INTRODUCTION: Haemorrhoid disease in a common ailment, which constitues a serious clinical and social problems, especially in countries having a significant level of development. There have been a great number of articles published on the method of treatment for haemorrhoid disease and anal canal prolapse with circular stapler introduced to clinical practise by Longo in the year 1993. However, there are very few studies devoted to assessment of this procedure in the Czech medical literature. AIM: Summary our 10 year experience--to perform a retrospective evaluation of early and long-term results of surgical treatment with a Longo procedure. PATIENTS AND METHODS: We evaluated retrospectively 750 patients, submitted in our hospital to Longo procedure since January 2000 until December 2009, considering results and complications of this procedure. 435 (58%) were women and 315 (42%) men, aged from 17 to 83 (46.2 years old on overall). Mean follow up was 5.5 months (ranged from 3 months to 3.5 years). RESULTS: Complications occurred in 76 patients (10.1%). In 24 patients (3.2%) during the early post-operative period. Late complications developed in 52 patients (6.9%). 34 patients (4.5%) required reoperation. Duration of hospitalisation after the procedure ranged from 2 to 8 days, an overage of 3.2 days. CONCLUSION: Longo procedure in indicated cases--treatment of the 3rd and 4th stage of haemorrhoid disease and anal canal prolapse, is an advisable alternative to other surgical methods. Has satisfactory short and long-term effects, lower postoperative pains, shortening of the patient's hospital stay. Longo's method is safe and suitable for the haemorrhoid therapy, can be recommended in selective patients for a one-day surgery scheme.

• MeSH
• chirurgická technika pomocí přístrojů a svorek * MeSH
• dospělí MeSH
• hemoroidy komplikace   chirurgie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• pooperační komplikace MeSH
• prolaps rekta komplikace   chirurgie   MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• spokojenost pacientů * MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

INTRODUCTION: Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic adjustable gastric banding (LAGB) is that this operation is minimally invazive to the stomach and adjustable to the patient's needs. AIM: Few long-term studies regarding the outcome of LAGB for morbid obesity have so far been publised. We report our 12-year experience with this method. PATIENTS AND METHODS: On list of 100 patients (76% women, 24% men) operated since February 1998 until December 2006 we present results and complications, reoperations. Mean follow up was 5.2 years (0.5-11.8). Patients lost to follow up was 22% at 5 years and 33% at 8 years. Complications occurred in 38% patients. 12% of the patients needed reoperation. There was no mortality. CONCLUSION: From our 12-year experience, we can state that LAGB is an effective bariatric procedure for achieving weight loss. Because of the high complication and reoperation rate, it is necessary to select patients according specific criteria and choose experienced bariatric surgery.

• MeSH
• dospělí MeSH
• gastroplastika * škodlivé účinky   přístrojové vybavení   MeSH
• laparoskopie * MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladý dospělý MeSH
• morbidní obezita chirurgie   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

Based on the author's long-term experience with stapled hemorrhoidopexy (procedure for prolapsing hemorrhoids-PPH), principal pros and cons of the procedure are presented in the article. Stapled hemorrhoidopexy is considered an option for radical and safe management of advanced hemorrhoid disorders.

• MeSH
• chirurgická technika pomocí přístrojů a svorek * MeSH
• hemoroidy chirurgie   MeSH
• lidé MeSH
• pooperační komplikace MeSH
• prolaps rekta chirurgie   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

• MeSH
• chirurgie výchova   MeSH
• kontinuální vzdělávání lékařů * MeSH
• lékařská onkologie výchova   MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Československo MeSH

The authors give an account of the incidence and prognosis of the mentioned injuries treated during the past five years (1987-1991) at the surgical department of a district hospital in the centre of Prague. During the past two years a marked increase of these injuries was recorder. A total of 10 persons with abdominal injuries had ambulatory treatment and nine patients with injuries of the chest. During the same period 24 patients with abdominal injuries and 6 patients with chest injuries were hospitalized as well as four patients with combined abdominal and chest injuries. Nineteen ambulatory patients and 34 hospitalized patients during the five-year period are an ever increasing group of casualties who suffered injuries usually when drunk or due to violence.

• MeSH
• bodné rány epidemiologie   chirurgie   MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• penetrující rány * epidemiologie   chirurgie   MeSH
• poranění břicha * epidemiologie   terapie   MeSH
• poranění hrudníku * epidemiologie   terapie   MeSH
• senioři MeSH
• střelné rány epidemiologie   chirurgie   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH
• Geografické názvy
• Československo epidemiologie   MeSH

Intramedullary osteosynthesis by Ender's method proved very successful and easily managed from the technical aspect, while it causes relatively little discomfort to the patient and resolves the problem of fractures of the femur in the trochanteric area. The greatest advantages, as compared with other types of osteosynthesis, are that it is not as time consuming as other procedures, that it is a minor operation which reduces the incidence of infection and causes minimal stress to the patient. When careful anaesthesia is used, it is frequently the only operation which can be used in biologically old and high risk patients.

• MeSH
• dospělí MeSH
• fraktury femuru chirurgie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• vnitřní fixace fraktury * metody   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH