Acta chirurgica Iugoslavica最新文献_第9页

Orthotopic urinary diversion after radical cystectomy in treatment of muscle invasive bladder cancer. 膀胱根治术后原位尿路转移治疗肌性浸润性膀胱癌。

Acta chirurgica Iugoslavica Pub Date : 2014-01-01 DOI: 10.2298/ACI1401063H

J. Hadzi-Djokic, V. Andrejević, T. Pejčić, M. Acimovic, U. Babić, M. Stanić, Z. Džamić

{"title":"Orthotopic urinary diversion after radical cystectomy in treatment of muscle invasive bladder cancer.","authors":"J. Hadzi-Djokic, V. Andrejević, T. Pejčić, M. Acimovic, U. Babić, M. Stanić, Z. Džamić","doi":"10.2298/ACI1401063H","DOIUrl":"https://doi.org/10.2298/ACI1401063H","url":null,"abstract":"Surgical treatment of invasive carcinoma of the bladder in males includes total cystectomy remoвal of the prostate, seminal vesicles, and the distal parts of the urethers and the pelvic lymph node dissection as well. At this moment it is not possible to recommend a particular type of urinary diversion, but today in clinical practice commonly used derivative are ileal orthotopic neobladder as the continent one and ileal conduit as non-continent urinary diversion. Continent urinary diversion after radical cystectomy are the result of the application of technological innovation in surgery, but also knowledge, imagination and skill of well trained urologist. This type of operation significantly improves the quality of life in patients who underwent radical cystectomy, and the proposal is to operate when- ever there is a possibility for this type of procedure. Also it is very important, during surgery to respect oncological principles, of complete removal of tumorous tissue and that the functional principle of ensuring that the patients have daytime and also nighttime continence later on after the surgery.","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"61 1","pages":"63-67"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68392445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tension free vaginal tape (TVT) vs Transobturator tape (TOT) complications and outcomes. 无张力阴道带(TVT)与经闭带(TOT)的并发症和结果。

Acta chirurgica Iugoslavica Pub Date : 2014-01-01 DOI: 10.2298/ACI1401081P

M. Potić, I. Ignjatovic, D. Basic

引用次数: 4

Quality of life of the patients with gastroesophageal reflux disease in Serbia 塞尔维亚胃食管反流病患者的生活质量

Acta chirurgica Iugoslavica Pub Date : 2014-01-01 DOI: 10.2298/aci1403013d

Igor Dragičević, T. Babič, G. Trajkovic, A. Čorac, M. Bjelović

{"title":"Quality of life of the patients with gastroesophageal reflux disease in Serbia","authors":"Igor Dragičević, T. Babič, G. Trajkovic, A. Čorac, M. Bjelović","doi":"10.2298/aci1403013d","DOIUrl":"https://doi.org/10.2298/aci1403013d","url":null,"abstract":"Gastroesophageal reflux disease (ERD) was often considered as a minor public health problem and its potential severity was not fully recognized by the general public, patients, the health care system, and in some cases health care providers. Data about GERD related HRQoL in eastern European population are scare. The aim of the study was to evaluate the burden of GERD on patients treated in Serbian primary health care. The study included 1091 patients with diagnosed GERD, treated in Serbian primary health care. All patients completed Serbian version of generic self-administered Center for Disease Control and Prevention questionnaire, CDC-HRQoL-4.In our study, 463 (42%) GERD patients self-rated their current health status as fair or poor, 584 (53%) had poor physical health one or more days during the past 30 days, 460 (42%) had poor mental health one or more days for the same time period. Due to disease symptoms 492 (46%) GERD patients felt depressed one or more days during the past 30 days, 581 (54%) felt tired or sleepy during the same time period. In addition, GERD patients had lower scores regarding number of healthy and unhealthy days. The obtained results had demonstrated that in large proportion, GERD impaired patient everyday lives. A better understanding of the relationships between GERD and impaired HRQoL may allow the physicians in primary health care to manage these patients more effectively in the future.","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"57 1","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68392781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical site infections and other healthcare related infections in cohort of urological patients, 2010-2013 2010-2013年泌尿科患者手术部位感染及其他医疗相关感染

Acta chirurgica Iugoslavica Pub Date : 2014-01-01 DOI: 10.2298/aci1403025s

V. Šuljagić, N. Milović, Branko Kocevic, Vladimir Bančević, Z. Šegrt, R. Rajić-Dimitrijević, V. Mioljević

{"title":"Surgical site infections and other healthcare related infections in cohort of urological patients, 2010-2013","authors":"V. Šuljagić, N. Milović, Branko Kocevic, Vladimir Bančević, Z. Šegrt, R. Rajić-Dimitrijević, V. Mioljević","doi":"10.2298/aci1403025s","DOIUrl":"https://doi.org/10.2298/aci1403025s","url":null,"abstract":"Background: Surgical site infections (SSIs) and other healthcare related infections continues to be significant problem in surgical patients across the globe. Aim: To analyze and compare the surveillance data from large cohort of patients operated in Clinic for Urology, Military Medical Academy Methods: A prospective cohort study was performed to identify incidence rate and risk factors for surgical site infections (SSI) from 2010 to 2013. Infection control personal collected general and healthcare related data about patients. The microbiologic testing was performed at the Institute of Medical Microbiology by routine methods. Results: A total of 3823 surgical procedures (3288 patients) were included in the study. The lowest incidence rate was observed in kidney surgery (total nephrectomy - 2.4% and partial nephrectomy - 3.6%), and highest during bladder surgery (total cystectomy - 21.6% and partial cystectomy - 23.5%). The postoperative infections (RR: 2.018; 95%:1.111 -3.666; SE: 0.305; p: 0.021), dra inage (RR:10.417; 95%CI:4.339 - 25.011; SE: 0.447; p: 0.000), preoperative length of hospital stay (RR:0.909; 95%CI: 0.880 - 0.939; SE: 0.017; p: 0.000) and total length of hospitalization (RR:1.140; 95%CI:1.117-1.164; SE: 0.010; p:0.000), as well as contamination class (RR:1.633; CI95%:1.215 - 2.194; SE:0.151; p:0.001) are independent risk factors for SSI in this cohort of patients. Incidence rate of diarrhea caused by Clostridium difficile was 5.01 to 10 000 patient days. The most common cause of SSI and urinary tract infections was Klebsiella spp. Conclusion: The greater attention has been given to adherence to recommendations for the prevention and control of SSIs as well as management of multidrug resistant organisms in urology department.","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"61 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68392836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of two Wallace’s technique of implantation of the ureter to the ileal conduit: Five year experience 两种输尿管与回肠导管植入术的比较:五年的经验

Acta chirurgica Iugoslavica Pub Date : 2014-01-01 DOI: 10.2298/ACI1403065K

B. Kajmakovic, Z. Džamić, M. Acimovic, T. Pejčić, M. Jovanović, B. Milojević, J. Hadzi

引用次数: 0

Complications related to Meckel's diverticulum (MD): Perforation due to enteroscopy and bleeding 与梅克尔憩室(MD)相关的并发症:由肠镜检查和出血引起的穿孔

Acta chirurgica Iugoslavica Pub Date : 2014-01-01 DOI: 10.2298/aci1403077l

G. Lazovic, D. Smolovic

引用次数: 0

Cavernous malformations of the brain stem - the clinical features and surgical approaches 脑干海绵状畸形的临床特征及手术入路

Acta chirurgica Iugoslavica Pub Date : 2014-01-01 DOI: 10.2298/ACI1404033J

M. Janicijevic, R. Repac, M. Nikolic, I. Djorić, D. Scepanovic, T. V. Janicijevic, M. Tasic

{"title":"Cavernous malformations of the brain stem - the clinical features and surgical approaches","authors":"M. Janicijevic, R. Repac, M. Nikolic, I. Djorić, D. Scepanovic, T. V. Janicijevic, M. Tasic","doi":"10.2298/ACI1404033J","DOIUrl":"https://doi.org/10.2298/ACI1404033J","url":null,"abstract":"Introduction. Cavernous malformations localized in the brain stem are considered as a separate entity in relation to other intracranial cavernoma. Clinical presentation is specific in terms of focal neurologic deficit, they show aggressive biological behavior and unfavorable clinical course, whereas localization in the brain stem naturally represents the largest surgical problem and challenge and significantly higher operational risk. Results. We report a series of 10 patients with brainstem cavernoma, operated at the Department of Neurosurgery, Clinical Center of Serbia in the period of 2008-2012. In cavernous lesions of the dorsal pons and upper cerebellar peduncul we used the approach through the fourth ventricule, in the laterally localized pontine cavernoma we used the cerebellopontine angle approach, in the cavernoma localized in the central midbrain tegmental area was used supreacerebellar infratentorially approach. Conclusion. Surgical removal of the brainstem cavernoma is absolutely expedient both from the standpoint of preventing recurrent and debilitating hemorrhage and in terms of recovery of neurologic deficit. In patients with disturbed vital functions, the evacuation of the hematoma and removal of the malformation eliminate compression of effects on vital structures of the brain stem.","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"61 1","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68393386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Splenectomy during cesarean section in a patient with severe idiopathic thrombocytopenic purpura (ITP) refractory to the medical treatment 严重特发性血小板减少性紫癜(ITP)难治性剖宫产术中脾切除术1例

Acta chirurgica Iugoslavica Pub Date : 2014-01-01 DOI: 10.2298/aci1404065g

A. Glišić, A. Ćetković, S. Matić, M. Petronijevic, I. Elezović

引用次数: 0

Ossification of the posterior longitudinal ligament associated with formed arcuate foramina on atlas - evaluation using CT angiography 寰椎弓形椎间孔后纵韧带骨化的CT血管造影评价

Acta chirurgica Iugoslavica Pub Date : 2014-01-01 DOI: 10.2298/ACI1404069A

Perica Adnadjevic, A. Mladenovič, I. Djorić

{"title":"Ossification of the posterior longitudinal ligament associated with formed arcuate foramina on atlas - evaluation using CT angiography","authors":"Perica Adnadjevic, A. Mladenovič, I. Djorić","doi":"10.2298/ACI1404069A","DOIUrl":"https://doi.org/10.2298/ACI1404069A","url":null,"abstract":"1000Purpose: Ossification of the posterior longitudinal ligament (OPLL) represents progressive heterotopic ossification of unclear pathogenesis. The aim of this report is to present OPLL associated with arcuate foramina, which has not been reported in the literature before. Materials and methods: 32-year old female patient presented with occipital headache, neck pain and occasional vertigo. She was examined using radiography, computed tomography (CT) angiography and magnetic resonance (MR) imaging of cervical spine and scull basis. Results: We found OPLL associated with bilateral arcuate foramina formed on atlas: foramen was complete on the left-hand side, with lumen reduction of the left vertebral artery, while on the right-hand side, the foramen was incomplete. Conclusion: The significance of this case report is highly sensitive diagnostic evaluation of simultaneous appearance of two pathologic entities that can present with similar or identical clinical manifestations in the stage of the disease when early diagnostics and further radiological follow-up are important in the prevention of sequelae.","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"61 1","pages":"69-72"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68393549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tension free vaginal tape (TVT) vs Transobturator tape (TOT) complications and outcomes. 无张力阴道带(TVT)与经闭带(TOT)的并发症和结果。

Acta chirurgica Iugoslavica Pub Date : 2014-01-01

Milan Potić, Ivan Ignjatović, Dragoslav Bašić

{"title":"Tension free vaginal tape (TVT) vs Transobturator tape (TOT) complications and outcomes.","authors":"Milan Potić, Ivan Ignjatović, Dragoslav Bašić","doi":"","DOIUrl":"","url":null,"abstract":"Background: Stress urinary incontinence (SUI) is managed with both TVT and TOT. The TVT route of placement could result in a higher com-plication rate. The aim of this study is to analyze and compare outcomes and complications of TVT and TOT in SUI treatment.Methods: Prospective study in 64 women with isolated SUI was validated through Urogenital Distress Inventory (UDI-6), Incontinence Impact questionnaire (IIQ-7) and International Continence Impact Questionnaire (ICIQ5-SF). Intraoperative and postoperative complications were noted. Patients were considered cured when negative on stress test and with no need for additional surgery during follow up, after one and three months.Results: The cure rates for both TVT 26/30 (86,6%) and TOT 30/34 (88,2) were comparable. Higher rates of bleeding, bladder perforations, pain and dyspareunia are recorded in TVT group. Quality of life graded on the questionnaire basis proved significant improvement in both procedures.Conclusion: Both TVT and TOT have comparable cure results in the treatment of SUI. The TOT is equally effective in the SUI treatment with significantly lower complication incidence.","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"61 1","pages":"81-4"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33020021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0