Department of Field Surgery


Research Projects

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ACETABULA – Crossover external fixator of acetabular fractures

Žvák, I., Klein, L., Šmejkal, K., Frank, M.

Supported by the Czech Republic Ministry of Defence, 2009–2011 (Project No.: OVUOFVZ200904)

Pelvic fractures associated with acetabular fractures are severe injuries both, in civilian practice and on the battlefield. It is necessary to solve the problem of temporary stabilization of these fractures, in consequence of improvement battlefield medical care, as well as medical evacuation. This stabilization has to be suitable for Medical Support System. Aggravation of ill health condition of patient and worse clinical outcome can be the result, if these fractures are not stabilized during temporary hospitalization and medical evacuation. The aim of this study is developement and biomechanical testing of new crossover external fixator frame for pelvic and acetabular fractures, based on commonly used external fixator device.

Advanced Training Course: “Best Way of Training for Mass Casualty Situations”

Klein, L., Michaelson, M.

Supported by NATO Science for Peace and Security (SPS) Programme, 2009–2010 (Project No.: CBP.MD.ATC.983603)

A threeday course sponsored by the NATO Science for Peace and Security programme on 16–18 November, 2009, in Haifa, Israel, provided training for emergency management professionals on staff teaching and preparation methods in the face of mass casualty situations. 26 participants from the Partnership for Peace programme and Mediterranean Dialogue countries attended and graduated from the course.

LEPIDLO – Testing of possible use of cyanoacrylat tissue glues in high risk intestinal anastomoses

Páral, J., Klein, L., Šubrt, Z., Plodr, M., Lochman, P.

Supported by the Czech Republic Ministry of Defence, 2008–2011 (Project No.: OVUOFVZ200804)

The experimental study is aimed to validate technical and biological possibilities of the cyanoacrylate tissue adhesives in the intestinal surgery and its using on the healing of high-risk anastomoses as a supporting element of conventional suturing.

NOTES – Surgical treatment of the digestive tube's penetrating injuries using Natural Orifice Transluminal Endoscopic Surgery

Klein, L., Ferko, A., Šubrt, Z., Novotný, L., Páral, J., Dušek, T., Lochman, P.

Supported by the Czech Republic Ministry of Defence, 2009–2011 (Project No.: OVUOFVZ200903)

The project is focused on creating the non-devastating penetrating injury model of the digestive tube and testing the possibility for applification of the NOTES technology in the treatment. The method uses natural body's orifice (mouth, vagina, urethra, anus) for intraluminal instalation of the double channel operating endscope into the targeted digestive tube's organ. Through its wall it is put into the free abdominal cavity. Our hypothesis supposes using this method itself or in combination with laparoscopic technique for traumatic defect's closure in the wall without laparotomy. Project will be provided in the porcine model. Animals will be observed for the period of two weeks, and after euthanasia they will be obducted for detection of postoperative complications.

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