Subject(s)
Anticoagulants/adverse effects , Antineoplastic Agents/therapeutic use , Aspirin/adverse effects , Cisplatin/therapeutic use , Enoxaparin/adverse effects , Hemorrhage/chemically induced , Mediastinal Neoplasms/drug therapy , Neoplasms, Germ Cell and Embryonal/drug therapy , Primary Prevention , Venous Thromboembolism/prevention & control , Humans , Male , Mediastinal Neoplasms/complications , Mediastinal Neoplasms/diagnostic imaging , Middle Aged , Neoplasms, Germ Cell and Embryonal/complications , Neoplasms, Germ Cell and Embryonal/diagnostic imaging , Risk Assessment , Risk Factors , Treatment Outcome , Venous Thromboembolism/diagnosis , Venous Thromboembolism/etiologyABSTRACT
At the traumatological department of the Surgical Clinic in Prague 5-Motol up to 1986 practically all operations of the skeleton were made by the open method, i.e. under direct visual control. After the Clinic had bought an X-ray apparatus with an amplifier and pulsed skiascopy the number of closed operations increased. The time taken by the operation is shorter and the operations are less risky, in particular for patients of the more advanced age groups. At present the department prefers secured nailing of the tibia, femur and humerus. The introduction of this surgical technique caused a radical change in the surgical approach and therefore the department does not use any longer splint osteosynthesis for diaphyseal fractures of the long bones.