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Urgent surgical operations account for cca 28% of all surgical activities in Czechoslovakia. Their lethality is by cca one third higher than in other operations. The period of treatment is, however, shorter, no doubt, because before operation there is not time for complicated examinations. A great proportion of urgent operations is formed by acute abdomen, cca 60%. So far even prolonged efforts did not succeed to achieve earlier hospital admission. The operations are, however, made at an earlier stage and thus the lethality declined. As to age, a great proportion of urgent conditions occur in older children and adolescents, old patients above 65 years and in particular above 75 years. Men are affected more frequently. Interregional comparisons indicate a varied incidence but in particular a varied lethality. It is high specially in Prague and the South Bohemian region although the two regions have a relatively low relation of incidence. In the conclusion the authors emphasize that it is important to make an effort to improve care of urgent patients by health education and by convincing doctors of the importance of the time factor.

Článek

Odborné profily chirurgu v nástavbových oborech
[Professional profiles of surgeons in the surgical specialties]

Hájek, M
Autor Hájek, M

Rozhledy v chirurgii. 1990 Aug ; 69 (8) : 497-500.

Rozhl Chir
ISSN 0035-9351
Zdroj

Článek

Česká dětská kardiochirurgie - historie a současnost
[Czech paediatric cardiac surgery - history and presence]

... The beginnings of the Paediatric Cardiac Surgery in the Czech Republic date back to the period immediately ...

Hučín, Bohumil
Autor Hučín, Bohumil Detske kardiocentrum FN Motol, Praha. bohumil.hucin@vony.cz

Casopis lekaru ceskych. 2012 ; 151 (5) : 259-67.

Cas Lek Cesk
ISSN 0008-7335
Zdroj

The beginnings of the Paediatric Cardiac Surgery in the Czech Republic date back to the period immediately after the end of World War II. Its protagonists were Prof. Emerich Polák from the Surgical Clinic in Prague, Vinohrady, Prof. Jan Bedrna from Surgical Clinic in Hradec Kralove, Prof. Vladislav Rapant from Surgical Clinic in Olomouc and Prof. Václav Kafka from the Second Surgical Clinic in Prague. They started with operations of the patent ductus arteriosus, the Blalock-Taussig shunt in cyanotic heart defects and resection of coarctation of the aorta. Operations of congenital heart defects, on the open heart were elaborated namely by cardiosurgeons in Brno, under the leadership of Professor Jan Navrátil. On the extension of those methods participated Professor Jaroslav Procházka in Hradec Kralove and Prof. Václav Kafka at the newly opened department of Paediatric surgery in Prague. In the next period, attention of paediatric cardiac surgery was directed at operations of critical congenital heart defects in the smallest children. Palliative operations of the critical heart defects in newborns and infants were first introduced at the clinic of paediatric surgery of the Paediatric University Hospital in Prague. Radical operations of infants and newborns with extra-corporal circulation were elaborated in the Children's heart centre in Prague, Motol. Initiative in the further development of paediatric cardiac surgery was taken over by the Children's heart centre in Prague since its founding in 1977. There was concentrated all medical care of children born with a congenital heart defect in the Czech Republic. This concentration of specialized care at one institution allowed to accumulate extremely large experience with the diagnostics and surgical treatment of congenital heart defects in all age groups with the decrease of patients mortality after operations to 1% even for the smallest children and enabled continuously monitor the quality of life of patients treated for congenital heart defect up to adulthood. It was followed by a system of care for adults with congenital heart defect in cooperation with cardiac surgery departments for adults. Excellent level of paediatric cardiac surgery in the Czech Republic is currently confirmed by comparison of the results in the global database operations of congenital heart defects, led by the European Association for Cardiothoracic Surgery (EACTS).