method reimbursed by health insurance. In the period of 30 months we performed 1,215 laparoscopic operations. The authors submit a review of the results in the period.

Adolescent↗

[Laparoscopic resection of the sigmoid].

The authors present their own experience with laparoscopic resection of the sigmoid colon. They discuss the technique, the postoperative course and the contribution of this new method.

Adenocarcinoma↗

[Initial experience with laparoscopic cholecystectomy].

The authors discuss the technique and indications for laparoscopic cholecystectomy. n the course of four and a half months they operated, using this technique, 74 patients, in two patients they had to switch over to open cholecystectomy. They did not perform peroperative biligraphy. Complications occurred twice, once an injured ductus choledochus, once a biliary fistula. The mean period of hospitalization was 4.7 days. Advantages of the procedure are minimal surgical trauma, less intense postoperative pain, a shorter hospitalization period, rapid convalescence.

Cholecystectomy↗

Bilateral breast reconstruction after mastectomy.

The authors discuss the development of breast reconstruction following mastectomy in Czechoslovakia and present their first case of bilateral reconstruction employing the technique of the TRAM flap. In addition, they explore the possibility of eliminating high-risk parenchyma during with contralateral reconstruction.

Abdominal Muscles↗

[Reconstruction of the breast after mastectomy].

The author analyzes some causes preventing the development of reconstruction of the breast after mastectomy, mentions the reasons for reconstruction and reflects on contraindications of this operation. He demonstrates a case of bilateral reconstruction of the breasts by means of a TRAM flap.

Adult↗

[Replantation of traumatically amputated parts of extremities-- indications and nomenclature].

The authors submit a brief report on replantation activities during the past five years and discuss the problem of indications and terminology of traumatic amputations. The paper contains instruction regarding communication by telephone between the attending surgeon and a specialized microsurgical department. There are also instruction how to handle the amputated portion of the limb and how to transport the patient and the amputated portion of the limb. The authors discusses traditional procedures in replantation surgery on the basis of his own experience with 292 replantations or revascularizations.

Arm Injuries↗