Faculty of Medicine
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Item type:Publication, TREATMENT OF NERVES INJURIES ASSOCIATED WITH PEDIATRIC SUPRACONDYLAR HUMERAL FRACTURES-OUR EXPERIENCE(SHMSHM - AAMD, 2020); ; ; Mikjunovikj LjubicaBackground: Supracondylar fractures of the humerus are the most common type of elbow fracture in children. Nerve injury is the most common complication. Our study aims to determine the risk of traumatic nerve injury associated with supracondylar fracture, to compare the risk in flexion-type compared with the extension type fractures, and to note any iatrogenic nerve injury after pin fixation. Material and methods: The target group in this study is consisting of pediatric population (90 cases) presented with a displaced supracondylar fracture of the humerus (Gartland type II and III). All patients were treated at the University Clinic of Pediatric surgery-Skopje in the period of time from 2010 to 2020. The children were 2 to 14 years old. All of them were evaluated for nerve injury before and after the operation in order to determine if the nerve injury is traumatic or iatrogenic. Type of fracture, flexion or extension type was noticed. Results: According to the data from 90 children treated for displaced supracondylar fracture of the humerus, traumatic nerve injury occurred in 9 patients (10%). 4 (44,4%) of the referred nerve injuries involved the ulnar nerve. All ulnar nerve injuries were result of a flexion type supracondylar fracture. 3 (33,3%) injuries involve the median nerve. All of them were result of an extension type of supracondylar fracture. The anterior interosseous nerve, as a branch of a median nerve was injured in all 3 cases. 2 (22.2%) were injuries of the radial nerve, all of them as a result of an extension type of supracondylar fracture. Conclusions: According to our results, among all nerve injury associated with supracondylarar fractures, ulnar nerve injury predominates. Ulnar neuropathy occurred most frequently in flexion-type injuries. All 9 neuropathies were directly related to the injury itself and were noted at the time of admission. Spontaneous neurological recovery occurred in all 9 patients at a mean of 7.7 months (3 to 15) after injury. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, INTERCONDYLAR (Y) FRACTURE OF THE DISTAL HUMERUS IN A 8-YEAR-OLD CHILD(University Ss. Cyril and Methodius in Skopje, 2021); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ANTEGRADE ELASTIC STABABLE INTRAMEDULARI NAILING IN TREATMENT OF DISTAL RADIUS DIAPHYSEAL METAPHYSEAL JUNCTION FRACTURES IN CHILDREN(University Ss. Cyril and Methodius in Skopje, 2023); ; Racaj, Anila - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Spontaneous rectus sheath hematoma– cause of acute abdomen in patients on anticoagulant therapy: two case reports(Scientific Foundation SPIROSKI, 2020-07-16); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Epidemiology, Evaluation and Surgical Treatment of undescended Testis in North Macedonia in the Period from 2011 to 2020(Albanian Society for Trauma and Emergency Surgery, 2023-01-20); ; ; Coklevska Shuntov, NataliaBackground; Cryptorchidism or undescended testis (UDT) is one of the most common pediatric disorders of the male endocrine glands and the most common genital disorder identified at birth. The main reasons for treatment of cryptorchidism include increased risks of impairment of fertility potential, testicular malignancy, testis torsion, and/or associated inguinal hernia Material and Methods; The aim of this study is to show the epidemical distribution of this pathology in the republic of North Macedonia from 2011-2020 and simultaneously show the number of cases in every city of Macedonia. The number of cases (by city) is shown in Table 1. All data is provided by the archives of The Institute of Public Health, North Macedonia. Discussion: It is very important to find if there is a correlation between the number of undescended testis cases in North Macedonia to the environment, genetics, level of education, level of health care institutions, etc. Reduced hormonal levels, reduced fertility and increased risk of testicular cancer are the most common side effects of no treatment or late treatment. Conclusion; This condition of the undescended testis is very common, and the possible effects of late treatment or no treatment at all are very risky. So, we have to pay attention to the risks in order to try to provide better treatment at the right point of age.</jats:p> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Evaluation of two surgical treatments of primary vesiureteral reflux among children-A 15 years experience(Association of medical doctors "Sanamed" Novi Pazar, 2016-06-15); ; ; Kamiloski, MarjanAbstract: Aim: aim of the study was to evaluate the efficiency of two different surgical treatments of vesicoureteral reflux (VUR) on succesfull rate and patient outcome. Methods: Retrospective study on children with primary VUR and their surgical treatment from 1999 to 2014 in the University Clinic for Pediatric Surgery in Skopje. A total of 76 children (114 ureters) with VUR ranging from second to fifth grade were treated surgically, 44 patients (67 ureters) with an open surgical technique and 32 patients (47 ureters) with endoscopic treatment ”STING” procedure. The following parameters were analyzed: duration of the intervention, duration of the hospitalization, the need for antibiotics and analgesic therapy and the need for blood and blood derivatives transfusion. The result of the surgical treatment was also validated. Agood result was considered when reduction of VURby 2 degrees with the endoscopic method or by 3 degrees in the open surgical technique was noticed. Results: Using open surgical technique, patients were hospitalized for an average of 9 days (range from 5 to 13 days). All children received double antibiotic therapy. The need for analgesics lasted for 3 to 4 days. 90% of treated children needed blood and/or blood derivatives transfusion. Success rate with this method was 93.8%. Endoscopic procedure was performed as a one-day surgical procedure. The average duration was 15 minutes. Single, prophylactic dose of antibiotic was ordinated. There was no need for blood and/or blood derivatives transfusion. The overall success of the treatment was about 70%. Conclusion: Open surgical procedure is used for more complicated cases, VUR grade IV-V or by previously failed. Endoscopic, “STING” procedure was commonly used for patients with VUR grade greater than 2, after previously failed conservative treatment, febrile urinary infection despite antibiotic prophylaxis and/or emergence of new scarring in the renal parenchyma. Patient assessment and decision for what method will be used must always be done individually for each child.