Faculty of Medicine

Permanent URI for this communityhttps://repository.ukim.mk/handle/20.500.12188/14

Browse

Settings

Access type: UnknownAuthor: search.filters.author.Dalipi, Berat

Search Results

Now showing 1 - 2 of 2
  • Loading...
    Thumbnail Image
    Some of the metrics are blocked by your 
    consent settings
    Item type:Publication,
    Cecum Volvulus, In Misdiagnosis of Acute Appendicitis: a case report
    (2021-11-30)
    ;
    ;
    Jovanovska, Frosina
    ;
    Mustafova, Alma
    ;
    Dervisov, Kristijan
    Cecum Volvulus, In Misdiagnosis of Acute Appendicitis: a case report Şenol Tahir, Martina Ambardjieva, Frosina Jovanovska, Alma Mustafova, Kristijan Dervisov, Nimetula Limani, Petar Markov, Berat Dalipi University Clinic for Surgical Diseases, General and Abdominal Departemen – St.Naum Ohridski, Skopje, N. Macedonia Background: As a type of intestinal malrotation, colon volvulus is most common in the sigmoid, followed by the caecum and then the transverse and splenic flexure. The cause of volvulus may be due to embryologically incomplete rotation of the intestine, Ledd’s bands, long mesocolon, or dolichocolon. Methods/Results: Preoperative diagnosis of cecal volvulus is usually accidental and can be confirmed by CT of the abdomen, and it is an incidental intraoperative finding in most cases. We present a patient with an operative diagnosis for acute appendicitis, with Alvarado score of 8 and positive ultrasonographic signs for acute appendicitis. On laparoscopic exploration for appendectomy, an enormously dilated colon (bigger cystic formation) affects the entire pelvis. The conversion was performed with lower median laparotomy, cecal volvulus found with 360-degree rotation in the direction of the clock’s hands with more significant deterioration of the caecum. Right hemicolectomy was performed with ileum- transverse colon double GIA stapler anastomosis. On the 6th postoperative day, the patient was discharged home. Conclusions: Cecal volvulus although a rare acute surgical condition should be recognized and properly surgically treated.
  • Loading...
    Thumbnail Image
    Some of the metrics are blocked by your 
    consent settings
    Item type:Publication,
    Ligasure hemorrhoidectomy (LH) with „near base“ technique
    (Springer Science and Business Media LLC, 2021-10)
    ;
    ;
    Jovanovska, Frosina
    ;
    Mustafova, Alma
    ;
    Dervisov, Kristijan
    Ligasure hemorrhoidectomy (LH) with „near base“ technique Şenol Tahir*, Martina Ambardjieva, Frosina Jovanovska, Alma Mustafova, Kristijan Dervisov, Nimetula Limani, Berat Dalipi, Petar Markov University Clinic for Surgical Diseases, General and Abdominal departemen – St. Naum Ohridski, Skopje, N. Macedonia Background: In this study we evaluate the use of MilliganMorgan hemorrhoidectomy with Ligasure vessel sealing. Methods: Grades 3 and 4 hemorrhoids are operated with Ligasure by coagulation and cutting of the hemorrhoids at positions 5, 7 and 11 hour. Te patients received premedication, analgesia and intravenous 500 mg metronidazole preoperatively. Under anesthesia, placed in a lithotripsy position, the anoscope is placed with a easy retraction, than a 5 mm V shape incision is made with the scalpel at the anocutaneous border. Te nodule was lifted with an instrument and the LigaSure was placed on the base of the nodule (leaving 2 mm enough mucosa above the sphincter), coagulated and incised. Te control check, 24 hours later and sent home with oral analgesic and metronidazole therapy. Follow-up 7, 14 and 28th day Results: 52 patients undergoing LH surgery, with an average age of 42.5 years. 59 % are women and 56 % are grades III. Average operative intervention 17.0+4.1 minutes, hospital stay 1.2 days, Postoperative pain (VAS1-6) 3. Urinary retention 0.4 %. Minor bleeding 5.6 %. Pruritus in 5.6 %, gas incontinence 7.6 %. No stenosis or incontinence. Conclusions: LH is an efective and safe surgical method and it should be used as a routine.