1st Department of Surgery, Pavol Jozef Šafárik University in Košice, Faculty of Medicine

Management of breast cancer

Author: Martina Vidová Uğurbaş, Lucia Sukovská Lakyová

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Breast cancer is the most frequently diagnosed life-threatening cancer in women and the leading cause of cancer death among them worldwide. It includes a heterogeneous collection of diseases with various histologically defined subsets, clinical presentations, responses to treatment and outcomes. We describe a case of female patient with ductal breast carcinoma.

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Appendicitis acuta and Meckel diverticulum

Author: Martina Vidová Uğurbaş, Lucia Sukovská Lakyová

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Appendicitis is one of the most common reasons for surgery and emergency hospitalization due to acute abdominal pain. Accurate diagnosis of acute appendicitis and subsequent indication for surgery can prevent complications. Conversely, the surgeon´s decision to operate with the aim of avoiding the complications of a late surgical intervention in positive appendicitis cases leads to negative appendectomy in 10,5% of the cases.

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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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Surgery 2 for General Medicine

Author: Jana Kaťuchová, Tomáš Hildebrand, Marek Šoltés, Róbert Kilík, Lucia Sukovská Lakyová, Marián Kudláč

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Lectures are intended for students of general medicine as supplementary education material of Surgery 2. The lectures include: Surgery of the neck, thyroid gland and parathyroid gland; Surgery of the thoracic wall; Surgery of the breast; Surgery of the mediastinum, esophagus and diaphragm and many other related topics.

Surgical Propedeutics

Author: Jana Kaťuchová, Tomáš Hildebrand, Marek Šoltés, Róbert Kilík, Tomáš Gajdzik, Lucia Sukovská Lakyová

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Lectures are intended for students of general medicine as supplementary education material of Surgical Propedeutics. The lectures include: Introduction to Surgery – propedeutic study, History development of surgery, Patient history and symptoms of surgical diseases and its value for establishment of proper diagnosis, Basic principles of clinical examination and many other related topics.

Surgery 1 for Dental Medicine

Author: Jana Kaťuchová, Tomáš Gajdzik, Róbert Kilík

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Lectures are devoted to students of the third year of study - Dental medicine. The lectures include the topics : Introduction to Surgery-propedeutic study; History development of surgery; Basic principles of clinical examination; Priciples of antisepsis and asepsis; Desinfection and sterilisation in surgical ward and in all health care facilities; Basis methods of anasthesia; Types of anaesthesia (anaesthesia, premedication, general anaesthesia, endotracheal anaesthesia); Principles of cardiopulmonary resuscitation; Operative wound healing; Type of wounds; Primary and secondary wound healing; Operative wound complications; Infections in surgery, causes , clinical signs, diagnosis and treatment.

Surgery 3 for Dental Medicine

Author: Jana Kaťuchová

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Lectures are intended for students of dental medicine as supplementary education material of Surgery 3. The lectures include: Head and neck surgery. Soft tissue inflammation. Cysts and fistula of the neck; Surgery of the thyroid gland, goiter – toxic and nontoxic, malignancy of the thyroid gland; Surgery of the thoracic wall, lung, pleura, esophagus and mediastinum; Hernia. Surgery of the stomach and duodenum.

Lectures from Surgery 6

Author: Jana Kaťuchová, Jozef Firment, Marián Kudláč, Milan Šudák

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Lectures for students of general medicine as supplementary education material specifying basic surgical topics in the study subject Surgery 6. The lectures include those topics: Burns; Orthopedy; Urology; Oncosurgery; Pediatric Surgery; Vessel and heart Surgery; Resuscitation and intensive care; Acute Abdomen; Chest and mediastinum Surgery; Transport Principles of patients and injured under shock, unconsciousness and with a spine injury; Neurosurgery.