RESUMO
In the submitted case-records the authors present interesting peroperative findings--a coprolith obturing the lumen of the appendix, the torsion of an ovarian cyst and torsion of the omentum during diagnosis of acute appendicitis. The authors discuss the reliability of preoperative sonography for the diagnosis of pathological conditions in the appendical region which despite its falsely negative results are considered by the authors a useful method in the differential diagnosis of pain in the right iliac fossa.
Assuntos
Dor Abdominal/etiologia , Apendicite/diagnóstico , Doença Aguda , Adulto , Diagnóstico Diferencial , Erros de Diagnóstico , Feminino , Humanos , MasculinoRESUMO
Disorders of common bile duct function are among adults relatively frequent. Formal treatment schemes are gradually transformed, and the interdisciplinary co-operation becomes the basic principle. The goal is to recognise the type of the mechanic jaundice, followed by elimination of the obstruction or to ensure biliary drainage without delay. The authors describe indication criteria used on Surgery Department at Bohunice Hospital in Brno. They present their results of treatment of the obstructive jaundice at a group of 576 patients followed during five year period.
Assuntos
Colestase Extra-Hepática/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Colestase Extra-Hepática/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The authors stress on the academic surgical departments the necessity of the development of both traditional and minimally invasive techniques of the groin hernia repair. They suggest to make patient selection based on the hernia type (Nyhus Classification) and patient's will and take account of an internal-anesthesiologic aspects. From four currently most often applied minimally invasive techniques they bring attention to the hernioplasty by exclusively extraperitoneal approach, till now seldom used by us.