[Chylothorax as a complication of coronary artery bypass grafting operation]. / Chylothorax mint a coronaria-bypassmutét szövodménye.

The authors present the case of a 72-year-old woman who underwent coronary bypass grafting. Left sided chylothorax due to accidental dissection of a thoracic duct branch developed 2 months after sternotomy. As conservative therapy has failed, surgical pleurodesis was performed successfully. Chylothorax is a rare and underestimated complication of coronary bypass grafting. The worldwide increasing number of coronary artery bypass grafting surgeries makes it important to pay attention to this condition. Thus diagnosis of the chyle is relatively easy by its high chylomicron and triglyceride content, but identification of the etiology and its treatment is sometimes challenging for the physician. The treatment of chylothorax is usually conservative. The main goal is to keep the volume of the chyle under control. The number of surgical interventions because of chylothorax is increasing due to an increase of iatrogenic etiology.

[Abdominal hernia repair with No-React treated bovine pericardial patch]. / Hasfali sérv mutéte No-React eljárással készült borjúpericardium-folt beültetésével.

UNLABELLED: In the last decades surgical treatment of abdominal wall hernias has extensively developed. Tension free reconstruction is essential to the successful operation, which can be achieved in many cases only with the use of hernia patch or mesh. Synthetic materials gained widespread use for this purpose, which markedly reduced recurrence rate; but they can cause infections and other serious complications. Various different types of meshes have been developed during the last years, but none of them meets entirely the requirements. The authors repaired epigastric hernias with intraperitoneal implantation of specially treated bovine pericardial patch in two patients to prevent infection. Both patients recovered without postoperative complications. Follow-up examination 7 and 15 months after the operation did not reveal recurrence or any other complications. The authors describe the applied surgical technique, the advantageous properties of the bovine patch and review the literature. CONCLUSION: According to the early experiences of the authors as well as to data of the literature, the Shelhigh No-React bovine pericardial patch can be used safely and efficiently for the reconstruction of incisional hernias not suitable to direct repair. Further clinical trials are warranted to evaluate the usefulness of this method.

[Intraoperative fires caused by alcoholic skin antiseptic and diathermy]. / Alkoholtartalmú borfertotlenítok és diathermia okozta égések sebészi beavatkozások során.

UNLABELLED: The authors describe two intraoperative fires during cardiac surgery. In both cases, in addition to the usual disinfection and isolation of the operating field, they wanted to reduce the infection hazard and to restore the partly ruined isolation by 70% alcoholic skin antiseptic solution. Soon after the disinfection, but before the evaporation of alcohol, diathermy was used and caused fire. In case of the first patient the fire spread over the isolation film and resulted second grade (5%) and third-grade (1%) burn injury which required plastic surgery. In the second case the patient's beard caught fire causing second-grade (1%) burn that was treated locally. Despite these burn injuries both patients recovered after the heart surgery. These two intraoperative fires are 0.003-0.004% of all surgical procedures. CONCLUSION: Fires during surgery are rare and might have serious consequences. They can be prevented by keeping the discipline of work and instructions of fire protection. The best way of prevention is regular education of all the staff (doctors, nurses, etc.) working in the operating theatre.