Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
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The authors give an account of the interesting clinical development of a primarily erroneously diagnosed and inadequately treated arterial injury caused by a splint. They emphasize the necessity of angiographic examination and truthful recording in the surgical protocol.
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Procalcitonin (PCT) is a new early indicator of developing systemic bacterial infection. As compared with other anti-inflammatory markers (cytokines, acute stage proteins), the attained plasma levels during extensive but uncomplicated surgery are by orders lower than maximal levels during sepsis. The authors assume that PCT will be used in surgical practice as an early indicator of developing systemic bacterial infection (in multiple injuries, after surgery) and for subsequent evaluation of the effectiveness of treatment of septic conditions.
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Videothoracoscopic procedures and video-assisted thoracic surgery (V. A. T. ⋯ Staging was main procedure in cases of lung carcinoma. Complications were observed in 14 cases (9%). Of these complications 5 developed at the time of surgery (3.2%) and 9 were postoperative (5.8%).
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In the Centre for Child Traumatology in Brno the authors followed up during the last 10 years 22 patients with suspected compartment syndrome of the upper extremity. Incisions of intrafascial spaces were made in 12 patients-9x on the forearm and 3x on the hand. Another 10 patients had conservative treatment. ⋯ Compartment syndrome is a serious acute condition in child traumatology. Permanent sequelae of this syndrome can be prevented above all by early diagnosis and adequate therapy. It is therefore important to consider the possible development of this serious complication.