Bratisl Med J
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The authors evaluated the benefits of the arthroscopic debridement performed in the same session with the high tibial osteotomy in the management of the knee joint of osteoarthritis connected with varus or valgus deformity. ⋯ The arthroscopy performed before high tibial osteotomy in the same session helped to detect a significant intraarticular disorder and the arthroscopic debridement improved the end results after high tibial osteotomy. (Ref. 16.)
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The authors made a retrospective analysis of results and complications of elective tracheostomies performed by percutaneous dilatational technique (PDT) as well as standard surgical procedure (ST) in critically ill patients in the ICU. The indication for tracheostomy was to facilitate long-term mechanical ventilation, to facilitate cleaning and management of the airway and to maintain upper airway patency. During a 5-year period there were 495 elective tracheostomies performed in the ICU setting, in 209 females and 286 males. ⋯ Late postoperative complications totaled 7 (1.4%). Percutaneous dilatational tracheostomy is an alternative method to standard surgical tracheostomy in critically ill patients in the ICUs. Standard surgical tracheostomy is an irreplaceable procedure in patients with complex anatomic condition or in high-risk patients. (Tab. 3, Ref. 11).
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Review Historical Article
Children in the focus of the attention of pediatricians and pediatric surgeons.
Children represent the future of humankind. They are the bridge to our immortality. They get the attention of everybody who wants to help and do something for them. ⋯ In the context of historic development of medicine, the author focuses her attention on the development of pediatric and surgical care of children with the emphasis given to the care of critically ill children suffering from inborn heart defects. The author uses the example of co-operation of pediatric cardiologists and cardiosurgeons as the base for her reflections of ethical principles, norms and attitudes to the implementation of modern surgical techniques in the treatment of newborn babies suffering from the syndrome of left-heart hypoplasia. The history of child-care in general and especially that dedicated to newborn babies suffering from inborn heart defects in Slovakia is associated with the personality of Professor Siman, a significant Slovak cardiosurgeon.
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In a prospective study we used acute normovolemic haemodilution (ANH) together with low CVP anaesthesia in order to avoid allogeneic blood transfusion during major liver surgery. ⋯ We have shown that the routine use of new surgical techniques and low CVP anaesthesia in combination with ANH enabled avoidance of allogeneic blood transfusion in all patients during surgery. (Tab. 3, Ref. 22).
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The authors analyse group of 77 patients with several injuries of the intraabdominal organs by polytrauma and intraabdominal continuing bleeding. The injuries were classified in compliance with the classification of the American Association for the Surgery of Trauma (AAST), 1994. At hemodynamically stable patients, the authors accept selective non-operative forms of treatment, however are aware of the risk of delaying the therapy of severe polytrauma. (Tab. 4, Fig. 2, Ref. 3.).