[Spinal analgesia and perioperative low molecular weight heparin (LMWH) prophylaxis of thrombosis. Safety aspect]. / Znieczulenie zewnatrzoponowe i podpajeczynówkowe a okolooperacyjna profilaktyka przeciwzakrzepowa niskoczasteczkowa heparyna. Aspekt bezpieczenstwa.

For many gynecological surgery patients belonging to deep vein thrombosis (DVT) high-risk group the analgesia of choice is regional spinal analgesia. Perioperatively LMWH--Fraxiparine was administered to 426 gynecological surgery patients and to 113 caesarean section patients. The first dose 7500 ICU s.c. was administered 2 hours before operation and consecutive ones every 24 hours for 5 to 7 days. The drug didn't cause any anaesthesia complications like enhanced bleeding after lumbar punction. It was emphasised in the discussion that in choosing this kind of prophylaxis certain conditions should be fulfilled in order to avoid spinal hematoma.

Blood loss during transurethral prostatic resection with continuous bladder irrigation.

A total of 120 men with benign prostatic hypertrophy were assigned randomly into three groups. Transurethral prostatic resections were performed in all patients. In Group I the operation was performed with continuous flow bladder irrigation, in Group II with suprapubic flow irrigation (without suction pump) and in Group III without continuous flow irrigation. Blood loss was determined by a colorimetric method. There were no statistically significant changes in blood loss between the groups of patients.

[Intrarenal cyst communicating with the kidney calyx, suggesting tuberculous changes]. / Torbiel sródnerkowa komunikujaca z ukladem kielichowo-miedniczkowym nerki, sugerujaca zmiane gruzlicza.

The authors presented a female patient in whom intrarenal cyst was found communicating with the calyx-pelvic system, suggesting a tuberculous lesion. The attention was paid to the possibility of diagnostic error. The probable pathogenetic mechanism of intrarenal cyst development is described.

[Thrombotic thrombocytopenic purpura as a diagnostic and therapeutic problem]. / Zakrzepowa plamica maloplytkowa-jako problem diagnostyczno-terapeutyczny.

The authors describe patient with Thrombotic Thrombocytopenic Purpura (TTP). The diagnosis based on the clinical symptoms, laboratory tests and microscopic investigations. The unknown etiology and pathogenesis of TTP, lead to many diagnostic and therapeutic difficulties.

[Renal trauma]. / Urazy nerek.

An analysis is presented of 70 patients treated for renal trauma in the I Department of Urology in Katowice in the years 1974-1989. Renal damage was evaluated according to a three-grade scoring system. Conservative treatment was given to 43 patients (61.4%), including 14 patients with I degree trauma, 12 with II degrees, and 17 with III degrees trauma. Nephrectomy was performed in 17 cases, and 10 sparing operations were carried out--one combined with splenectomy.

[Complications after extracorporeal shock wave lithotripsy (ESWL) and methods of management of such cases]. / Powiklania po zabiegach kruszenia zlogów w ukladzie moczowym falä wstrzasowa, wytwarzana pozaustrojow (ESWL) i sposoby postepowania w tych przypadkach.

The authors presented the complications which occurred in patients after extracorporeal shock wave lithotripsy (ESWL), and discussed the methods of management of such patients. It was found that the most common complications were: renal colic, fever, "calculus route", and, less frequently, subcapsular and perirenal haematomas. In most patients conservative treatment was adequate. Some of these patients required admission to hospital and proper specialized management.

[Minitracheotomy as a method of the restoring of airways during occlusion of the larynx]. / Minitracheotomia jako metoda czasowego udroznienia dróg oddechowych w przypadkach niedroznosci krtani.

The authors presents use of the minitracheotomy as a method of the restoring of airways during occlusion of the larynx in emergency cases. Minitracheotomy is a simple method of the restoring of airways by small endotracheal tube.

[Premature tracheoesophageal fistula as a complication after short- term intubation of the patient after craniocerebral trauma]. / Wczesna przetoka tchawiczo-przelykowa powstala po krótkotrwalym przebywaniu rurki intubacyjnej w tchawicy u chorego po urazie czaszkowo-mózgowym.

We have described a rare case of early tracheo-esophageal fistula after short-term intubation. 18-year old male patient was admitted to ICU after craniocerebral trauma. After 6 days of intubation the tracheo-esophageal fistula appeared. We suggest that tracheoesophageal fistula was caused by compression of the trachea by tracheostomies tube cuff, shock and poor general condition.