I Volfová

Publications (4)0 Total impact

• Article: [The results of kidney transplantation from very young paediatric cadaveric donors to adult recipients in Czech Republic in the years 1994-2001 (retrospective study of the Czech transplant centres)].

  R Michalský, I Volfová, J Dedochová, J Samlík, S Vítko, E Pokorná, P Fixa, P Navrátil, T Reischig, V Treska, J Zadrazil, P Bachleda, P Studeník, J Cerný
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  ABSTRACT: The results of kidney transplantation from very young paediatric cadaveric donors up to five years, which were transplanted to adult recipients, are evaluated in the first retrospective study of all Czech transplantcentres. In general, 42 of these transplantations were carried out during 1994-2001. In 28 cases single kidney was transplanted, in 14 cases en bloc graft of both children kidneys was transplanted. The reasons of kidney failure by recipients are usual (in 42.9% glomerulonephritis). An average age of the donors was 34.7 months (median 39 months). An average age of the recipients during transplantation was 42.6 years (median 43.5 years). All the kidneys were placed into retroperitoneum. As long as only single kidney was transplanted, the rules, already propagated by Salvatiera in 1970, were respected. At the transplantation of en bloc graft, Kinne's method with possible vessels elongation of the graft and with uretero-uretero anastomoses (in so called Ostrava modification) was used. The higher occurrence of the primary graft non-function (as 50% losses of all grafts) was confirmed in the study. Its reason was an acute thrombosis of vessels or rotation of graft stem. One-, three- and five-years patients and grafts survival were 97.6-90.5-90.5% and 76.2-73.8-73.8% actually. Patients survival are very good while grafts survival are average, momentarily a bit worse than national data published by the Czech Transplant Society, which determines one-, three- and five-years grafts survival with 90.3-82.9-75.5% and 79.1-71.1-65% actually. The kidney transplantation from paediatric cadaveric donors to adult recipients is acceptable under present allocated criteria, in case that some principles are kept. The study confirms the international experiences about rather higher incidence of surgical complications and primary graft non-function. In conclusion, some general references for reduction of complications, as well as for improvement of these transplantation results are introduced.
  Sbornik lekarsky 02/2003; 104(4):333-43.
• Article: The choice of anaesthesia course during kidney transplantation.

  I Volfová, P Kudrna, A Foltys, R Michalský
  Acta Universitatis Palackianae Olomucensis Facultatis Medicae 02/2000; 143:105-6.
• Article: Occurrence of neoplasm in patients after the kidney transplantation in Regional Transplant Center Ostrava.

  A Foltys, I Volfová, J Samlík
  Acta Universitatis Palackianae Olomucensis Facultatis Medicae 02/2000; 143:81.
• Article: [Iatrogenic injuries of the abdominal aorta during surgery of intervertebral disks of the lumbar vertebrae].

  R Michalský, J Bartos, O Simecek, J Mayzlík, I Volfová, T Jindrácek
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  ABSTRACT: The authors present the case-histories of two successfully treated patients following injury of the infrarenal part of the abdominal aorta. The injury occurred during extirpation of sequestra of discs of lumbar vertebrae. Some problems of the tactics of surgical treatment are discussed.
  Rozhledy v chirurgii: měsíčník Československé chirurgické společnosti 08/1991; 70(6-7):323-7.