Acute mesenteric ischaemia (AMI) is a sudden onset of impaired bowel perfusion. Has high mortality rate and difficult to diagnose. Therapy involves endovascular, surgical, or combination both. Because baseline differences, the comparison between endovascular open surgical treatment subject selection bias. The aim this study was evaluate results AMI by approach in with laparotomy, evaluation strategy similar situations. Clinical data from 21 patients treated for 2018 2022 were retrospectively...

Abstract Background The nutritional status of the patient before undergoing surgery for colorectal cancer and its influence on subsequent recovery has been subject a number studies with ambiguous results. There are articles in literature which emphasize role preoperative prehabilitation other malignancies. Considering this we assumed positive effect reducing postoperative complications patients operated cancer. This study aims to confirm hypothesis. Methods was designed as...

Introduction: Diffuse peritonitis is a serious disease. It often addressed within urgent management of an unstable patient in shock. The therapy consists treatment the source peritonitis, decontamination abdominal cavity, stabilization and comprehensive resuscitation care intensive unit. A number scoring systems to determine prognosis are available, but most them require complex input data, making their practical application substantial problem. Objective: Our aim was assess simple cohort,...

Coronavirus disease-2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is characterized systemic inflammatory response and vasculopathy. SARS-CoV-2 associated mortality ranges from 2% to 6%. Liver dysfunction was observed in 14%-53% of COVID-19 cases, especially moderate cases. However, no cases spontaneous hepatic rupture pregnant women with have been reported.A 32-year-old patient (gestational age: 32 wk + 4 d) without any remarkable medical history or...

Acute appendicitis is one of the most common surgical diagnoses in clinical practice. In case uncomplicated course, diagnosis and treatment do not cause significant difficulties. On other hand, unrecognized or complicated can rarely bring unusual complications that threaten patient with delayed rather than course itself. Portal vein thrombosis, also known as pylephlebitis, an incidence 1/1000 acute admissions, certainly meets this statement. study, we present a successful advanced...

PURPOSE: The study aimed to determine a simple diagnostic test that could predict the risk of anastomotic leakage in early postoperative period.METHODS: A single-center, retrospective was conducted.The electronic medical records patients who underwent resection for rectal tumor between January 1, 2016, and December 31, 2021, University Hospital Olomouc, were reviewed.The data included factors laboratory parameters commonly obtained.RESULTS: decrease platelets signifi cant as possibility...

Laparoscopic sleeve gastrectomy (LSG) is one of the most efficient bariatric interventions in morbidly obese patients. The severe risk this procedure seems to be staple line leak, and management complication can very arduous.To share our experience managing leak after LSG help find best that should preferred.In 2010-2015 period we performed 223 LSG, with about 5 demonstrating complications - two patients bleeding requiring revision surgery, three resection surface leak.We always primarily...

This case report describes postoperative complications in a patient after hybrid oesophagectomy for oesophageal carcinoma COVID pneumonia. The global COVID-19 pandemic affected cancer patients indicated surgery. Covid 19 may worsen the results of More similar studies are needed. A 69-year-old male was diagnosed with squamous cell middle oesophagus based on PET/CT without disease generalisation. His stenotic tumour required nutritive jejunostomy, subsequent neoadjuvant radiochemotherapy...

The frequent occurrence of E. coli positive for cyclomodulins such as colibactin (CLB), the cytotoxic necrotizing factor (CNF), and cytolethal distending (CDT) in colorectal cancer (CRC) patients published so far provides opportunity to use them CRC screening markers. We examined practicability performance a low-cost detection approach that relied on culture followed by simplified DNA extraction PCR isolates recovered from 130 111 controls. Our results showed statistically significant...

Introduction: The management of patients with COVID-19 infection has placed great pressure on the healthcare systems around world. aim this study was to investigate impact pandemic treatment outcomes rectal cancer by comparing them those same diagnosis in pre-pandemic period. Methods: Retrospective data analysis undergoing multimodal for at four university hospitals during (2020– 2021) and 2-year period (2018– 2019). Results: A total 693 (319 374 period) were included study. demographic...

This study highlights an unusual and previously unreported adverse event (AE) following the minimally invasive treatment of pancreatic walled-off necrosis (WON). The standard for WON currently involves primary drainage via ultrasound-guided endoscopic, typically transgastric, approach. method is associated with lower mortality morbidity rates compared to traditional surgery. However, emerging AEs from these procedures may necessitate involvement a multidisciplinary team. Our case potential...

Summary Background Diffuse peritonitis is a severe disease with high mortality and morbidity rates. Therapy fundamentally surgical. It important to identify patients significantly worse prognosis who may benefit from more aggressive surgical postsurgical care such as NPWT (Narrow Pressure Wound Therapy) prior surgery. We tried determining factor for higher rates resulting in among initial data patient comorbidities order focus therapy towards management. Methods In group of 274 diffuse...

Postoperative complications of rectal resections classified as grade III or higher according to Clavien-Dindo system, which also include anastomotic leaks, are usually life-threatening conditions. Delayed diagnosis may account for almost 18% deaths. Due nonspecific clinical signs in the early postoperative period, diagnosing these truly be a challenge clinicians. Nowadays, with implementation ERAS protocol (enhanced recovery after surgery) and efforts concentrated on quickly delivered...

This case report describes bleeding from an iatrogenic thoracic aortic injury in minimally invasive thoracoscopic esophagectomy.A 53-year-old man underwent neoadjuvant radiochemotherapy for adenocarcinoma of the esophagus with positive lymph nodes. PET/CT showed only a partial response after therapy. Minimally esophagectomy semi-prone position selective intubation left lung was performed. However, massive aorta during separation tumor resulted conversion to conventional right thoracotomy....

In this case report we describe the surgical treatment of an incarcerated bulky mixed hiatal hernia with gastric necrosis, where only was extensive resection stomach. The procedure included jejunum containing multiple jejunal diverticula. patient examined for acute shortness breath, chest pain and recurrent vomiting. CT scan showed a gastrectasia. referred due to symptoms. Perioperatively, necrosis incarceration oral 2/3 stomach above diaphragm discovered. A total gastrectomy performed,...

Diffuse peritonitis is an acute abdominal condition characterized by high mortality. The main treatment modality surgery, requiring a subsequent prolonged hospital stay. These patients are, among other things, at risk of developing hospital-acquired pneumonia (HAP), which considerably worsens their outcomes. This study aimed to extend the existing knowledge providing more detailed microbiological characteristics complicating HAP in with secondary peritonitis, including identification...

Purpose: Healing of colorectal anastomosis is burdened with a number risk factors and the development leak carries it higher morbidity mortality associated not only worse quality life but also oncological outcomes. The purpose study was an evaluation effect reinforcement suture in healing stapler rectal for anastomotic leakage mid, upper sigmoid tumors.Methods: A total 357 patients who underwent curative resection or tumor over 5 years were analyzed. Risk factors, baseline demographic...

This study primarily sought to evaluate the risk factors for toxic megacolon development and treatment outcomes in Clostridium difficile-positive COVID-19 patients, secondarily determining predictors of survival.During second wave (May 2020 May 2021), we identified 645 patients with confirmed infection, including 160 a severe course intensive care unit. We selected difficile infection (CDI) (31 patients) (9 analyzed possible factors.Patients who developed had higher incidence (without...