[Comprehensive treatment of venous ulcer of the leg]. / Príspevek ke komplexní lécbe ulcus cruris venosum.

A comprehensive approach to the treatment of venous leg ulcer is described. Its main characteristics are: 1. Maximum debridement of wound area of the ulcer and suppressing of its microbial contamination 2. Wound conditioning and its preparation for autografting and especially 3. Simultaneous operation of varicose veins (stripping of vena saphena and ligature of venae perforates Cocketti) and application of dermoepidermal autograft to the ulcer. The procedure is presented as a case report.

[Perineal infiltrates after amputation procedures in carcinoma of the rectum]. / Perineální infiltráty po amputacních výkonech pro karcinom rekta.

The authors present their experience with perineal infiltrates amputations on account of rectal carcinoma. In the course of 1986 in the Oncological Research Institute in Brno 58 patients with this diagnosis were hospitalized. After amputations three types of surgical complications were observed: 1. early inflammatory infiltrations, 2. late abscesses and 3. locoregional relapses of the primary tumour. Local relapses were detected first after five months and not later than three years after the radical operation. The authors draw attention to the fact that the first manifestation of the locoregional progress of the disease was a sensation of pressure or pain, which preceded the development of a resistance on the perineum and fever. The extent of tumourous infiltration was assessed by computed tomography. Reduction of locoregional relapses depends according to authors above all on a comprehensive approach to treatment. The usefulness of adjuvant irradiation is obvious. The authors assume that it is important to decide whether to irradiate before or after operation or to combine both methods and whether too combine irradiation with chemotherapy. Due to difficulties of therapeutic influencing of local relapses they emphasize above all the demand of respecting the rules of oncological surgery during the first operation.

[Severe liver injuries]. / Ernste Leberverletzungen.

This is a retrospective study of all post-mortem reports made by the Institute of Forensic Medicine at the University of Brno between 1972 and 1981, where a hepatic trauma was present (495 cases). Only 73 patients, suffering from a liver injury mostly in combination with concomitant injuries were admitted in time. All others came to death during transportation or before surgical help could be established. Diagnostically the authors emphasise urgent laparoscopy and in special cases selective arteriography, sonography and CT. Partial resection of the liver segments should be preferred to tamponade of liver wounds which is no longer recommended.