Prophylactic surgical mesh placement as a prevention of parastomal hernia in open radical cystectomy with ileal conduit diversion - pilot study.

INTRODUCTION: This study examines the efficacy of prophylactic mesh implantation during open radical cystectomy with ileal conduit diversion in preventing parastomal hernias (PH). Despite PH being a common complication, prophylactic methods have been underexplored. METHODS: A pilot, single-center, prospective cohort study was conducted involving five patients undergoing surgery with mesh implantation. Demographic and clinical characteristics were monitored, including the incidence of PH, operation time, blood loss, and hospitalization duration. RESULTS: During the mean follow-up period of 9.1±3.2 months post-operation, no occurrences of PH were observed in the patient group. Despite the risks associated with implanting foreign material in an area of surgery involving open small intestine, no infectious complications were noted. CONCLUSION: Prophylactic mesh implantation in radical cystectomy with ileal conduit diversion appears to be an effective preventive measure against PH. Further extensive studies are required to definitively confirm the efficacy and safety of mesh use in this context.

CURRENT TREATMENT OPTIONS OF DUPUYTREN´S DISEASE.

Dupuytren's disease (fibromatosis of the palmar fascia, benign neoplastic fibromatosis, Dupuytren's contracture) is a disease characterized by growth and successive contracture of single parts of the palmar aponeurosis. This condition is known and has been treated for several centuries. In the advanced stages of the disease, it leads to significant limitation of hand function, resulting in reduced quality of life of the patient. Dupuytren's disease (DD) is a life-long disease with a variable course and a heterogeneous clinical presentation. Therapy focuses on the clinical manifestations of the disease as well as on reduction of the functional limitation of the hand caused by the disease. In addition to conservative and surgical procedures, there are also some mini-invasive methods available. Treatment should be reserved for centres and experienced surgeons specialized in hand surgery.

[Acute pancreatitis--personal experience]. / Akutní pankreatitida--nase zkusenosti.

We should like to evaluate in our paper practical experience and diagnostic possibilities as well as treatment of acute pancreatitis in a surgical department of our type and make possible a comparison of our results with those of other departments of a similar or higher type. We also pay detailed attention to the course of the disease and causes of death in patients who died in conjunction with acute pancreatitis in our department. In 1996 to 1998 in our department 39 patients with the diagnosis of acute pancreatitis were hospitalized. This number comprised 28 (72%) men and 11 (28%) women. The mean age of the men was 51.7 years (26 to 88 years), the mean age of women 51 years (18 to 82 years). Five patients (12.8%) died from sequelae of the disease (4 men and 1 woman). Under conditions when examination by a computed tomograph is considered essential, we present experience from a department which does not possess its own apparatus and must make use of capacities of other hospitals.