RESUMEN
In 1958-1993 the authors made at the Second Surgical Clinic in Bratislava 357 splenectomies on account of haematological diseases and four conservative operations of the spleen. They consider it inevitable to seek accessory spleens and to drain the left subphrenic space. Analysis of long-term results revealed that clinical and laboratory remission was achieved in particular in lienal types of destruction. The authors draw attention to the possibility of preserving the spleen or its part in some lienal diseases such as pseudocysts and cysts of non-parasitic origin. In conservative operations of the spleen the use of the fibrin glue. Tissuecol, is of basic importance. It was shown that 25-30% of the original tissue suffices to preserve complete function of the spleen.
Asunto(s)
Esplenectomía , Adolescente , Adulto , Anciano , Anemia/etiología , Anemia/cirugía , Enfermedades Autoinmunes/cirugía , Femenino , Humanos , Cirrosis Hepática/cirugía , Masculino , Persona de Mediana Edad , Enfermedades del Bazo/etiología , Enfermedades del Bazo/cirugía , Trombocitopenia/cirugíaRESUMEN
Operation of the biliary pathways in patients with obstructive jaundice is still associated with a significant morbidity and high mortality, in particular in geriatric patients. Recently in the therapy of icteric patients percutaneous or endoscopic drainage of the biliary pathways was introduced. At the Surgical Clinic of the Hospital with Policlinic, Bezrucova in Bratislava in 1988 52 patients with obstructive jaundice were hospitalized. In patients with more than three risk factors the authors introduced preoperative drainage of the biliary pathways. In patients with malignant disease they describe preoperative percutaneous transhepatic drainage with subsequent enterobiliary anastomosis with an in-dwelling drain. Of 52 patients 9 died, i.e. 17.3%. Non-surgical drainage of the biliary pathways in icteric patients reduces the number of risk factors, eliminates the adverse effects of jaundice and improves the prognosis of the icteric patient.