O Sotona

Anastomotic leak after manual circular stapled left-sided bowel surgery: analysis of technology-, disease-, and patient-related factors

Vincent C. H. Tong, N. Jamous, Karine Szwarcensztein, DG Morton et autres

BACKGROUND: Anastomotic leak rates after colorectal surgery remain high. In most left-sided colon and rectal resection surgeries, a circular stapler is utilized to create the primary bowel anastomosis. However, it remains unclear whether a relationship between circular stapler technology and anastomotic leak …

Gene Expression of Antioxidant Enzymes in the Resected Intestine in Crohn’s Disease

O Sotona, Eva Peterová, J Örhalmi, Tomáš Dušek et autres

INTRODUCTION: The inflammatory process in Crohn's disease (CD) is closely associated with the formation of reactive oxygen species. Antioxidant enzymes can play an important role in the outcome of CD and may influence postoperative recurrence in these patients. The aim of our …

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Safety of hospital discharge before return of bowel function after elective colorectal surgery

EuroSurg Collaborative, Stephen J. Chapman, R Blanco-Colino, S Pérez-Ajates et autres

BACKGROUND: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return …

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Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery

EuroSurg Collaborative, Stephen J. Chapman, D Clerc, Ruth Blanco‐Colino et autres

BACKGROUND: Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery. METHODS: A prospective multicentre cohort study …

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Analysis of cumulative fluid balance impact on the stability of gastrointestinal tract anastomoses

J Örhalmi, Z. Turek, Filip Čečka, Jiří Páral et autres

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Laparoskopická korekce parastomální kýly po laparoskopické radikální cystektomii

Michal Balík, O Sotona

Balik M, Sotona O. Laparoskopicka korekce parastomalni kýly po laparoskopicke radikalni cystektomii. Uvod: Radikalni cystektomie pro invazivni urotelialni karcinom patři mezi narocne výkony s vysokým rizikem perioperacnich i pooperacnich komplikaci. Parastomalni kýla patři k těm vzacnějsim, ale o to zavažnějsim. Pacienta ohrožuje …

Neopterin, kynurenine and tryptophan as new biomarkers for early detection of rectal anastomotic leakage.

Tomáš Dušek, J Örhalmi, O Sotona, Lenka Kujovská Krčmová et autres

INTRODUCTION: At present, there are no strong predictors, nor a useful scoring system, that clearly identifies patients at risk for anastomotic leakage. AIM: This study aimed to investigate a new method that assesses this risk by monitoring levels of neopterin, tryptophan, and …

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Minimally invasive surgery in the treatment of inflammatory bowel disease – benefits, risks and perspectives

J Örhalmi, Tomáš Dušek, Zuzana Šerclová, O Sotona et autres

[Predicting pN positivity in T3 rectal cancer].

Tomáš Dušek, A Ferko, J Örhalmi, M Chobola et autres

INTRODUCTION: Stage pN+ is a factor which determines the strategy for treatment of T3 rectal cancer. The sensitivity of preoperative imaging examinations revealing N+ is not entirely satisfactory. Risk factors that are associated with pT3pN+ stage and that are detectable by preoperative …

[Pilonidal sinus - possibilities surgical treatment].

J Örhalmi, O Sotona, Tomáš Dušek, A Ferko

INTRODUCTION: Pilonidal sinus is a skin disease affecting the sacrococcygeal region caused by chronic irritation of the skin by ingrowing hairs that get pushed into skin sinuses and follicles. The acute form of the disease which is presented by subcutaneous abscesses very …

[Long-term follow-up results after open small umbilical hernia repairs].

Ondřej Malý, O Sotona

INTRODUCTION: Adult umbilical hernia is a common surgical condition in the fifth and sixth decade of life. Despite the high frequency of umbilical hernia repairs, disappointingly high recurrence rates after simple suture repairs are reported, amounting to 54%. In addition, it is …

How to distinguish between surgical and non-surgical pneumoperitoneum?

Filip Čečka, O Sotona, Zdeněk Šubrt

Not all cases of pneumoperitoneum found on abdominal X-ray or computed tomography (CT) scan are caused by hollow viscus perforation. Non-surgical or spontaneous pneumoperitoneum is a repeatedly described entity. However, not all physicians in emergency departments are aware of it, and in …