{"id":268254,"date":"2022-11-28T18:51:30","date_gmt":"2022-11-28T17:51:30","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=268254"},"modified":"2022-11-28T18:57:06","modified_gmt":"2022-11-28T17:57:06","slug":"jizni-cechy-chirurgove-ceskobudejovicke-nemocnice-operovali-inovativni-metodou-fasciotens","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=268254","title":{"rendered":"JI\u017dN\u00cd \u010cECHY: V Nemocnici \u010cesk\u00e9 Bud\u011bjovice operovali inovativn\u00ed metodou Fasciotens; jako prvn\u00ed v \u010cR"},"content":{"rendered":"

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I p\u0159es rychl\u00fd v\u00fdvoj a neust\u00e1le se zdokonaluj\u00edc\u00ed chirurgick\u00e9 postupy pat\u0159\u00ed k\u00fdla v jizv\u011b mezi \u010dast\u00e9 pozdn\u00ed n\u00e1sledky b\u0159i\u0161n\u00ed chirurgie. Chirurgick\u00e9 odd\u011blen\u00ed Nemocnice \u010cesk\u00e9 Bud\u011bjovice pou\u017eilo jako prvn\u00ed v \u010cesk\u00e9 republice inovativn\u00ed metodu Fasciotens, kter\u00e1 zcela p\u0159evratn\u011b \u0159e\u0161\u00ed komplexn\u00ed defekty b\u0159i\u0161n\u00ed st\u011bny.<\/strong><\/h6>\n

\"\"Velmi nad\u011bjnou novinkou v\u00a0\u0159e\u0161en\u00ed komplexn\u00edch defekt\u016f b\u0159i\u0161n\u00ed steny je syst\u00e9m tzv. fasci\u00e1ln\u00ed trakce. P\u0159\u00edstroj, vyvinut\u00fd pod n\u00e1zvem Fasciotens v N\u011bmecku, je dnes pou\u017e\u00edv\u00e1n v \u0159ad\u011b zem\u00ed, a dosavadn\u00ed v\u00fdsledky jsou velmi povzbudiv\u00e9. Pou\u017eit\u00ed tohoto syst\u00e9mu spo\u010d\u00edv\u00e1 v zhruba 30 minutov\u00e9 trakci za okraje b\u0159i\u0161n\u00ed st\u011bny b\u011bhem operace. To umo\u017en\u00ed chirurgovi rekonstruovat a uzav\u0159\u00edt b\u0159i\u0161n\u00ed st\u011bnu bez nap\u011bt\u00ed i v t\u011bch p\u0159\u00edpadech, kdy je jedn\u00e1 o rozs\u00e1hl\u00fd a obt\u00ed\u017en\u011b \u0159e\u0161iteln\u00fd defekt. T\u00edm se chirurg vyhne slo\u017eit\u00e9 a n\u00e1ro\u010dn\u00e9 separaci jednotliv\u00fdch vrstev bo\u010dn\u00ed b\u0159i\u0161n\u00ed st\u011bny, tzv. separaci komponent. Samotn\u00e1 operace je tak mnohem snaz\u0161\u00ed a je zat\u00ed\u017eena v\u00fdrazn\u011b men\u0161\u00edm rizikem komplikac\u00ed a men\u0161\u00ed bolestivost\u00ed. V\u00fdhodou je nav\u00edc velmi rychl\u00e9 osvojen\u00ed si metody, slo\u017eit\u00e9 techniky tzv. separace komponent jsou prov\u00e1d\u011bny chirurgy, kte\u0159\u00ed se dlouhodob\u011b specializuj\u00ed na rekonstrukci b\u0159i\u0161n\u00ed st\u011bny, kde\u017eto pou\u017eit\u00ed syst\u00e9mu Fasciotens si chirurg osvoj\u00ed prakticky okam\u017eit\u011b.<\/p>\n

\u201eNa Chirurgick\u00e9m odd\u011blen\u00ed \u010deskobud\u011bjovick\u00e9 nemocnice jsme m\u011bli mo\u017enost jako prvn\u00ed v \u010cesk\u00e9 republice tuto inovativn\u00ed metodu pou\u017e\u00edt. Zahrani\u010dn\u00edm hostem u operace byl dr. Clemens Winkler, chirurg z Kol\u00edna nad R\u00fdnem, kter\u00fd m\u00e1 s metodou velk\u00e9 zku\u0161enosti. N\u00e1sledn\u011b jsme metodu pou\u017eili v r\u00e1mci tzv. \u201elive operace\u201c v r\u00e1mci VII. \u010cesk\u00e9 herniologick\u00e9 konference v Olomouci.\u00a0 Ov\u011b\u0159ili jsme si vysokou efektivitu, jednoduchost i rychl\u00e9 osvojen\u00ed si nov\u00e9ho postupu. Pomoc\u00ed fasci\u00e1ln\u00ed trakce se n\u00e1m poda\u0159ilo snadno uzav\u0159\u00edt defekt velikosti 14cm, co\u017e by jinak vy\u017eadovalo mnohem n\u00e1ro\u010dn\u011bj\u0161\u00ed a slo\u017eit\u011bj\u0161\u00ed v\u00fdkon. V tuto chv\u00edli se n\u00e1m metoda jev\u00ed jako p\u0159evratn\u00e1 v \u0159e\u0161en\u00ed komplexn\u00edch defekt\u016f b\u0159i\u0161n\u00ed st\u011bny. V brzk\u00e9 dob\u011b pl\u00e1nujeme \u00fa\u010dast v randomizovan\u00e9 mezin\u00e1rodn\u00ed studii,<\/em>\u201c uvedl chirurg MUDr. Petr Byst\u0159ick\u00fd.<\/p>\n

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Text a foto: (tz-nem)<\/strong><\/p>\n

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