Faculty of Medicine
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Item type:Publication, LAPAROSCOPIC INCISIONAL HERNIA REPAIR IN OBESE PATIENT: A CASE REPORT(Македонско лекарско друштво = Macedonian medical association/De Gruyter, 2013); ; Inoduction. Laparoscopic repair of ventral-incisional hernia is increasing compared to open technique. It has become a safe method, with low complications and cost comparable with open techniques. Shorter recovery and length of hospital stay are also associated with laparoscopic repair, especially among obese patients. Case report. We present a case of a 42-year-old patient with BMI (Body Mass Index) of 44. He has had three previous open operations for incisional hernia, the last one being two years ago. We performed a laparoscopic IPOM (Intraperitoneal Onlay Mesh) repair with composite mesh using transfascial (transabdominal) sutures and tacks (staples). Conclusions. Low rate of conversion, minimal perioperative morbidity and low recurrence indicate safety in obese and morbidly obese patients treated with laparoscopic approach. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ЛАПАРОСКОПСКА ТАПП НАСПРОТИ ПОПРАВКА ПО LICHTENSTEIN; РАН КЛИНИЧКИ ИСХОД(Македонско лекарско друштво = Macedonian medical association/De Gruyter, 2020); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Multivisceral resection for advanced duodenal adenocarcinoma: a case report and review of literature(Macedonian Academy of Sciences and Arts, 2013); ; The aim of this paper is to address adenocarcinoma of the duodenum by reporting a case, reviewing the literature and discussing current knowledge, diagnostic modalities and treatment options. We present a case of a 42-year-old patient with duodenal adenocarcinoma at the second portion invading surrounding organs. The patient had a previous history of colon malignancy and was diagnosed with a new tumour formation on regular CT (computed tomography) follow-up. Pylorus-preserving pancreaticoduodenectomy (PPPD) was preformed for this T4 N2 M1 tumor. Duodenal adenocarcinoma is a rare tumor, most frequently involving the second duodenal portion. It has no specific symptoms and it is difficult to diagnose it due to its rarity and clinical presentation. Diagnosis, exact localization, and involvement of lymph nodes and surrounding organs have an impact on surgical strategy and prognosis. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Splenectomy for haematological disorders(Macedonian Academy of Sciences and Arts, 2014); ; ; Mitevski, AleksandarSplenectomy is therapeutic for a large host of conditions. It is a consequence of expanding the list of disorders and liberalizing the indications for splenectomy in many diseases. Red blood cells disorders: autoimmune hemolytic anemia, hereditary spherocytosis, hemoglobinopathies and thalassemia are prone to splenectomy after failure of medical therapy. A variety of thrombocytopenic disorders are improved by splenectomy, and the most common indication for splenectomy is ITP (idiopathic thrombocytopenic purpura). Splenectomy is successful in reversing hypersplenism in a spectrum of disease called myeloproliferative disorders. Relief of symptoms from splenomegaly is also achieved, but it does not affect the inexorable course of the disorder. The role of splenectomy in white blood cells disorders (leukemias and lymphomas) is only palliative and facilitates chemotherapy. Splenectomy in patients with hemathologic disorders imparts a risk of fulminant and life threatening infection "overwhelming postsplenectomy sepsis" that can be obviated by appropriate treatment. Although splenectomy for hemathologic disorders is only therapeutic and not curative, the relief of symptoms and for some disorders facilitation of chemotherapy leads to better quality of life and longer survival. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Laparoscopic versus open splenectomy: a single center eleven-year experience(Sestre milosrdnice University Hospital Center, 2013-06); ; ;