Faculty of Medicine

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Access type: UnknownAuthor: search.filters.author.Georgieva G

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    Carpal tunnel syndrome caused by lipoma
    (Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University Skopje, R.N.Macedonia, 2021-03)
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    Jovanoski T
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    Georgieva G
    Carpal tunnel syndrome as a result of space occupying masses is very rare. Lipomas located in the carpal tunnel were found in small number of cases. In this case report, we present a case of a middle-aged woman with progressive muscle atrophy of the thenar and loss of sensation on the right hand innervated by the median nerve. Clinical examinations, electromyography and MRI were done, and a soft tissue mass, the most likely lipoma, was found in the carpal tunnel making pressure to the median nerve. Surgery was performed, decompression of the median nerve was provided, and results after two months showed complete improvement of the motor end sensory function of the hand.
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    Use of platelet rich plasma and split thickness skin graft in post-infection soft tissue defects, our initial experience
    (Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University Skopje, R.N.Macedonia, 2020-12)
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    Trajkova A
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    Georgieva G
    Introduction. Necrotizing soft tissue infections (NSTI) are severe, potentially life-threatening medical emergencies that are accompanied with devastating and rapidly spreading destruction of soft tissue as a result of bacterial infection and systemic toxicity. Patients with NSTI who undergo split thickness skin graft (STSG) experience high rates of complications. Platelet-rich plasma (PRP) has shown to have positive effect on the healing of acute, chronic and diabetic wounds. The aim of this study was to analyze the outcome of skin grafting with PRP in post-infectious soft tissue defects. Materials and Methods. Fourteen patients were randomized in two groups: an experimental group – wound coverage with STSG and PRP, and control group – with STSG alone. PRP was applied to the donor site in the experimental group. Patients’ follow up was until complete healing of wounds. In both groups we analyzed the healing time, the need for regrafting, secondary infections, pain and adverse effects. Results. Patients in the PRP group have had significantly reduced healing time (32.5 days) versus control group (72.5 days). In the experimental group, the rate of skin graft success was 90.2% vs. 77.2% in the control group. The need for regrafting occurred in one patient in the control group. Pain at the donor site in experimental group was statistically significantly lower. No adverse effects were reported. Conclusion. The combination of STSG and PRP reduces healing time and lowers the complication rates. It is safe to use with no adverse effect. Further studies are needed with larger number of patients to further validate its efficacy
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    FREE REPLANTATION OF TOTAL AVULSED SCALP - A CASE REPORT
    (Macedonian Association of Anatomists, 2020)
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    Jovanovska K
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    Georgieva G
    We present the case of a 38-year-old female who came to our Clinic5hours after injury with scalp avulsion due to entanglement of head scarf in the motorized machinewith a good final result after which the patient can use a wig.During the treatment, hyperbaric oxygen therapy was applied, after which we had a dilemma about the benefits of using it.