Faculty of Medicine
Permanent URI for this communityhttps://repository.ukim.mk/handle/20.500.12188/14
Browse
3 results
Search Results
- Some of the metrics are blocked by yourconsent settings
Item type:Publication, RARE TENDON SHEATH GIANT CELL TUMOR OF THE THUMB – CASE REPORT(Македонско друштво на ортопеди и трауматолози = Macedonian Association of Orthopedics and Traumatology, 2022); ; ; Dalipi, RezeartGiant cell tumor of the tendon sheath is benign soft tissue tumor. The literature shows it affects people between age of 30 to 50 years with no gender predominance. Giant cell tumor is benign tumor which sometimes has potential to reappear. After radical surgical removal, according to the literature, 15%44% of the patients have recurrence of the tumor on the same location. This type of tumor is usually located on the fingers, and resembles the second most common benign tumor of the hand. In this report we present a surgically treated patient with giant cell tumor of the tendon sheath in the palmar part of the distal phalanx of the right thumb. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, PSEUDOTUMOR FOLLOWING METALONPOLYETHYLENE TOTAL HIP ARTHROPLASTY A REPORT OF THREE CASES(Македонска асоцијација на ортопеди и трауматолози = Macedonian Association of Orthopedics and Traumatology, 2022-06); ; ; ; Introduction: One of the rare complications of the total hip arthroplasty are pseudotumors. They are defined as granulomatous or destructive cystic lesions with nonneoplastic and noninfective origin. Typically there is latent period of 2 to 15 years from the implantation of the endoprosthesis to the clinical manifestation of the lesion. Most common symptoms are pain, swelling and discomfort but also, loosening of the components of the endoprosthesis or compressive symptomatology can occur. Potential mechanisms of development of psudotumors are foreignbody reaction, hypersensitivity reaction and excessive wear debris reaction. Case reports: We report three cases of pseudotumors following metalonpolyethylene total hip arthroplasty. The first case is 76yearold women presented with pain and limited motion of the right hip, 18 years after the hip arthroplasty. The second case is 53yearold man presented with pain and swelling in the right trochanteric region, 21 years after the hip arthroplasty. The third case is 55yearold women presented with painless, large mass in the left proximal thigh, 13 years after the hip arthroplasty. All three patients were treated operatively with extirpation of the pseudotumor. Discussion: Patients with hip or groin pain, a mass, or a fluid collection following total hip arthroplasty should be carefully evaluated, especially for the presence of infection. Unfamiliarity with pseudotumors may lead clinicians and radiologists to misinterpret these masses as worrisome for malignancy. The management of pseudotumors is controversial since there is no clear consensus for optimal treatment or surveillance. Conclusion: The recognition of pseudotumor is very important considering the increasing number of surgical procedures and consequential postoperative complications. Pseudotumors are a rare but important complication occurring in hip replacement surgery using all different types of implants. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ROBSON CLASSIFICATION OF CESAREAN SECTION IN NORTH MACEDONIA - CURRENT TRENDS(Македонско лекарско друштво = Macedonian medical association, 2021); ; ; ; Dalipi, AdelinaAbstract Introduction. Over the last few decades, the global cesarean section rate has significantly increased and reached an unprecedented level. The World Health Organization (WHO) has advised that cesarean section (CS) rates should not rise above 15%. Several classify¬cation systems have been proposed to tackle the increased cesarean section epidemic. Most of the countries have adopted and started using the Robson (10 groups) classification as the best and the one that is the easiest internationally applicable CS classification. Aim. To present the Robson classification as a way to start better classification of cesarean section and hence to reduce the number of unnecessary cesarean section deliveries. Methods: This study was realized at the University Clinic for Gynecology and Obstetrics in Skopje, North Macedonia. It is a retrospective study where two years were compared. Results. The rate of cesarean sections for 2017 was 38.5% and for 2019 42.6%. Categorization of deliveries according to Robson criteria showed a different rate of cesarean section for each subgroup. Discussion. The implementation of the Robson classi-fication in most countries has shown a reduction in the number of cesarean deliveries and thus a reduction in overall maternal and neonatal morbidity and mortality. The analysis has shown that group 5 had the largest number of cesarean section deliveries in both years, 2017 and 2019; these were patients with previous cesarean sections. They were followed by group 1 and 2, or pri¬mi¬para with spontaneous onset and induced delivery. Conclusion. The goal of Robson clasification is to identify the target groups that contribute most in the percentage of cesarean sections and to act on these tar-get groups through appropriate education and training.