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Ferenc Jakab
Ferenc Jakab
Uzsoki Utcai Kórház, 1145, Budapest, Uzsoki u. 29–41.
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Absztrakt
A szerző a betegbiztonság követelményeiből kiindulva a kockázatanalízis fontosságára hívja fel a figyelmet. Megállapítja, hogy a minőségi követelmények növekedése nem hagyta érintetlenül a sebészetet sem, és ezért ma már konkrét fogalmaink vannak a sebészi kockázat meghatározására és értékelésére. Ez a folyamat az elmúlt évtizedekben a mind gyakrabban indikált és mind szélesebb körben végzett, növekvő számú májműtétek halálozásának jelentős csökkenésében is nyomon követhető. Különös fontossága van a műtétek kockázatának májbetegeken. A feltétlen vagy abszolút ellenjavallatok jól körülhatárolhatók. A májbetegeken tervezett májműtétetek kockázata számszerűen is kifejezhető. A régóta használt Child–Turcotte–Pugh-stádiumai számértékek alapján határozhatók meg. Újabban az „50–50-es” szabály, illetve a májtranszplantációs gyakorlatból átvett MELD érték kiszámítása jelent a sebésznek objektív fogódzót a mindennapos munkájában. A szerző kitér a kockázatanalízis alapján választható kezelési optimalizációra is, amely a májsebészek igényei alapján multidiszciplináris megközelítésben valósulhat meg.
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Petz Aladár County Teaching Hospital, Surgery
Vasvári Pál út 2. H-9024 Győr, Hungary
Phone: +36 96 503 320 --- Fax: +36 96 507 936
E-mail: olaha@petz.gyor.hu
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Kedvezőbb műtéti eredmények „onlay” hálóval, mint „sublay” helyzetben beültetettel
Varrattal, illetve hálóbeültetéssel történő hasfal-rekonstrukció prospektív, randomizált, multicentrikus vizsgálata – ötéves utánkövetés eredményei
Kedvezőbb műtéti eredmények „onlay” hálóval, mint „sublay” helyzetben beültetettel
Varrattal, illetve hálóbeültetéssel történő hasfal-rekonstrukció prospektív, randomizált, multicentrikus vizsgálata – ötéves utánkövetés eredményei
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