Válečný chirurg: František Burian a zrození české plastické chirurgie
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | Czech |
| Veröffentlicht: |
Praha
Univerzita Karlova, nakladatelství Karolinum
2015
|
| Ausgabe: | 1. vyd. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Register // Personenregister Abstract |
| Beschreibung: | 600 Seiten Illustrationen, Porträts |
| ISBN: | 9788024622200 |
Internformat
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| 245 | 1 | 0 | |a Válečný chirurg |b František Burian a zrození české plastické chirurgie |c Václav Smrčka, Vlasta Mádlová |
| 250 | |a 1. vyd. | ||
| 264 | 1 | |a Praha |b Univerzita Karlova, nakladatelství Karolinum |c 2015 | |
| 300 | |a 600 Seiten |b Illustrationen, Porträts | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 546 | |a Zusammenfassung auf Englisch | ||
| 600 | 1 | 7 | |a Burian, František |d 1881-1965 |0 (DE-588)1059950014 |2 gnd |9 rswk-swf |
| 648 | 7 | |a Geschichte 1900-1918 |2 gnd |9 rswk-swf | |
| 650 | 0 | 7 | |a Chirurgie |0 (DE-588)4009987-8 |2 gnd |9 rswk-swf |
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| 689 | 0 | 3 | |a Geschichte 1900-1918 |A z |
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Datensatz im Suchindex
| _version_ | 1804175679925780480 |
|---|---|
| adam_text | OBSAH
Predmluva is
Podekování 17
Cást I. Zivot Frantiska Buriana do roku 1915 19
1. Pfedválecná léta 21
Mládí na Kampe 21
Malostranské gymnázium 23
Zivot studenta na konci 19. století 24
Porucha sluchu 31
Plastické operace na Kukulovë klinice 32
Pocátky plastickÿch operací v ceské literature 38
2. 19x2-1913: Balkánské války 40
První válecné zkusenosti 40
Tobiáskova mise do Bëlehradu 49
Ranení nejsou neprátelé 52
Pracovní den v Bëlehradu 53
Prineezna Jelena v nemocnici 55
Evakuace ranënÿch v balkánské válce 56
Str elná pusková poranení 59
Vedoucím ceské chirurgické skupiny v Sofii 66
Zemetfesení v Bulharsku a návrat domú 75
3. 1914-1915: První roky války v Praze 85
Soukromá praxe v Praze 85
Vídeñ 1914 86
Polní nemocnice 90
Zálozní nemocnice c. 2 v Praze 92
Zivot v zázemí a ohlasy fronty 1914-1915 94 * 4
Cást n. Vojenskym lékarem v Temesváru (1916-1918) 101
4. Rok 1916 102
Kvëten 1916 102
Vychodní fronta: Brusilovova ofenziva 103
Transporty z Bukoviny a védecká práce za války ios
Práce v posádkové nemocnici 106
Odborná schúze lio
Starosti s personálem 111
Temesvár za války 114
Konzilium v Buriási 118
Boj proti sténicím, blechám a necistoté 122
Nároky na vlastní práci 124
Financní starosti 126
Rozsírení oddélení a pracovní den 127
Nestéstí Zeppelinu 129
Zostrení cenzury 130
„Nová válka na balkánské fronte 131
Zamítnuté jmenování 132
Ceská spolecnost v Temesváru 135
Psychoterapie 137
Zásilky domu a oslava svátku za války 138
Vecere u vojenského úcetního rady 139
Nemocny kurát a dalsí Zeppelin 140
Posílení svalstva pred operací kyly 143
Vse se chystá na znicení Rumunska 144
Ve Vídní prohlízejí domácnosti 146
Neohláseny vlak 147
Srázka vlakü iso
Smutné je nase povolání 151
Dárky od détí 151
Déti, modlete se 154
Sentimentální myslenky 155
Prípravy na dovolenou 156
Vídeñ 1916 158
Zivot v zázemí v roce 1916 16O
Rekvizice íói 5
5. Rok 1917 165
Návrat po dovolené 165
Sebeposkozenci 165
Vyména muzského personálu za osetrovatelky 169
Nynéjsí doba je neskutecná 171
Pf ednáska o plastickych operacích na lebce a krytí amputacních pahylú 174
Konziliárním chirurgem 175
Nejsou pomyje pro nemocnicní prasata 176
Omezení zeleznicní dopravy 176
177
Sebevrazda
Osetr ovatelky v nemocnici 179
Milion némeckych rekrutu má prijít do Uher 182
Jako jedu je treba varovat se tlous y 182
Podvody pri odvodech a série sebevrazd düstojníku 183
Trh v Temesváru a místní poméry 184
Starosti dústojníkú 185
Spolecnost v kasinu 185
Déti doma 186
Sen jara 186
Touha po domové 187
Povolení nosení bulharskych rádu 188
Hlad po zánétu zaludku 189
Abscesy po injekcích oleje 189
Opét na veceri u úcetního rady 190
Uniforma 191
Zármutek pro spatnou diagnózu 193
Mrhání materiálem 195
Nové spousty operativních prípadú 195
Rehabilitacní cvicení a masáze u pacientü 196
Predpisy 197
Jízdy na koni 198
Novy nos 199
Záruka zdraví 202
Vzpomínky na svatební dny 204
P? ednáska o nádorech mozku 206
Návstéva v Bilbedu 206
Komise ministerstva války 207
Ceská spolecnost a zensky personál v nemocnici 211
Reakce na prednásku o tumorech 212
Stávka zeleznicních délníku 212
Návrat z dovolené 214
Pracovní den s cekáním na mír 216
Názor na spisovatele 217
Oslava svátku Anny 219
Vztah k Cechüm v Temesváru 220
Letní vedra 221
Horko a zápach ran 222
Smrt po mimodélozním tehotenství 223
Ucení se fecem 224
Osudovy dopis 225
Péce o telo a dusi
226
Oddélení pro nevylécitelné pfípady 227
Je cím dále tím nebezpecnéji 228
Transport za transportem 231
Veliky dopis 233
Díte se záskrtem 234
Kdyz rádí smrt 235
Boj proti umírání 236
Proviant z Temesváru 236
Princip zivota v nynéjsí tezké dobé 239
Co zlepsit v péci o sepse 240
Rozkaz k vyprázdnéní nemocnice 240
Ráno v sedle 241
Züstávají jen rozedfené ruce na práci 242
Konec malych balícku 243
Operacní program 244
Pozdní babí léto v Temesváru 244
Dalsí prednáska ve spolku 245
Bitva u Caporetta 246
S nástroji se nedá operovat 247
Brzo nebude obvazovy materiál 249
Akutní zánet kostí u sedmileté holcicky 250
Nadéje na mir 251
Systematické cvicení u tortikolis 252
Zivot v zázemí ve druhé poloviné roku 1917 254
Nové rekvizice 255
Fronta na chleba 255
Ceské srdce 256
Nepokoje 257 6
6. Rok 1918 - poslední rok války a cekání na mir 258
Leden 258
Nemocnicní zápach 258
Zivot v Praze 259
Presila práce v garnizonní nemocnici 260
Koñsky transport na západní frontu 260
Z italské fronty vozí zmrzacené a mladí se chtéjí bavít 261
Uz musí byt brzo mir 263
Nepokoje a stávky v Plzni a Kladné 263
Obava o rodinu v Praze 265
Manifestacní prüvod na Václavském náméstí 266
Generální stávka v Temesváru 266
Dávky j sou j en ctvrt kila mouky na tyden 267
Shluky lidí v Praze vytloukají krámy 268
Usetrit se zklamání 269
Koncert 269
V zasnézenych kopcích byly díry od granátú 7.70
Bazar a kabaret v Temesváru 271
Sluzky a jejich platy za války 272
Únor 273
Nouze o maso 273
Strach se vznásí ve vzduchu 273
Deklarace propusténa cenzurou 275
Chodí stále nové a ostrejsí rozkazy 275
Prazské vsední dny za války 277
Uoperovaná do znicení 278
Starosti bézné v prazské domácnosti 279
Problémy s nástroji 281
Cekání na dopis a vyhlízení jara 282
Koncert za války 283
Bezpríkladná námaha dochází uznání 283
Válecná farma proviantíáka Emila Porse 284
Úctování domácnosti v Praze za rok 1917 288
I v Temesváru jsou Burianové 289
Dobry dojem müze mylit 290
To není zádny mír a nebude 291
Generál na komisi v Segedíné mluvil s uznáním o Frantiskovi 292
Zákaz zvysování nájemného do 2000 korun 293
Misto mouky oves 294
Studeny vítr 295
Dustojnická schúze 296
Za láhev mléka sméní staré saty 298
Oslava Romanovych ctvrtych narozenin 299
Problémy vzdáleného dopisování za války 301
Zádali o uhlí, ale odkázali je na chlebovou komisi 301
Za pul kila másla saty, za saty slámu 301
Sedlák vojákem 303
Jídlo na tyden jako korení 304
Bíezen 305
Hrozné - jíst oves jako koné 305
Déti si hrají i za války 307
V Praze se vydává 10 dkg masa na osobu, oves misto mouky a kukuricny chléb 307
Do Temesváru príslo jaro 308
Prípravy na kongres v Berlíné 309
Zlost nad vykradenym kufrem 310
Spatné nástroje 313
Pokracování príprav na kongres v Berlíné 314
Jen dr. Burian v Temesváru muze nemocného zachránit 316
Mimodélozní téhotenství 316
Komentár k mimodéloznímu téhotenství 318
Ñeco veselého je treba vyhledávat v teto dobé 319
Vykrádání zásilek 320
Odejdou stareckové a my budeme litovat 321
Ofenziva na západé 322
Duben 323
Manzelská potycka 323
Nebudeme uz o tom mluvit 325
Styskání 325
Strázníci na koních bránili shromázdéní na Václavském náméstí 326
Zmény v Temesváru a generální stávka v celych Uhrách 328
Plastika kolena a starosti s personálem v nemocnici 330
Rakousko-uherská továrna na vojáky 332
Slecna je zlodéjka 343
Belsan tvrdil, ze Burian je jeho perla 344
Zádost nové slecny 346
Oslava vyrocí svatebního dne 347
Kvéten 348
Oslava prvního máje 348
Posty mají zakázáno od vojákü prijímat balíky 350
Chystá se ostrá perzekuce 350
Cerny kasel 352
Slavnostní dny zacaly 354
Tragédie ztráty sluchu, kterou denné prozívám 357
Odloucenému clovéku jsou dopisy vsím 357
Konec procesu 358
Národní listy byly zastaveny 359
Vylet za Prahu za války 361
Ve spízi proviantu ubyvá 362
Mamicka je smutná, od tatícka neprislo tri dny psaní 364
Herkulovy lázné 365
Divadlo za války 369
Praha za války 370
Nebudes-li studovat, klesnes na pouhou porodní bábu 371
Zprávy z Kyjeva a od Azovskáho mofe 372
Doba je málo vhodná k oslavám 373
Cerven 374
Zruseny obéd 374
Varí mizernë, mám strevní obtíze 375
S nemocnym jede proviant 376
Den plastickÿch operací 377
Tëzké dny 378
Dovolená na válecnou pujcku 379
Pila bod po bodu trhá cas 379
Rakouská ofenziva na Piavë 382
Transporty près íooo ranënÿch 382
Utisení po velkÿch transportech 385
Samé granátové rány a sepse v transportech 386
Na fronte 386
Cekání na dopis je ve válce psychózou 390
Cervenec 391
Rumuni a Srbové si stríkají pod kûzi moc a vodu z hnojnice 391
Stále plavu v hnisu 392
Pozehnaná nedele 394
Kdo je vlastizrádce? 394
Zdvojenÿ lalok na defekt brady 395
Transport z posledních bojú na Piavë 397
Operace se musí skládat bod za bodem 398
Na Ukrajinë je mor 399
Lidé tu trpí, cásti tëla se jim v ohavné hnilobë zaziva rozpadají 399
Zrízenci potravní danë provedli loupez 40i
Vyprázdnit nemocnici je Sisyfova práce 402
Problémy s mozkovymi abscesy 404
Srpen 404
Rozsírení krkavice jako holubí vejce 404
Zárí 406
Sedím u smutného stolu a ve smutné svëtnici 406
Podvody pri vÿvozu potravin 407
Mouka z Ukrajiny 408
Zhroucení balkánské fronty 408
Ríjen 411
Odjezd Madarû z Prahy 411
Pneumonie v zajateckém tábore 412
Ne j is to ta 413
Mrazivé konzilium v Új Pécsi 414
Rozsírení pneumonie v zajateckém tábore v Temesváru 419
Epidemie spanëlské chfipky v Praze 419
V kocáre s ohnivymí orí 421
V Praze nestací pohrbívat 422
Spanelská chfipka v Temesváru 423
424
Epidemie nebere konce
Generâlni stâvka a vojsko v Praze. Obel: svého povolani 425
Bosenské vojsko prÿ odjizdi 427
„Malé pfipady“ zenské lékarky za vâlky 428
Na Wilsonovë odpovëdi Rakousku zavisi nas osud 429
Zâkaz dovolenÿch a sluzebnich cest do Cech 430
Zenskÿ telocvik za valky v Praze 431
Epidemie se zmensuje 432
Cekani na transport v Temesvâru 433
Prst prisity u ditete dr. Lankasovou-Burianovou v Praze 433
Ocekâvâ se vÿmëna vojska Cechü za Mad ary 436
Lide stale v Praze umiraji na chfipku 437
Na Vâclavském nâmësti se zpivâ, f ecni, na monarchy
se dëlaji kruté vtipy 438
Vlaky jezdi nalozené nejdivocejsimi vëcmi 440
Prazskÿ prevrat 441
Den velikÿch slavnosti - Praha 28.10.1918 442
Krvavé demonstrace v Uhrâch 443
Praha 29.-30. fijna 445
Tvorba nârodnich rad v Temesvâru 447
Skupiny ozbrojenÿch dezertérû loupi v okoll Temesvâru 448
Listopad 449
Ceskÿ vÿbor pripravuje transport do Cech 449
Konec vâlky a rozklad monarchii stredni a vÿchodni Evropy 450 * 7 8 9
Cást III. Poválecné rekonstrukce vâlecnÿch veterânû (1918-1924) 453
7. Stanice plastické chirurgie ve vojenské zálozní nemocnici c. 8
v Praze na Hradcanech 454
8. Propustení z armády a pochod pacientu do parlamentu 458
9. Ohlédnuti za prvni svëtovou válkou a za válkami vûbec 460
Rakousko-uherskâ armâda 460
Cestí vojàci v prvni svëtové vâlce 460
Zdokonaleni zbrani 461
Lécebnâ cinnost v prûbëhu 1. svëtové vâlky 461
Transport ranënÿch 463
Typy traumat 465
Lékari a zdravotnickÿ materiál v roce 1918 466
Vÿziva armâdy 1918 466
Stanice plastické chirurgie 467
Burianova pravidla osetrování válecnych poranéní 469
Postizení populace v dlouhodobé válce 473
Summary 475
Bibliografie 485
Literatura 503
Seznam vyobrazení 508
Prüoha I: Zivotopis Frantiska Buriana v datech 511
Prüoha II: Burianovy chorobopisy z balkánskych válek a první svétová války 513
Prüoha III: Slovnícek lékar skych pojmú 587
Prüoha IV: Obrazová prüoha 593
Jmenny rejstrüc 599
JMENNY REJSTRÍK
Albert, Bohuslav 46,48
Bach, Vaclav 49
von Below, Otto 246
Benda, Jaroslav 23
Benes, Josef 303
Bezruc, Petr 163
Boucek, Bohuslav 47
Brusilov, Alexej 103
Breskÿ, Edvard 61
Bukovsky, Stanislav 61
Cisaï, Karel 23
Convers, Marquis 482,
510
Cernickÿ, Ladislav 44
Cernÿ, Vratislav 42,46,77
Dieffenbach, Johann F. 38
Divis, Jiri 90,91
Dyk, Viktor 163
d’Espéry, Franchet 408
Evzen (arcivévoda) 86-87
Filatov, Vladimir P. 457,469,
472
Frantisek Josef L 97,160
Gillies, Harold 471-472,482,
484
Haering, Vladimir 46,48,
481, 510
Heveroch, Antonín 345
von Hindenburg, Paul 88
Hlava, Jaroslav 29,144, 293,
475
Honl, Ivan 29,473,510
Honzâk, Bedrich 44
Hrdlicka, Karel 44-45, 53
Hruby, Josef 67
von Huntier, Oskar 246
Janosik, Jan 28-29
Janu, Milan 49, 51, 54,360
Jedlicka, Rudolf 30,40,46,
48-49, 53,90, 292, 330,
481
Jesensky, Jan 38,319,468
Jirásek, Alois 180,356
Jirásek, Arnold 32,61, 65-66,
76,90
Kacer, Otakar 23
Kafka, Václav 44
Karfík, Václav 468,511
Kasogledov 66
Klika, Cenék 61,308,314
Klofác, Václav 46,425
Kose, Otakar 46, 53, 55
Kostecka, Frantisek 470
Kostlivy, Stanislav 89, 90
Kramár, Karel 98,164, 265,
356
Krejci, Karel 23
Kuffner, Karel 30
Kukula, Otakar 30-35,43,76,
133,302,347,348,350,369,
475,476, 510
von Laudon, Ernst Gideon
443
Levit, Jan 472
von Lisingen, Alexander 103
Machar, Josef Svatopluk 163
Masaryk, Tomás Garrigue
48
Maydl, Karel 34-35,45,475
Merhaut, Kvétoslav 63, 68
Méstecky, Jan 44
Mikenda, Vojtéch 43-44
Morävek, Antonín 40-41, 47,
90,302
Myslivecek, Zdenek 73
Niederle, Bohuslav 44, 90
Nikita (cernohorsky kral) 191
Noväk, Josef Vratislav 47, 82
Pawlik, Karel 44
Pazdernik, Josef 90,158
Peskovä, Helena 31
Petfivalsky, Julius 32,34-37,
90,344-345, 353, 355, 3^4
Pilät, R. 164
Podhajsky, Vincenc 39
Podrabsky, Karel 98
Polak, Otto 53, 57
Pors, Emil 285-287
Potiorek, Oskar 87
Preiss, Jaroslav 164
Pfecechtel, Antonín 44, 61
Putnik, Radomir 42, 87
Rambousek, Josef 57
Rasin, Alois 164
Reverden, Jacques Louis 34
Rohäc, Cenek 44
Rohon, Josef Viktor 28-29
Rubeska, Vaclav 44-45,292
Rychlik, Emanuel 40-41,47,
57,61, 64, 68, 82, 90,360
Schloffer, Hermann 35
Schneider, Josef 42
Schrutz, Ondfej 29
Slavinger, Frantisek 66-67,
76
Spilka, Antonín 73
Svobodovä, Rüzena 137, 256
Samberger, Frantisek 292,
310,327,381
SUMMARY
In the Czech Republic, plastic surgery is inseparably related to the name of
its initiator and founder, Frantisek (Francis) Burian, who not only laid the
foundations of this branch in Czechoslovakia, but also influenced many con-
temporary plastic surgeons. Burian spent six years as a military surgeon in
the Balkan wars and in World War I. Up until World War I, only separate plas-
tic operations by excellent surgeons were mentioned. The experience gained
from the First World War led to an undreamed - of development in plastic
surgery and to the need for specialisation. It was during the First World War
that European plastic surgery was formed as a special branch. Burian probab-
ly opened the first department of plastic surgery in the world at the Jedlic-
ka Institute in 1927. In 1932, after operating for five years, the department of
plastic surgery at the Jedlicka Institute was granted the status of a separate
clinic.
Frantisek Burian was born on September 17, 1881 in the Lesser Town,
Prague, in the family of Frantisek Burian, who was a butler for the Nos-
tics family. After finishing his grammar-school studies in 1900, he enrolled
in the Medical faculty of Prague University. From thefourth year he start-
ed working as a demonstrator for the Institute of Medical Pathologic Anat-
omy with pathologist and pioneer of Czech bacteriology, Prof. Jaroslav Hla-
va (1855-1924), in the bacteriological laboratory of assistant professor, later
associate professor, Ivan Honl (1866-1936). Burian continued his demonstra-
tor work at the Hlava Institute for a short time after his graduation until Octo-
ber 1,1906, when he became an instructor. In this function he was especially
engaged in experimental pathology. At the medical faculty he also made the
acquaintance of fellow student Ann Lankash, one of the first women doctors
graduated at Prague University. They were married in 1910.
In 1908, Burian transferred to the 1st surgical clinic of professor Otakar
Kukula (1867-1925), one of the founders of Czech surgery and a specialist in
urology and abdominal surgery. At the surgical clinic he initially worked in
the function of demonstrator and, later on, as an instructor without salary.
As he wrote in the introduction of his book Plastic Surgery, it was precisely
at this clinic where he met plastic operations for the first time.661
661 F. Burian: Letters from abroad. Information of Czech doctors from the battlefields in the Balkans. Letter
No. II. Belgrade October 2,1912 (November 5,1912). Magazine of Czech Doctors 51, p. 1409-1410.
476 SUMMARY
The first Balkan war broke out in 1912. Serbia, Bulgaria, Montenegro and
Greece on one side were fighting against Turkey on the other side. From
the initiative of the Slavonic Club, the Czechs began organizing fund-rais-
ing drives aimed at financing humanitarian relief for Serbia, Bulgaria and
Montenegro in the form of medical expeditions. More than 120 Czech doc-
tors took part in this humanitarian project. Five medical expeditions with
13 carriages of medical material were carried out in total.662 The Czech relief
action was headed by Prof. Otakar Kukula. Kukula was a disciple of doctor
Charles Maydl (1853-1903), who was founder of Czech surgery, a pioneer of
new directions in anaesthesiology, and was a military surgeon during the
occupation of Bosnia and Herzegovina (1878) and during the Serbia-Bulgaria
wars (1885-1886), had experience with military health service.
Burian left for the Balkan war on October 28,1912 as an assistant of the
expedition of assistant professor Stanislav Tobiasek (1874-1931), founder of
Czech orthopaedics. Tobiasek established a large hospital in Belgrade within
the rooms of the Military Academy. At the same time, he had at his disposal
a brand new private surgical sanatorium adjacent to the Academy. Burian
described his experience from the first week in Belgrade, printed by the Maga-
zine of Czech Doctors, as follows: “I arrived with the expedition of assistant
professor Tobiasek on the night of October 29. However, how surprised we
were the next day when we took over our hospital. It was a military hospital
in the emptly military academy with about 400 wounded soldiers in large
wards. It’s true that the sanatorium situated on the other side of the street
is nice and modern but there are minor instruments in it... A large majority,
probably 90 percent, of our wounded soldiers have injuries. Bullet wounds
caused by small-calibre rifles penetrating through the soft tissues.
Their healing is ideal, thanks to the excellent treatment given to the
wounded soldiers in the battlefield. The area around the wound is always
shaved and the wound itself covered with an aseptic dressing. Only in a few
cases there was suppuration and phlegmons needing operative treatment.
Though prohibited, many wounded soldiers show their wounds to their rela-
tives who were visiting. The wounds inflicted by Arnaut rifles of large calibre,
whose projectiles made of soft lead get deformed and tear the tissue exten-
sively, have a much more serious character. Especially in the place where the
bullet leaves the body, a whole mass is torn out so that the outlet has forms
a wide crater. A finger, completely torn away by such a bullet, is common.
Many of these injuries occur on the elbow of the left hand. The wounded
explain this by saying that the injury occurred during shooting in a covered
position when only the left-hand elbow remained uncovered and became
662 M. Paulovä: Balkan Wars 1912-1913 and the Czech people. Publishing house of the Czechoslovak
Academy of Sciences, Discussions of the Czechoslovak Academy of Sciences. Prague 1963.
SUMMARY 477
a target of the excellently shooting Arnauts. Wounds caused by shrapnel and
handgrenades occur less since their victims mostly die on the spot or shortly
after the injury.”663
The Serbian army had a relatively well-organised first aid system. Ihe
battlefield was more than 500 km from Belgrade, hence the difficult transport
of the wounded was problem. After getting first-aid dressing, the wounded
were put on small carts pulled to oxen and then they were transported for two
or three days to the nearest railway station. There, the wounded were trans-
ferred to railway carriages, which were sometimes adapted, but sometimes
not, to the needs of the wounded. An ambulance train had as many as 30 car-
riages and was accompanied by one doctor and 30 ambulance soldiers. One
carriage served as an emergency room for re-bandaging, if need be. In the
train the stretchers were suspended in a longitudinal direction in passenger
carriages with the seats removed, always three stretchers one over the other,
into iron stands through springs (the Linxweiler system, used also during
the Russia-Japan war). Eighteen seriously wounded soldiers were placed in
one carriage. After arrival at the railway station the train was divided into
several parts. The wounded were taken through the exit in the front part of
the carriage. In Belgrade, requisitioned Red Cross vehicles, and tramway car-
riages went inside the railway station for the lightly wounded.664 In January
1913, Burian was delegated by the Czech Auxiliary Corps as the director of the
Czech surgeons to the Bulgarian army in Sofia.
Burian thought that he would remain in Bulgaria only for a short time
since it was supposed that the armistice signed with the Turks would turn
into a final peace. However he remained in Sofia until the end of September
1913, i.e. until the end of the Second Balkan War. He was managing a large mili-
tary hospital situated in a beautiful part of the military academy on an ele-
vation outside the town. The Czech mission was well supplied by the Prague
Auxiliary Corps with dressing material, instruments, medicaments, linen
for patients, as well as foodstuffs. After Burian s arrival, the Prague Auxiliary
Corps also sent a large X-ray apparatus and, simultaneously, replenished the
surgical equipment.665
In Bulgaria, Burians wife, dr. Lankash-Burian, who accompanied him to
the Balkans, helped him for several months. Burian also had at his disposal
three other doctors and several Bulgarian medical students.
The patients were placed in the wards of the Czech missions. The number
of wounded depended on the military activities, dr. Lankash-Burian wrote
663 F. Burian: Letters from abroad. Information of Czech doctors from the battlefields in the Balkans. Letter
No. II. Belgrade October 2,1912 (November 5,1912). Magazine of Czech Doctors 51, p. 1409-1410.
664 E. Rychlik: In Montenegro and in Serbia. Military-surgical experience from the Balkan war 1912-1913:
Czech Graphical Co. of the Union. Prague 1914, p. 303.
665 F. Burian: Role of plastic surgery in war. Overview of Czechoslovak surgery 15,1936, p. 138-139.
478 SUMMARY
the following: “The wounded that arrive aremostly wrapped in enormous,
kilos-heavy plaster bandages. Those who arrived a week ago had been kept in
some Turkish djamia, which was wet and full of mice. We found one mouse
dead under the bandage. The bandages are saturated with pus after a several-
-day-long journey.”666
How to provide first aid in the battlefield was the problem of the Bulgar-
ian military health service. Burian, who took part in both the Balkan Wars
as a doctor, first in Serbia and then in Bulgaria, saw the differences in treat-
ing the wounded soldiers and their results. In Serbia, any washing, probing,
tamponment of the wounds, removing of blood and bone splinters from the
wounds, as well as touching the wound with fingers was forbidden. Every
Serbian soldier had a first-aid kit on him with aseptic dressing. The kit could
only be opened in such a way that contamination was excluded. To this fact
Burian also contributed the lowpercentage of the occurrence of early in-
fection in the Serbian battlefield.667 In Bulgaria, on the contrary, tamponment
and probing of the wounds was performed.
In the battlefield the wounds were dressed with goat hair, which later led
to maceration and infection of the skin.668 Later, the Bulgarian tzarina pro-
hibited this procedure and the situation gradually improved669 Burians stay
in Bulgaria lasted until the end of August, when he passed his wounded
soldiers over to his Bulgarian colleagues. At the command of the Prague
Auxiliary Corps, he handed over all of the equipment, including the X-ray
apparatus, to the hospital management. Burian had already performed the
first plastic operations during the corrective treatment of the war patients.
He was awarded the Serbian order of St. Sava and the Bulgarian order for
Civil Merit (Gra^danska zasluga) of the IVth class. Before his departure he
was given an audience with Tzar Ferdinand, Tzarina and Prince Royal. After
returning from the Balkan wars, Burian opened a private practice as a surgi-
cal specialist. However, less than a year later, the First World War broke out
and Burian was called up.
On the First World War there were enormous increase in artillery injuries
(80% compared with 25% in the Balkan wars) and an increase in the number
of skull and face injuries. These were caused mostly by the splinters of gren-
ades and mines. There was still a lack of experience in the treatment of these
cases at that time, thus, most of these wounded soldiers died within several
666 A. Lankasova-Burianova - personal archives of F. Burians granddaughter, Viktorie Kosnarova,
letter of Anna Lankasova-Burianova to her parents.
667 F. Burian: Letters from abroad. Information of Czech doctors from the battlefields in the Balkans. Letter
No. II. Belgrade October 2,1912 (Novembers, 1912). In: Magazine of Czech Doctors 51, p. 1437.
668 K. Trosev: Czech doctors in Bulgaria during the Balkan wars (1912-1913). Charles University. Prague
1984, p. 62 (in Czech and Bulgarian).
669 0. Polak: Letters from abroad. Information of Czech doctors from the battlefields in the Balkans. Letter
from Kragujevac. Magazine of Czech Doctors 52,1913,1936, p. 818.
SUMMARY 479
days from secondary bleeding, aspiratory pneumonia and sepsis. The state
of the seriously wounded soldiers was due to shock in the beginning, and
later lack of nourishment, because the majority of cases could not eat food in
a normal way and were entirely dependent upon gastric tube nourishment.
Those who lived through the first fatal days got into the hands of surgeons
lacking experience in treating these injuries. Therefore, centres for face and
jaw surgery, and later for plastic surgery in general, were established after
the first two years of war. Guidelines for the initial treatment of jaw frac-
tures, tongue movement and nourishment during transport were drawn up.
Gradually the need for plastic surgery was extended to other parts of the
body, especially to the hands, and to injuries of the lower extremities, ampu-
tation stumps and frost-bite.670
In August 1914, Burian was enlisted the army. For one and a half years he
worked as chief-surgeon in the stand-by hospital No. 2 in Prague at Rudolphi-
num. He directed the surgical department until the end of 1915. Even here
he did not stop experimenting and devising new methods of treatment. In
his paper on bullet fractures of the radius published in 1916, he suggested an
extension apparatus which provided support by a tensile spiral made of steel
wire.671
In May of the same year, he was transferred as chief-doctor of the sur-
gical department in the garrison hospital No. 11 in Timisoara, in Hungary, he
remained there until the end of the War with the Vllth army corps.
On June 18,1916 he wrote home the following: I am very busy these days
and the work fully absorbs me. In our hospital we do the screening, where
the more seriously wounded soldiers remain, and the lighter wounded are
sent farther.
We had expand our ward at the expense of other wards - three doctors
and one medical student. Today, on Sunday, I was working from 4 o clock till
7 o clock in the evening with a two-hour break at noon.... They are quickly
making all the gadgets for me so I ll be able to perform my treatment. There
will still be much work with the personnel. It is obvious that they even haven t
seen a surgeon before. My colleagues are willing, therefore all will function
well.”672
In Timisoara Burian continued performing his method of treatment of
fractures by means of extension apparatus that were made for him in the
local cabinet-making workshop. He described his daily programme in his let-
ters to his wife as follows: “In the morning I usually operate until 10-11 o clock,
then re-bandaging, inspections, on average 40 a day. New patients, 10 a day on
670 F. Burian: Hole of plastic surgery in war. Overview of Czechoslovak surgery 15,1936, p. 38-39.
671 F. Burian: Treatment of fractures especially bullet - caused ones, in a stand-by hospital Magazine of
Czech Doctors 55,1916, p. 1026-9.
672 Letter of Frantisek Burian to his wife on June 18,1916, personal keeping.
480 SUMMARY
average, when there is no large transport in the meantime. Several officers,
daily 15 men on average, for medical opinion. Work enough.”673
“I had to interrupt my last letter because suddenly there was much work
for me. An unannounced train stopped here and started unloading the
wounded that it brought directly from the battlefield. We were not prepared
for that. The first day I was working from 8 to half past midnight and from
2 until 10 o’clock in the evening yesterday, and until eight today. My legs
are just trembling. So far two soldiers have died. Today I am finished with
everything.”674
In the beginning of 1917, Burian became chief surgeon of the 7th army
corps. In Timisoara he established a center for fractures and also the first
center for reconstructive plastic surgery. After the end of the war, this center
was moved to Prague by a special train and laid the foundations of the later
Institute and Clinic of Plastic Surgery; this was the foundation of Czech
plastic surgery. The experience gained from the First World War led to an
undreamed -of development of the speciality. In the First World War Euro-
pean plastic surgery became a special branch.
Soldiers were returning from the front with faces deformed by wounds,
which required the new speciality of plastic surgery, and Burian was now
very experienced in this.
After the war, Burian was assigned chief-surgeon to the garrison hospital
No. 2 in Hradcany. There he established a department of plastic surgery and
in 1921, he performed the first plastic reconstruction of a defect after resect-
ion of the upper jaw for a tumour.
In 1923, Burian was the first to use full thickness skin as a skin graft, then
was used better than the epithelial graft that had been used prior to this.
Burian used this method not only on the eyelids and eye-sockets, but also
for the plastic correction of the vagina.lt was during this period that Burian
was the first who was employing the graft to accelerate the healing processes
on the granulation surface.
In 1924, the war-injuired men were passed over to welfare service thus
Burian had to move out from the military hospital in Hradcany. Men who
had been operated in the war were presents to show treatment stages and
final results achieved at the meetings of the Czech Doctors Association and at
the congresses of the Surgery - Gynaecological Society. Thus the techniques
of plastic and reconstructive surgery became better known among doctors.
Gradually it was also provided ordinary patients with defects and deform-
ations caused by Trauma disease.
673 Letter of Frantisek Burian to his wife on August 29,1916, personal keeping.
674 Letter of Frantisek Burian to his wife on October 28,1916, personal keeping.
SUMMARY 481
At the meeting of the Czech Doctors Association on May 7,1923, Burian
presented a unique and complicated reconstruction of the palate and part of
the face in a war invalid wounded in 1916 by a rifle. After a long treatment,
he was left with a “cosmetically terrible” defect of the whole middle of the
face. This resulted in snuffling, nearly unintelligible speech, and functional
difficulties when eating. Burian began the plastic treatment of the patient in
the year 1922. He obtained the material for reconstruction of the palate and
of the internal lining of the nose by the formation of a duplicated humero-
thoracic flap of skin into which a frame formed by crossed costal-cartilages.
The preparation of the arm flap was performed in several stages. In the
face, the nose, the palate and the upper lip were replaced. After that the indi-
vidual parts were further remodelled by several operations. In general, the
treatment took one and a half years, which is remarkable when we consider
the primitive conditions in which Burian worked at that time.
In 1921, Burian had only several beds at the Czechoslovak Red Cross Sana-
torium in Zitna Street. These were given to him by its director, General
dr. Vladimir Haering (1882-1942), who had taken part in both the Balkan and
the First World War as a doctor.
Burian, at the instigation of the noted Czech surgeon and radiologist
Prof. Rudolf Jedlicka (1869-1926), suggested to the Ministry of Public Health
to establish an Institute of Plastic Surgery. With the support of the Minis-
try this was established on November 30,1921 at the Czechoslovak Red Cross
Sanatorium in Prague and was licensed by the Provincial Political Adminis-
tration on February 27,1923.
Professor Jedlicka suggested that Burian’s institute should be a special
treatment department and part of the Provincial Association for Treatment
and Education of the Disabled in Bohemia. It became precisely the Jedlicka
Institute for the disabled in Prague.
The main majority of Burians patients in this period of time was mostly
adults with facial defects resulting from tumours and skin tuberculosis, as
well as of work and traffic accidents injuries. Patients with complications
caused by war wounds also required treatment. The remained of the patients
consisted of congenital face deformities, children with cleft-lip and palate
defects, congenital abnormalities or hand trauma. He also solved the recon-
struction of the thumb by transfer from the leg according to Nicoladoni (1922)
and rearrangement amputation stumps.
Patients with congenital abnormalities, especially those with cleft the lip
and cleft palates, were very frequent. Initially it was older children and adults
with variously significant deformities resulting from unsuccessful attempts
of the first operations performed by doctors who did not have enough know-
ledge in these cases. Due to the lack of space, Burian could not have all the
small children into the Jedlicka Institute to have their treatment. Therefore,
482 SUMMARY
sucklings and younger children were first placed in the maternity hospital
of the Protection of Mothers and Children in Stvanice, and later in the hos-
pital of the Protection of Mothers and Children in Krc, which Burian attended
once a week.
There Burian began performing primary operations of neonates with
clefts. These operations initiated Burians long interest in congenital deform-
ity management. In the Jedlicka Institute Burian opened one of the first
institutes of plastic surgery in the world. After five years in 1932 his plastic
surgery Jedlicka Institute obtained the status of an independent clinic. The
clinic had four wards: 1st children, 2nd hand, 3rd burns, 4th treatment of
other cases, i.e. serious skin defects, facial accidents and tumours.675
At the request of the French Society for Plastic Surgery, Burian organized
two international courses, these were in 1934 and 1935, the first in the world.
The participants were returned repeatedly, for example John Marquis Con-
vers who considered Burian his teacher.
The Plastic Surgery Institute in the Jedlicka Institute had 36 beds and it
remained there until October 1937. Since the number of patients who asked
for treatment was increasing, the equipment in the Jedlicka Institute could
not cope. As many as 1,000 operations per year were performed. For this
reason the Ministry of Health transfered the Plastic Surgery Institute to
a new ward in the state hospital at Vinohrady in October 1937.
During this period Burian qualified in 1929 pathology and therapy of sur-
gical diseases. For his thesis he presented 22 studies in total, published from
1903 to 1928. In 1937 he was named as associate professor of aesthetic surgery.
With the transfer of the private institute of plastic surgery into the state
hospital, Burian became the head of this ward. In 1948 the Institute of Plastic
Surgery was transformed into the Clinic of Plastic Surgery of Charles Uni-
versity and Burian, who was appointed the first full professor of plastic sur-
gery of Charles University, continued his work there as its head.
Throughout his whole life Burian thoroughly followed the development
of plastic surgery in other countries, not only in Europe. The stay of his son,
Roman, also a very talented plastic surgeon, in Great Britain was a big inspir-
ation for Burian. During his residency his son worked with well known Brit-
ish plastic surgeons such as Professor Kilner, a personal friend of Frantisek
Burian, and Professors Gillies, Me Indoe and others. Above all Roman was
gathering experience on treatment of fissures of cleft lip and palate as well
as burn management. It should be added that, in one of his numerous letters
to his father, Frantisek Burian was an acknowledged specialist in Great Brit-
675 F. Burian: Plastic surgery in Czechoslovakia. In: Czechoslovakia i, 1946; 5, 2. Burian F. Origin and
development of the Plastic Surgery Institute in Prague. Kladno 1937, p. 13.
SUMMARY 483
ain: “On the whole, all here know about you and talk with great respect about
you/ 676
The gradual establishment of other institutions in Brno, Bratislava, Kosice,
Plzen, Trinec, and Vysoké nad Jizerou by Burian s collaborators and pupils
was proof of expansion of plastic surgery in Czechoslovakia, undoubtedly the
founder was Frantisek Burian and this was acknowleged world wide.
In 1953 Burian established a centre for burns in Prague in the building of
the former Boruvka s sanatorium in Leger Street. A year later, at his insist-
ence, another centre for burns was also established in the industrial city of
Ostrava. The work of these stations brought the treatment of burns in Czech-
oslovakia up to world level and was highly thought of abroad.
Throughout the five decades of his work, Burian was actively involved
in the scientific and practical aspects of branches of plastic surgery. Clefts
deformities in the face gradually became the centre of his versatile interest
and activity. From 1946 he suggested the registration of congenital deform-
ities, this was to become the first step towards the study of possible preven-
tion of these abnormalities. Registrations was in 1956, first in the region of
Hradec Krâlové and, later on, in Prague. The regional projects were continued
by a voluntary countrywide registration that lasted from January 1,1961 to
December 31,1964.
The method of countrywide registration was worked out based on the
experience from the years 1956 - i960. Children with congenital deformities
were reported to the Institute for the Care of Mother and Child. A uniform
print form with eight parameters was used. From 1965 the registration of
congenital deformities became one of the special health statistics. The reports
on the child with a congenital deformity were sent to the Ministry of Health
on so-called combined punched cards. Live-born foetuses in which a selected
congenital deformity was found up until the end of the seventh day of life
were the subject of the reports.677
On November 17,1955 Burian was elected academician and a year later the
Laboratory of Plastic Surgery was established within the Czechoslovak Acad-
emy of Science, where Burian was the head until his death. Research into the
use of alotransplantation of the skin in the treatment of serious burns and
its responses (both immunological and clinical) in the recipients organism
as well as the study of ethiology and the prevention of congenital deform-
ities focused cleft palates became its two pivotal tasks. Within the research
into prevention of congenital deformities Burian stressed publicity for family
planning and for the protection of a pregnant woman especially in the first
676 Personal archives of F. Burians granddaughter, Viktorie Kosnarova, letter of the son Roman
Burian addressed to his father from September 24,1948.
677 J. Kucera: Population teratology. Avicenum. Prague 1989, p. 325.
484 SUMMARY
three months of pregnancy with control of diet and with the addition of
vitamins. Research into secondary features of jaw deformations played an
important role in the planned treatment of congenital deformities. This
is why the laboratory worked out, on the basis of its research work, their
scheme. This scheme became a basis of the questionnaires that were then
transferred on to punch cards. The aim was to find out the frequency of the
occurrence of the indices in heredity and in the environmental influence.
The questionnaire, originally worked out only for clefts, was also prepared
for other congenital deformities of the extremities, auditory organs, repro-
ductive organs and others.
The elaborate questionnaire was time-exacting, and therefore it served
only for research purposes. Specimens of the questionnaire translated into
English were also sent abroad.
Foreign guests at Professor Kilner s clinic, such as Gillies, Pickerell, Pick
Lewin, and Hogan became part of the family. The granddaughter of Burian
recalled mainly the visits of Professor Kilner, to whom she took a special
liking.
Burian was a member of many Czechoslovak and foreign scientific and
medical institutions. He published more than 200 scientific works and four
monographs. From them, Physiological operations, written in 1940, inspired
many generations of surgeons in Czechoslovakia, as well as the Atlas of Plas-
tic Surgery, published in English and Russian. Burian was awarded many
decorations and medals for his work. Among them he was awarded the Order
of the Republic, the silver plaquette of the Czechoslovak Academy of Sciences
Merits for Science, and the Mankind or Gillies Gold Medal of the Association
of British Plastic Surgeons.
Burians aphorisms and his endeavour to always achieve better and better
results of plastic surgery operations remained in the tradition and memory
of his pupils “a plastic surgeon can never be thorough enough and each par-
ticular surgical technique must be completed with the highest attention and
accuracy. A great surgeon is someone who can perform serious surgery as
well as the smallest surgery with the same accuracy and positive result. 678
678 M. Fara, M. Tvrdek: Commemorating the 125th Anniversary of the Birth of Professor Frantisek Burian.
Acta Chirurgie Plasticae 49 (3), 2007, s. 59-62.
|
| any_adam_object | 1 |
| author | Smrčka, Václav 1951- Mádlová, Vlasta 1977- |
| author_GND | (DE-588)140059814 (DE-588)1044117036 |
| author_facet | Smrčka, Václav 1951- Mádlová, Vlasta 1977- |
| author_role | aut aut |
| author_sort | Smrčka, Václav 1951- |
| author_variant | v s vs v m vm |
| building | Verbundindex |
| bvnumber | BV043190812 |
| ctrlnum | (OCoLC)951224730 (DE-599)BVBBV043190812 |
| edition | 1. vyd. |
| era | Geschichte 1900-1918 gnd |
| era_facet | Geschichte 1900-1918 |
| format | Book |
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| genre | (DE-588)4146609-3 Briefsammlung gnd-content (DE-588)4006804-3 Biografie gnd-content |
| genre_facet | Briefsammlung Biografie |
| geographic | Böhmische Länder (DE-588)4069573-6 gnd |
| geographic_facet | Böhmische Länder |
| id | DE-604.BV043190812 |
| illustrated | Illustrated |
| indexdate | 2024-07-10T07:20:08Z |
| institution | BVB |
| isbn | 9788024622200 |
| language | Czech |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-028614449 |
| oclc_num | 951224730 |
| open_access_boolean | |
| owner | DE-12 |
| owner_facet | DE-12 |
| physical | 600 Seiten Illustrationen, Porträts |
| psigel | BSBWK1 |
| publishDate | 2015 |
| publishDateSearch | 2015 |
| publishDateSort | 2015 |
| publisher | Univerzita Karlova, nakladatelství Karolinum |
| record_format | marc |
| spelling | Smrčka, Václav 1951- Verfasser (DE-588)140059814 aut Válečný chirurg František Burian a zrození české plastické chirurgie Václav Smrčka, Vlasta Mádlová 1. vyd. Praha Univerzita Karlova, nakladatelství Karolinum 2015 600 Seiten Illustrationen, Porträts txt rdacontent n rdamedia nc rdacarrier Zusammenfassung auf Englisch Burian, František 1881-1965 (DE-588)1059950014 gnd rswk-swf Geschichte 1900-1918 gnd rswk-swf Chirurgie (DE-588)4009987-8 gnd rswk-swf Böhmische Länder (DE-588)4069573-6 gnd rswk-swf (DE-588)4146609-3 Briefsammlung gnd-content (DE-588)4006804-3 Biografie gnd-content Burian, František 1881-1965 (DE-588)1059950014 p Böhmische Länder (DE-588)4069573-6 g Chirurgie (DE-588)4009987-8 s Geschichte 1900-1918 z DE-604 Mádlová, Vlasta 1977- Verfasser (DE-588)1044117036 aut Digitalisierung BSB Muenchen 19 - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028614449&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung BSB Muenchen 19 - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028614449&sequence=000005&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Register // Personenregister Digitalisierung BSB Muenchen 19 - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028614449&sequence=000006&line_number=0003&func_code=DB_RECORDS&service_type=MEDIA Abstract |
| spellingShingle | Smrčka, Václav 1951- Mádlová, Vlasta 1977- Válečný chirurg František Burian a zrození české plastické chirurgie Burian, František 1881-1965 (DE-588)1059950014 gnd Chirurgie (DE-588)4009987-8 gnd |
| subject_GND | (DE-588)1059950014 (DE-588)4009987-8 (DE-588)4069573-6 (DE-588)4146609-3 (DE-588)4006804-3 |
| title | Válečný chirurg František Burian a zrození české plastické chirurgie |
| title_auth | Válečný chirurg František Burian a zrození české plastické chirurgie |
| title_exact_search | Válečný chirurg František Burian a zrození české plastické chirurgie |
| title_full | Válečný chirurg František Burian a zrození české plastické chirurgie Václav Smrčka, Vlasta Mádlová |
| title_fullStr | Válečný chirurg František Burian a zrození české plastické chirurgie Václav Smrčka, Vlasta Mádlová |
| title_full_unstemmed | Válečný chirurg František Burian a zrození české plastické chirurgie Václav Smrčka, Vlasta Mádlová |
| title_short | Válečný chirurg |
| title_sort | valecny chirurg frantisek burian a zrozeni ceske plasticke chirurgie |
| title_sub | František Burian a zrození české plastické chirurgie |
| topic | Burian, František 1881-1965 (DE-588)1059950014 gnd Chirurgie (DE-588)4009987-8 gnd |
| topic_facet | Burian, František 1881-1965 Chirurgie Böhmische Länder Briefsammlung Biografie |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028614449&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028614449&sequence=000005&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028614449&sequence=000006&line_number=0003&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT smrckavaclav valecnychirurgfrantisekburianazrozeniceskeplastickechirurgie AT madlovavlasta valecnychirurgfrantisekburianazrozeniceskeplastickechirurgie |