Bratislava 24. febru\u00e1ra (TASR) – V N\u00e1rodnom \u00fastave detsk\u00fdch chor\u00f4b (N\u00daDCH) v Bratislave lek\u00e1ri ako prv\u00ed v\u00a0strednej a\u00a0v\u00fdchodnej Eur\u00f3pe operovali pacienta s\u00a0kostn\u00fdm n\u00e1dorom stehennej kosti novou unik\u00e1tnou met\u00f3dou. Jej v\u00fdnimo\u010dnos\u0165 spo\u010d\u00edva v\u00a0tom, \u017ee k\u00fdm e\u0161te doned\u00e1vna by pri podobnej oper\u00e1cii pacientovi museli nahradi\u0165 cel\u00fa stehnov\u00fa kos\u0165 vr\u00e1tane obidvoch k\u013abov – bedrov\u00e9ho aj kolenn\u00e9ho, nov\u00e1 met\u00f3da im umo\u017enila zachr\u00e1ni\u0165 obidva k\u013aby. TASR o tom informovala hovorky\u0148a N\u00daDCH Dana Kamenick\u00e1.<\/p>\n
\u201eSom ve\u013emi r\u00e1d, \u017ee na\u0161i lek\u00e1ri prist\u00fapili k\u00a0nov\u00e9mu rie\u0161eniu n\u00e1ro\u010dnej oper\u00e1cie aj napriek ve\u013ek\u00e9mu re\u0161pektu pred technickou n\u00e1ro\u010dnos\u0165ou cel\u00e9ho nov\u00e9ho syst\u00e9mu, ktor\u00fd je \u00faplne odli\u0161n\u00fd oproti t\u00fdm, ktor\u00e9 pou\u017e\u00edvali v\u00a0minulosti. Pacientovi zachr\u00e1nili obidva k\u013aby, m\u00e1 sa dobre a kon\u010datinu postupne za\u0165a\u017euje,\u201c povedal riadite\u013e nemocnice Peter Barto\u0148.<\/p>\n
Celej oper\u00e1cii predch\u00e1dzala n\u00e1ro\u010dn\u00e1 pr\u00edprava a v\u00fdsledkom dlhodobej komunik\u00e1cie s odborn\u00edkmi zo zahrani\u010dia boli detailne napl\u00e1novan\u00e9 \u0161abl\u00f3ny s ozna\u010den\u00edm presn\u00fdch resekci\u00ed vr\u00e1tane sklonu p\u00edlenia. Prednosta Ortopedickej kliniky Lek\u00e1rskej fakulty Univerzity Komensk\u00e9ho a N\u00daDCH Milan Kokavec vn\u00edma ako naj\u0165a\u017e\u0161iu \u010das\u0165 oper\u00e1cie technick\u00fa n\u00e1ro\u010dnos\u0165 syst\u00e9mu, ktor\u00fd je odli\u0161n\u00fd od syst\u00e9mu pou\u017e\u00edvan\u00e9ho doteraz.<\/p>\n
\u201eAk sa vymen\u00ed cel\u00e1 endoprot\u00e9za – stehnov\u00e1 kos\u0165 aj s\u00a0k\u013abov\u00fdmi povrchmi, tak je to u\u017e vopred technicky dan\u00e9 a\u00a0lek\u00e1ri na opera\u010dnej s\u00e1le u\u017e len ukotvia prot\u00e9zu do panvy a\u00a0predkolenia. Nov\u00fd syst\u00e9m vy\u017eaduje ove\u013ea prec\u00edznej\u0161iu robotu pri ukotven\u00ed prot\u00e9zy do stehnovej kosti. Museli sme postupova\u0165 ve\u013emi prec\u00edzne, ako hodin\u00e1ri. Odstr\u00e1nili sme viac ako 22 centimetrov tumor\u00f3zne zmenenej kosti, \u010do bolo presne vypo\u010d\u00edtan\u00e9 pod\u013ea CT vy\u0161etren\u00ed a MR rezov. Resekovali sme tak v\u0161etku n\u00e1dorom postihnut\u00fa kos\u0165, pri\u010dom n\u00e1m z\u00e1rove\u0148 zostalo dos\u0165 kosti na to, aby kovov\u00e1 tit\u00e1nov\u00e1 \u010das\u0165 nahradila odstr\u00e1nen\u00fa kos\u0165, ale s\u00fa\u010dasne, aby to bolo biomechanicky dostato\u010dne pevn\u00e9,\u201c ozrejmil Kokavec.<\/p>\n
Dodal, \u017ee ak by bola resekcia len o\u00a0p\u00e1r milimetrov v\u00e4\u010d\u0161ia, oper\u00e1ciu by nebolo mo\u017en\u00e9 vykona\u0165 z\u00a0d\u00f4vodu nestability a\u00a0hrozilo by, \u017ee prot\u00e9za sa nevrastie pevne do kosti. \u201eRiziko bolo na hornej \u010dasti stehna, ak by sme prot\u00e9zu silno nab\u00edjali, hrozilo by prasknutie a\u00a0v\u00a0takom pr\u00edpade by sme u\u017e nemali in\u00fa mo\u017enos\u0165, len prist\u00fapi\u0165 k\u00a0total femuru – nahradi\u0165 horn\u00fa aj spodn\u00fa \u010das\u0165 tit\u00e1novou prot\u00e9zou,\u201c dodal lek\u00e1r.<\/p>\n
S v\u00fdsledkom oper\u00e1cie s\u00fa pod\u013ea jeho slov lek\u00e1ri spokojn\u00ed. \u201eProt\u00e9za splynula s\u00a0kos\u0165ou a\u00a0cel\u00e9\u00a0je to pekne osteointegrovan\u00e9. Resek\u010dn\u00e9 okraje s\u00fa \u010dist\u00e9, bez n\u00e1doru, \u010do sme potvrdili definit\u00edvnou histol\u00f3giou. Zobrali sme dostato\u010dn\u00e9 mno\u017estvo kosti, recid\u00edva nie je pr\u00edtomn\u00e1 a\u00a0pacient m\u00f4\u017ee kon\u010datinu postupne za\u0165a\u017eova\u0165,\u201c pribl\u00ed\u017eil odborn\u00edk.<\/p>\n","protected":false},"excerpt":{"rendered":"Bratislava 24. febru\u00e1ra (TASR) – V N\u00e1rodnom \u00fastave detsk\u00fdch chor\u00f4b (N\u00daDCH) v Bratislave lek\u00e1ri ako prv\u00ed v\u00a0strednej a\u00a0v\u00fdchodnej…\n","protected":false},"author":2,"featured_media":3689,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[136,2405,2404,2406,2403,43,40,39,42,41,2407],"class_list":{"0":"post-3688","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-bratislava","8":"tag-bratislava","9":"tag-kost","10":"tag-metoda","11":"tag-nudch","12":"tag-operacia","13":"tag-sk","14":"tag-slovak","15":"tag-slovakia","16":"tag-slovencina","17":"tag-slovensko","18":"tag-stehenna"},"share_on_mastodon":{"url":"","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts\/3688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/comments?post=3688"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts\/3688\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/media\/3689"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/media?parent=3688"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/categories?post=3688"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/tags?post=3688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}