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The Role of Imaging in Surgical Inflammatory Complications
KOPRDOVÁ, Eliška
The Role of Imaging in Surgical Inflammatory Complications Interventional radiology is a dynamic and fast developing specialization. Development of new methods and instruments extends possibilities of mini-invasive treatment of a wide range of illnesses. Introduction of a specific percutaneous drain in case of abdominal abscess in clinical practice counts among most important progress of 1980s concerning this field. The percutaneous drain is relatively fast and simple method and it belongs to urgent interventional operations. Indication for the percutaneous drain is a treatment or a palliative treatment of sepsis accompanied by an infected lesion. Most authors agree that there is no absolute contraindication of the percutaneous drain for pathological liquid collection. Therefore, this type of drain may be considered as a method selection. It is possible to execute it even before a possible surgical operation. The goal of my work was to assess retrospectively the experience of the Radiological Department of the Teaching Hospital in Plzeň Bory concerning this field within the selected period of time. For this reason, a single-purpose database has been created, which contains data of patients who underwent the percutaneous drain under the supervision of the CT or UZ within a certain period of time. Such data has been processed statistically. The work did not prove any of the hypotheses of mine that interventional techniques may in all cases substitute surgical operation while treating suppurative inflammatory lesions in the area of chest, abdomen and soft tissues. The percutaneous drain brings unquestionable advantages into clinical practice. Among most important ones, there are a removal of a surgical operation risk and of total anaesthesia, above all in the acute phase of illness. Simplification of post-operative care, shortening of the average hospitalization as well as economic advantages. This concerns a method that should always be considered as the first step among possible treatments of infected lesion.
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Methods of biopsy in mammar diagnostic under X-ray control
KUČEROVÁ, Hana
In the recent years, the issue of malignant female disease, breast cancer, has been increasingly discussed. On top of biological behaviour, the prognosis of the disease depends manly on early diagnosis. The targeted biopsy of the tissue, under visualisation methods control, opens new opportunities compared to the earlier pre-operation biopsies guided by mere guessing and palpation. There is a decrease in the number of open biopsies and unnecessary surgeries of the breast gland. Locating and biopsy of a suspicious lesion may be done via mammography or ultrasound. The most common method of mammography nowadays is digital stereotaxis, the most recent used method is vacuum biopsy. Locating suspicious lesion via mammography is particurarly used for micro-caltifications, which can be visualised only via mammography. The constant development and improvement of biopsy methods of biological material in mammal diagnostics leads to the withdrawal of abundantly used methods earlier and also undoubtedly to the development of new ones. Our aim is to offer the client perfect breast gland care!
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