[A 100 kg weight loss in a young male patient with a combination of dietary intervention, increased physical activity and plastic surgery]. / 100 kg redukce mladého pacienta kombinací dietní intervence, zvýsené fyzické aktivity a operativního prístupu plastické chirurgie.

Authors describe a case of 100 kg weight loss of 20 years aged old patient with the incipient body weight 174 kg (BMI = 64 kg/m2) during four years using combination of dietary intervention (2; 5; 6.7; 7.6 MJ), increased physical activity and repeated surgical resection of cutaneous lobes. Development of laboratory parameters, resting energy expenditure, correction of hypertension and hyperuricaemia are documented.

Our experience with operative treatment of malignant melanoma.

The result of studies of the series of patients with a malignant melanoma operated on radically and non-radically in our region was extended to include the time period from 1975 to 1983 and the new findings confirmed the results of our first study from 1983. No difference in the survival rate was found between the groups of radically and non-radically operated patients. The radicalness of the excision of a primary tumour does not influence the time of survival of the patients. This was also confirmed by the evaluation of the series of patients operated only with the non-radical method at our department during the recent years. On the basis of the results obtained within these 29 years in a series of 1800 patients with a malignant melanoma we recommend to perform the surgical treatment of a primary malignant melanoma with the use of a non-radical excision.