{"id":192084,"date":"2020-05-19T13:42:37","date_gmt":"2020-05-19T12:42:37","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=192084"},"modified":"2020-05-19T15:14:22","modified_gmt":"2020-05-19T14:14:22","slug":"c-budejovice-nemocnice-provedla-prvni-jihoceskou-endoskopickou-resekci-vyhrezu-meziobratlove-plotenky","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=192084","title":{"rendered":"\u010cESK\u00c9 BUD\u011aJOVICE: Prvn\u00ed jiho\u010desk\u00e1 endoskopick\u00e1 resekce v\u00fdh\u0159ezu meziobratlov\u00e9 plot\u00e9nky"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-192131 size-full\" src=\"http:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/05\/19\/nemocnice-cb.jpg\" alt=\"\" width=\"2048\" height=\"1362\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/05\/19\/nemocnice-cb.jpg 2048w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/05\/19\/nemocnice-cb-300x200.jpg 300w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/05\/19\/nemocnice-cb-768x511.jpg 768w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/05\/19\/nemocnice-cb-1024x681.jpg 1024w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/05\/19\/nemocnice-cb-537x357.jpg 537w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/05\/19\/nemocnice-cb-726x483.jpg 726w\" sizes=\"(max-width: 2048px) 100vw, 2048px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h6>Historicky prvn\u00ed endoskopickou operaci v\u00fdh\u0159ezu meziobratlov\u00e9 plot\u00e9nky provedli v polovin\u011b kv\u011btna neurochirurgov\u00e9 MUDr. Ond\u0159ej Tepl\u00fd a MUDr. David M\u011b\u0161\u0165an z Nemocnice \u010cesk\u00e9 Bud\u011bjovice, a.s. Na ob\u011b operace dohl\u00ed\u017eel MUDr. Karel M\u00e1ca, Ph.D. z Neurochirurgick\u00e9 kliniky FN Brno a LF MU Brno, kter\u00fd se dlouhodob\u011b v\u011bnuje neuroendoskopick\u00e9 operativ\u011b.<\/h6>\n<p><em><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-142732 alignright\" src=\"http:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2018\/10\/11\/nemocnice-cb-logo-300x73.jpg\" alt=\"\" width=\"300\" height=\"73\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2018\/10\/11\/nemocnice-cb-logo-300x73.jpg 300w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2018\/10\/11\/nemocnice-cb-logo-768x186.jpg 768w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2018\/10\/11\/nemocnice-cb-logo-1024x247.jpg 1024w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2018\/10\/11\/nemocnice-cb-logo-1477x357.jpg 1477w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2018\/10\/11\/nemocnice-cb-logo.jpg 1502w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\u201eJsme osm\u00e9 pracovi\u0161t\u011b v \u010cesk\u00e9 republice, kter\u00e9 endoskopickou operaci provedlo. Endoskopick\u00e1 operace nenahrad\u00ed st\u00e1vaj\u00edc\u00ed operativu degenerativn\u00edch zm\u011bn bedern\u00edch p\u00e1te\u0159e (ro\u010dn\u011b provedeme 390 t\u011bchto operac\u00ed), bude dopl\u0148kem pro indikovan\u00e9 pacienty,\u201c<\/em> uv\u00e1d\u00ed z\u00e1stupce prim\u00e1\u0159e neurochirurgick\u00e9ho odd\u011blen\u00ed MUDr. Ji\u0159\u00ed Fiedler, Ph.D., MBA a vy\u010d\u00edsluje, \u017ee je v \u010cesk\u00fdch Bud\u011bjovic\u00edch ro\u010dn\u011b provedeno 750 operac\u00ed p\u00e1te\u0159e. <em>\u201eJsme zaveden\u00e9 spondylochirurgick\u00e9 centrum kategorie A. Krom\u011b spondylochirurgie dosp\u011bl\u00fdch prov\u00e1d\u00edme i operace m\u00ed\u0161n\u00edch n\u00e1dor\u016f.\u201c<\/em><\/p>\n<p><em>\u201eEndoskopick\u00e1 technika minimalizuje p\u0159\u00edstup k v\u00fdh\u0159ezu plot\u00e9nky. Ko\u017en\u00ed \u0159ez je dlouh\u00fd 1 cm, zcela odpad\u00e1 pot\u0159eba odlou\u010den\u00ed \u00fapon\u016f paravertebr\u00e1ln\u00edch sval\u016f od p\u00e1te\u0159e, \u017elut\u00fd vaz je resekov\u00e1n pouze v nezbytn\u00e9m rozsahu, rovn\u011b\u017e epidur\u00e1ln\u00ed tuk je odstran\u011bn jen minim\u00e1ln\u011b,\u201c<\/em> popisuje MUDr. Karel M\u00e1ca, Ph.D., kter\u00fd jako prvn\u00ed v \u010cesk\u00e9 republice zavedl rutinn\u00ed operov\u00e1n\u00ed adenomu hypof\u00fdzy endoskopicky a p\u0159ed dv\u011bma lety jako prvn\u00ed v \u010cR provedl endoskopickou operaci v\u00fdh\u0159ezu bedern\u00ed meziobratlov\u00e9 plot\u00e9nky.<\/p>\n<p>Dod\u00e1v\u00e1, \u017ee vzhledem k minim\u00e1ln\u00edmu po\u0161kozen\u00ed m\u011bkk\u00fdch tk\u00e1n\u00ed v p\u0159\u00edstupov\u00e9 cest\u011b odpad\u00e1 poopera\u010dn\u00ed bolestivost v opera\u010dn\u00ed r\u00e1n\u011b.<em> \u201ePacient\u016fm dovol\u00edme vst\u00e1vat ji\u017e dv\u011b hodiny po operaci. Prvn\u00ed poopera\u010dn\u00ed den zahajuj\u00ed rehabilitaci a dom\u016f je propou\u0161t\u00edme druh\u00fd a\u017e t\u0159et\u00ed poopera\u010dn\u00ed den. Po klasick\u00e9 mikrodiskektomii vst\u00e1vaj\u00ed z l\u016f\u017eka 24 hodin po v\u00fdkonu a rovn\u011b\u017e zat\u00ed\u017een\u00ed rehabilitac\u00ed je o dva dny posunuto.\u201c<\/em><\/p>\n<p><strong>Text a foto: (tznem)<\/strong><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Historicky <\/p>\n","protected":false},"author":2,"featured_media":192131,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[115],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/05\/19\/nemocnice-cb.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/192084"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=192084"}],"version-history":[{"count":6,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/192084\/revisions"}],"predecessor-version":[{"id":192132,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/192084\/revisions\/192132"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/192131"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=192084"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=192084"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=192084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}