Surgery 5 (Neurosurgery, Orthopedics) [ChK/CH-V5/09]

Acute abdomen - gallstone ileus

Author: Martina Vidová Uğurbaş, Lucia Sukovská Lakyová

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Gallstone ileus is an uncommon entity, which accounts for 1–4% of all presentations to hospital with small bowel obstruction and for up to 25% of all cases in patients over 65 years of age. Despite medical advances, gallstone ileus is still associated with high rates of morbidity and mortality. The management of gallstone ileus remains controversial. The clinical signs and symptoms of gallstone ileus are usually non-specific, contributing to a delay in diagnosis. We present our case admitted to the hospital with gallstone ileus.

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Journey of a swallowed wooden stick to the liver

Author: Martina Vidová Uğurbaş, Lucia Sukovská Lakyová

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Hepatic abscess due to perforation of the gastrointestinal tract caused by ingested foreign bodies is a rare complication. Pre-operative diagnosis is difficult because of negative anamnesis of the accident and symptoms are usually non-specific. Problems can occur after months or even years after incident. CT is the most suitable imaging method for diagnostic.
The authors report a case of 57 year old man who was admitted with liver abscess, who underwent surgery mid-year after swallowing of wooden stick.

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Management of pilonidal sinus

Author: Martina Vidová Uğurbaş, Lucia Sukovská Lakyová

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A pilonidal sinus is a sinus track which commonly contains hair. It occurs under the skin between the buttocks at a short distance above the anus. Most cases occur in young male adults. The most commonly used therapy is surgery including incisions, marsupialization, primary midline closure and skin flaps. We present two cases treated with different surgical techniques.

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Lectures for study subject Surgery 4/5 – Orthopaedics

Author: Marek Lacko

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Lectures for students of general medicine as supplementary education material specifying basic orthopedic topics in the study subject Surgery. The lectures include Avascular bone necrosis; Congenital musculoskeletal deformities, Deformities of spine, Diseases of muscles and tendons, Infection of musculoskeletal system, Limb length discrepancy, Metabolic bone diseases, Neuromuscular disorders, Orthopedics – definition, Osteoarthritis, Static deformities of foot, Tissue engineering in orthopaedics and Tumors.