ABSTRACT
UNLABELLED: The aim of this study was to introduce a new surgical instrument and to discuss early experience using radio-surgery method in different pediatric operations. METHOD: Radio-surgery (RS) machine (Ellman, Surgitron) generates ultra-high frequency waves that cause heat in the tissue water, producing steam, resulting in cutting or coagulation of the tissue, causing minimal "collateral" tissue damage (vaporisation). It has several electrode-types (7 electrodes are in a standard set). PATIENTS: Using the Surgitron unit with good results in 45 general and specialised pediatric patients. CONCLUSIONS: RS is easily to use for incising skin, to prepare subcutaneous tissue and to coagulate. Surgitron can preferable used for fine incision. RS works well in clinical praxis because it creates minimal "collateral" heat. So damage to tissue is small which produces faster wound healing and--possibly--aesthetic scars. RS technique is atraumatic which can be used in almost every operative intervention.
Subject(s)
Pediatrics , Radiosurgery/instrumentation , Radiosurgery/methods , Child , Humans , HungaryABSTRACT
The successful wound treatment depends on the adequate local agents and the well selected dressing. There is not single universal dressing that suitable for the management of all types of wounds and a few are suitable for single wound in the all stages of wound healing. The base and the main goal of dressing selection to produce rapid and optimal wound healing, cosmetically acceptable too, to reduce pain, to prevent and control the bacterial state of wound, to decrease the quantity of wound secretion, to cause minimal distress to the patient, and to improve the quality of patient's life. Author gives a summerizing of the wound healing, a discussion about the wound related factors: e.g. wound type, wound surface, wound characteristics and the bacterial profile of wounds. He gives informations about the wound dressing collecting into groups and the classification of the different dressings.
Subject(s)
Bandages , Wound Healing , HumansABSTRACT
25 cases of malignant fibrous histiocytomas of different localisation were diagnosed in the St. John's Hospital (Budapest, Hungary) in a 10-year period from 1982 to 1992. In the present study ten patients are reported with rare localisation of this tumor caused abdominal complications. Special attention is payed to diagnostic difficulties. The importance of morphological diagnosis is emphasized because modern therapeutic methods favourably influence the prognosis of this tumor.
Subject(s)
Histiocytoma, Benign Fibrous/pathology , Intestinal Neoplasms/pathology , Retroperitoneal Neoplasms/pathology , Aged , Child, Preschool , Female , Histiocytoma, Benign Fibrous/diagnostic imaging , Humans , Intestinal Neoplasms/diagnostic imaging , Male , Mesentery , Middle Aged , Retroperitoneal Neoplasms/diagnostic imaging , UltrasonographyABSTRACT
The Curling's ulcer is a special form of the stress ulcers which occurs in the stomach and duodenum in 2.0-25%. It's pathogenesis is unknown even though it is clearly related to larger burns poor early treatment and septic complications. Since the institution of routine prophylaxis of H2 receptor antagonists and antacids have decreased the incidence of Curling's ulcers and have reduced the occurrence of clinical complications of ulcers too: the perforation and bleeding. In the large patient-number of the author (2300 pro 22 yrs.) the occurrence of the Curling's ulcer is 0.82%! In the burn-disease (30-40% of the all burn injuries) that is 2.0--2.7%. The author discusses 3 successfully operated Curling's ulcer bleeded and perforated.