{"id":15243,"date":"2014-03-19T10:22:29","date_gmt":"2014-03-19T09:22:29","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=15243"},"modified":"2014-10-20T20:02:15","modified_gmt":"2014-10-20T18:02:15","slug":"prvni-vzali-sval-a-nervy-z-nohy-a-zachranili-ruku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=15243","title":{"rendered":"Vzali sval a nervy z nohy a zachr\u00e1nili ruku"},"content":{"rendered":"

L\u00e9ka\u0159i z Masarykovy nemocnice v \u00dast\u00ed provedli jako prvn\u00ed v zemi rekonstrukci nerv\u016f na ruce za pomoci <\/strong>svalu a nerv\u016f z nohy. D\u00edky nim nebude z cyklisty, kter\u00fd narazil do domu, invalida. U\u017e h\u00fdbe prsty.<\/strong>\u00a0L\u00e9ka\u0159i v Masarykov\u011b nemocnici\u00a0na Neurochirurgick\u00e9 klinice Univerzity Jana Evangelisty Purkyn\u011b v \u00dast\u00ed nad Labem\u00a0provedli u n\u00e1s neobvyklou a n\u00e1ro\u010dnou operaci, p\u0159i kter\u00e9 kompletn\u011b rekonstruovali poran\u011bnou nervovou plete\u0148, takzvan\u00fd brachi\u00e1ln\u00ed plexus, na pa\u017ei devaten\u00e1ctilet\u00e9ho pacienta. Operace trvala 18 hodin a pacient d\u00edky n\u00ed bude moci op\u011bt h\u00fdbat pravou rukou, p\u0159ed operac\u00ed ochrnutou. Jednalo se o prvn\u00ed z\u00e1krok tohoto typu proveden\u00fd v \u010cesku.<\/p>\n

„P\u0159i takto slo\u017eit\u00fdch rekonstruk\u010dn\u00edch operac\u00edch je nutn\u00e1 spolupr\u00e1ce l\u00e9ka\u0159\u016f v\u00edce odbornost\u00ed a pr\u00e1v\u011b takov\u00fd t\u00fdm se n\u00e1m v \u00dast\u00ed poda\u0159ilo vytvo\u0159it,“ \u0159\u00edk\u00e1 Ivan Humhej, neurochirurg, kter\u00fd operaci vedl.
\nPacient zhruba p\u0159ed \u010dty\u0159mi m\u011bs\u00edci narazil na kole ve vysok\u00e9 rychlosti do zdi domu. Zp\u016fsobil si tak krom\u011b poran\u011bn\u00ed pa\u017ee s t\u011b\u017ek\u00fdm po\u0161kozen\u00edm nerv\u016f n\u011bkolik dal\u0161\u00edch zlomenin. B\u011bhem l\u00e9\u010dby v n\u00e1sleduj\u00edc\u00edch m\u011bs\u00edc\u00edch se nervy spont\u00e1nn\u011b nehojily, a tak l\u00e9ka\u0159i p\u0159istoupili k jejich rekonstrukci, aby se hybnost obnovila.<\/p>\n

P\u0159i v\u00fdkonu neurochirurgov\u00e9 z t\u00fdmu profesora Martina Same\u0161e ve spolupr\u00e1ci s plastick\u00fdm a rekonstruk\u010dn\u00edm chirurgem Ivanem Justanem p\u0159enesli sval ze stehna na poran\u011bnou ruku a rekonstruovali po\u0161kozen\u00e9 nervy. Vyu\u017eili nervov\u00fdch transplant\u00e1t\u016f i funk\u010dn\u00edch nerv\u016f z okol\u00ed poran\u011bn\u00e9 pa\u017en\u00ed pleten\u011b.<\/p>\n

„Pr\u00e1v\u011b v interdisciplin\u00e1rn\u00ed spolupr\u00e1ci mezi neurochirurgem a rekonstruk\u010dn\u00edm chirurgem tkv\u00ed jedine\u010dnost t\u00e9to operace. Opera\u010dn\u00edm t\u00fdm\u016fm se povedlo nejen rekonstruovat n\u011bkter\u00e9 posti\u017een\u00e9 nervy, ale prov\u00e9st i p\u0159enos voln\u00e9ho svalu, jeho napojen\u00ed na vy\u017eivuj\u00edc\u00ed c\u00e9vy, z\u00e1sobuj\u00edc\u00ed nervy a \u0161lachy oh\u00fdba\u010d\u016f prst\u016f. D\u00edky tomu jsme pacientovi poskytli \u0161anci na obnovu stisku prst\u016f, kter\u00e9 se v\u011bt\u0161inou samotnou rekonstrukc\u00ed nerv\u016f ned\u00e1 doc\u00edlit,“ uv\u00e1d\u00ed doktor Humhej.<\/p>\n

Operace se mohla v \u00dast\u00ed nad Labem uskute\u010dnit i d\u00edky tomu, \u017ee pr\u00e1v\u011b \u00fasteck\u00fd neurochirurg Ivan Humhej absolvoval st\u00e1\u017e na presti\u017en\u00ed Mayo Clinic v Rochesteru v Minnesot\u011b. V USA m\u011bl mo\u017enost spolupracovat s neurochirurgem Robertem J. Spinnerem, kter\u00fd pat\u0159\u00ed ke sv\u011btov\u00e9 \u0161pi\u010dce v oboru.<\/p>\n

cel\u00fd \u010dl\u00e1nek je v dne\u0161n\u00edm vyd\u00e1n\u00ed MfD<\/em><\/p>\n

Jan Vesel\u00fd
\nMlad\u00e1 fronta DNES\u00a0 http:\/\/www.idnes.cz<\/a><\/p>\n

ilustra\u010dn\u00ed foto: Adam-Ciesielski-sxc.hu<\/p>\n","protected":false},"excerpt":{"rendered":"

L\u00e9ka\u0159i z Masarykovy nemocnice v \u00dast\u00ed provedli jako prvn\u00ed v zemi rekonstrukci nerv\u016f na ruce za pomoci svalu a nerv\u016f z nohy. D\u00edky nim nebude […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14511,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-15243","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15243","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15243"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15243\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14511"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15243"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15243"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15243"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}