Multimedia

Anal incontinence

Author: Martina Szypulová, Samuel Tvarožek, Anežka Šteflová, Michaela Cahová, Martin Huser, Marek Joukal, Igor Kuba

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Anal incontinence represents a distressing and functionally limiting condition, particularly among young women. Its prevalence estimates vary across the literature, and the condition encompasses involuntary leakage of flatus and faeces. According to the Oxford classification, faecal incontinence is divided into congenital and acquired forms.

Anal sphincter repair following obstetric anal sphincter injury (OASI)

Author: Samuel Tvarožek, Martina Szypulová, Anežka Šteflová, Michaela Cahová, Martin Huser, Marek Joukal, Igor Kuba

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Obstetric anal sphincter injuries (OASI) Grade III or higher are associated with a tear in the continuity of the anal sphincter. Accurate classification and timely diagnosis are essential for the appropriate management of these injuries. If not properly identified or adequately treated, such injuries may result in complications including gas and faecal incontinence, anorectal dysfunction, or dyspareunia. These conditions can significantly affect a woman’s quality of life and may lead to socio-economic stigmatisation, particularly among young women. Precise sphincter repair and comprehensive postpartum care play a pivotal role in a woman’s recovery and long-term well-being following OASI. This presentation focuses on the classification and diagnosis of OASI, with particular emphasis on the surgical management of obstetric trauma. The individual steps of the procedure are demonstrated on a human cadaver model, and both early and late aspects of postpartum care are addressed.

Free fibula harvesting – videolecture

Author: Tomáš Kempný, Jakub Holoubek, Břetislav Lipový, Martin Knoz

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This educational video shows the procedure for harvesting a free vascularized fibula that can be used for microsurgical reconstruction of bone defects of the tibia, femur, forearm, and upper or lower jaw. The entire operation, which has been edited into a 18-minute video, is described in detail: English subtitles are available.

Selected chapters from neurosurgery

Author: Václav Vybíhal, Pavel Fadrus, Martin Smrčka, Vilém Juráň, Marek Sova, Eduard Neuman, Ondřej Navrátil, Karel Máca, Karel Svoboda, Milan Vidlák, Kateřina Procházková, Milena Košťálová, Andrea Doleželová

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This set of educational videos is dedicated to selected topics in the area of neurosurgery: surgical techniques (basic procedures in neurosurgery), trephination of chronic subdural haematoma, endoscopic third ventriculostomy (ETV), supplementary tests in normal pressure hydrocephalus (NPH), introduction of a ventriculoperitoneal shunt, transnasal extirpation of a pituitary adenoma, awake craniotomy (brain tumour surgery), treatment of subarachnoid haemorrhage from a cerebral aneurysm, and treatment of pial arteriovenous malformations of the brain.

Orthopaedics

Author: Richard Chaloupka, Martin Repko, Luděk Ryba, Marek Rouchal, Ivan Müller, Martin Krbec, Petr Vališ, Vladimír Tichý, Radim Grosman, Miroslav Nýdrle, Milan Filipovič, Jaroslav Motyčka

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This educational contribution contains folloving topics: Arthroscopy, Surgical and orthotic possibilities of bone tumour pain management, LBP - Low Back Pain, Surgeries in low back pain management, Spinal cord compression in spine tumours and injuries, Osteporosis, Treatment of spinal deformities and Spine traumatology.

Pediatric otorhinolaryngology

Author: Ivo Šlapák, Dalibor Janeček, Lukáš Lavička a kol.

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Tutorial text Pediatric otorhinolaryngology is the basic text with informations about the embryology, clinical anatomy and physiology, investigations practice by the ORL diseases for study of otorhinolaryngology. Text is divided in chapters for the preparing for examination in otorhinolaryngology.

Treatment of congenital pseudarthrosis of the tibia by a vascularised fibular graft

Author: Jan Poul, Jiří Veselý, Jaroslava Bajerová, Ivan Justan

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Five cases of congenital pseudarthrosis of tiba treated by resection and transfer of vascularised fibula from opposite leg are demonstrated. All were healed irrespective of long-term treatment involving in two cases additional spongioplasty. Combined operation team was formed by orthopaedic a plastic surgeons skilled in microsurgery.

Mini-invasive treatment of stress urinary incontinence with tension free vaginal tape TVT-O

Author: Atanas-Ivan Belkov, Martin Huser, Jaroslav Winkler

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The insertion of a tension-free vaginal tape (TVT) under the urethra has become the golden standard in the treatment of stress urinary incontinence in women. Stress urinary incontinence represents serious medical and social problem. Surgical treatment of urethra hypermobility or hypotonia has become the optimal treatment option. Mini-invasive vaginal surgical approach is the most effective. This video shows vaginal urethropexis with tension free vaginal tape inserted to obturatory fossa by "inside-out" technique.

Selected chapters from paediatric surgery

Author: Ladislav Plánka, Jana Bartošková, Štěpánka Bibrová, Robert Doušek, Matej Husár, Yvona Kaloudová, Břetislav Lipový, Robert Macháček, Jan Škvařil, Jitka Vokurková

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This set of educational materials is dedicated to selected topics in the area of paediatric surgery: minor surgery, neonatal surgery, introduction to traumatology, visceral traumatology, acute abdomen, thoracic surgery, plastic surgery, surgical oncology and congenital malformations of the gastrointestinal tract; moreover, the battered child syndrome is mentioned as well.

Selected chapters from orthopaedics

Author: Richard Chaloupka

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The educational contribution introduces the selected chapters from orthopaedics, namely arthroscopy, low back pain, treatment of bone tumour pain, spinal cord compression, surgery for back pain, osteoporosis, scoliosis, spine deformities, and spine trauma. The material provides the basic and essential knowledge required to pass the examination.