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The paper is aimed at determining diagnostic quality of the images in different chest CT examination protocols. Two groups of patients underwent scanning based on two different protocols using Siemens Somatom 4 Plus scanner in the spiral mode. The study included the total of 64 patients divided in two groups according to their body weight (BW). Group one included 34 patients weighing above 80 kg and they were scanned according to the standard protocol. Group two comprised 30 patients weighting below 80 kg and they were scanned using the same protocol however with reduction of tube current of 13 mA. All the scans were subsequently reconstructed using noise-reduction filter (enhancement of low contrast resolution).

Second look operation in surgical oncology practice has been performed because of three reasons: 1. revision of operative wound due to hematoma and dehiscence of wound, 2. doubt on local recidive and 3. because of doubt on spreading process on second breast. During the period from 1977 to 1986 at surgical oncology we had revision due to hematoma and dehiscence-27, local recidives-147, metastasis in lymphoglads axilla neck, parasternal and subclavicular-38. Metastasis in second breast were 11. Up to local recidive and expansion on a second breast we have got a period of relatively good health. At reoperation because of dehiscence and hematoma interval between two operation is very short so we have got present not only hypovolemia but also summation effect of used anesthetic and plasma expander. In our material, except anesthesia a great influence on blood hemism has got irradiation and cytostatic therapy so out of 147 women patients-45 have been previously radiated, 4 under cytostatic therapy, while combined therapy had 31 patients. And that was the reason why we had to examine the influence of anesthesia polyhemio and irradiation therapy on a change in hepatogramms, blood picture and coagulation. Found deviation are statistically significant in proportion, so we emphasize it a fact, that at revision we can't find very often the source of bleeding, connected with disorders of coagulation which we have found in our examination. Because of that, without regard on a spreading hematoma, we suggest parallel hemism, and before closing the wound local use of Beriplast or Surgicel.