[Less invasive approaches in surgical treatment of aortic valve defects]. / Méne invazivní prístupy v chirurgické lécbe aortálních chlopenních vad.

Longitudinal median sternotomy is even nowadays the standard approach to operations of the aortal valve. The authors summarize in the submitted paper their experience with operations in 60 patients where replacement of the aortal valve was performed either from a small transverse sternotomy in the second intercostal space or from upper ministernotomy from the jugulum to the fourth (third) intercostal space. One patient died. The low incidence of serious postoperative complications, the rapid rehabilitation of patients and short subsequent period of hospitalization indicate the advantages of this approach. The authors use at present upper ministernotomy as the surgical approach in the majority of operations of the aortal valve.

Realizing the competitive advantage of the Internet.

Everyone's talking about the Internet; everyone's getting on the Internet, either with a home page or to gather information. How has this type of technology become so prevalent--and what if home care providers lag behind in jumping aboard?