[Diverticular disease of the large bowel - surgical treatment]. / Divertikulární choroba tracníku - chirurgická lécba.

INTRODUCTION: Surgical treatment, despite the rapid development of the numerous modern miniinvasive intervention techniques, remains essential in the treatment of complicated diverticular disease. AIM: The aim of this work is to summarize indications for surgical treatment in both acute and elective patients suffering from diverticular disease of the large bowel. METHODS: Review of the literature and recent findings concerning indications for surgical intervention in patients with diverticulosis of the colon. CONCLUSION: The article describes indications, types of procedures, techniques and postoperative care in patients undergoing surgical intervention for diverticular disease.

[Complications of laparoscopic procedures of inguinal hernias, diagnosed on colonoscopy]. / Komplikace laparoskopické operace tríselné kýly diagnostikované kolonoskopicky.

AIM OF THE STUDY: The aim was to assess significance of colonoscopy in detection of inguinal hernias - dislocation of the mesh into the lumen of the large intestine, following inguinal hernia laparoscopic procedures (TAPP). MATERIAL, METHODOLOGY AND RESULTS: From 01-01-2004 to 31-12-2006, the authors performed 3 colonoscopies in 3 subjects after TAPP inguinal hernia laparoscopic procedures. The subjects included 2 males and 1 female, 4 to 9 months after the laparoscopic procedure, colonoscopy was performed, which was indicated for the lower abdominal pain and enterorrhagia. However, no signs of a relapsing hernia were recorded. Endoscopy detected irritation and bleeding of the sigmoid, and a mesh, which passed through the intestinal wall was detec ted in the sigmoid lumen. The subjects were then reoperated and the mesh was removed. In one subject, resection of the sigmoid had to be performed as well. The subject recovered. CONCLUSION: The postoperative complications of the TAPP procedure included dislocation of the mesh into the intestinal lumen. Detection of the mesh dislocation into the lumen of the large intestine facilitates indication for surgical management.

[Complications of the laparoscopic appendectomy]. / Komplikace laparoskopické apendektomie.

706 appendectomic procedures using laparoscopy were performed in the Surgical Clinic of the FTN hospital during 2003-2005. The group's mortality rate was nil, the morbidity rated 3.54%. The following complications were recorded: nine patients (1.27%) experienced infiltration in the right hypogastric region, which was confirmed on CT or ultrasound examinations, nine subjects (1.27%) suffered wound infections, two subjects (0.28%) developed subileus, in two subjects (0.28%) intraabdominal abscesses, and in one subject (0.14%) diffuse suppurative peritonitis were diagnosed, one subject (0.14%) developed intraabdominal hemorrhaging, in one subject (0.14%) intraabdominal hematoma was detected. Rates of complications in our group are similar to those presented in literature [1, 2, 3]. Based on their study group analysis, the authors found the laparoscopic appendectomy more beneficial for a patient than the open appendectomy.

[Laparoscopic management of epidermoid spleen cyst]. / Laparoskopické resení epidermoidní cysty sleziny--kazuistika.

Spleen cysts are rare in the surgical practice. They may be primary or secondary. Primary cysts (true, with own lining) represent 30-40% of all cysts and occur mostly in children and young adults. Secondary cysts (pseudocysts, with no lining) are more frequent. Primary cysts are mostly asymptomatic and usually occur as accidental findings during ultrasound examinations. Cysts over 50 mm or cysts with clinical symptomatology should be managed surgicaly. Laparoscopy may be used. The authors present laparoscopic management of a spleen epidermoid cyst in a young female.