ABSTRACT
The authors present their own experience with the use of a hot-jet coagulator in resections of the liver. The principle is based on contact-free transmission of thermal energy by means of a current of hot air to achieve haemostasis and tissue coagulation. They mention the use of the apparatus in animal experiments and in resections of the liver in nine patients. They recommend the procedure as one possibility of haemostasis where conventional methods do not affect haemostasis.
Subject(s)
Electrocoagulation/instrumentation , Hemostasis, Surgical/instrumentation , Hepatectomy , Animals , Humans , Swine , Swine, MiniatureABSTRACT
The authors discuss examinations made before a planned vascular reconstruction operation. As the number of vascular reconstruction operations is steadily increasing, and the operations affect the entire organism, and the operations are associated with a relatively high mortality rate, the authors try to reduce the latter by the correct classification into a risk group, select the correct order of surgical operations, and last not least, on the basis of these conclusions they try to define also the surgical procedure proper during reconstruction. As atherosclerotic affections can be isolated or combined, the authors divide the patients into three groups. The first group can be subjected to a reconstruction operation without special preparation. The second group comprises patients where it is either necessary to confirm or rule out affection of extracranial cerebral arteries and the third group comprises patients where it is necessary to confirm or rule out affection of the coronary arteries. The aim of this comprehensive procedure is to reduce as much as possible the surgical mortality.
Subject(s)
Vascular Surgical Procedures , Adult , Aged , Blood Vessel Prosthesis , Cerebrovascular Disorders/surgery , Coronary Disease/surgery , Humans , Middle AgedABSTRACT
The authors present the experience of their department with resections of the liver. Their main attention is focused on indications and the technique of operation. During the period from 1981 to April 1990 at the Surgical Clinic in Brno 50 resections of the liver were made. Thirty patients with benign diseases were operated and 18 patients with malignant diseases. The group comprised only those resections where at least one liver segment was removed. In two patients re-resection on account of a tumour relapse was performed. For arrest of haemorrhage from the resection area the authors recommend in addition to careful surgical treatment also the use of fibrin glue.
Subject(s)
Hepatectomy , Adolescent , Adult , Aged , Child , Female , Humans , Liver Diseases/surgery , Male , Middle AgedSubject(s)
Arterial Occlusive Diseases/diagnosis , Auscultation , Carotid Artery Diseases/diagnosis , Carotid Arteries , Female , Humans , Male , Middle AgedSubject(s)
Liver Transplantation , Postoperative Care , Postoperative Complications , Graft Rejection , HumansABSTRACT
Autopsy and histological findings in the livers of pigs long-term surviving liver orthotopic allotransplantation indicate that there is no correlation between chronic rejection of the graft and the presence of biliary sludge in the bile tract.
