Jankulovski, Nikola
Preferred name
Jankulovski, Nikola
Official Name
Jankulovski, Nikola
Main Affiliation
Email
nikola.jankulovski@medf.ukim.edu.mk
53 results
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Item type:Publication, Rhabdomyolysis in Critically Ill Surgical Patients(Academy of Medical Sciences of Bosnia and Herzegovina, 2016-07-27); ; Rhabdomyolysis is a syndrome of injury of skeletal muscles associated with myoglobinuria, muscle weakness, electrolyte imbalance and often, acute kidney injury as severe complication. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, MORGAGNI HERNIA IN THE ADULT PATIENT: A CASE REPORT(University of Niš, Faculty of Medicine, Niš, 2020-12-23); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The Effect of Rectus Sheath Block as a Supplement of General Anesthesia on Postoperative Analgesia in Adult Patient Undergoing Umbilical Hernia Repair(Walter de Gruyter GmbH, 2017-12-01); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, THE ANALGESIC EFFECT OF ULTRASOUND-GUIDED TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK FOR LAPAROSCOPIC BILATERAL INGUINAL HERNIA REPAIR(Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University, Skopje, Macedonia, 2017-04); ; ; Background: Transversus abdominis plane (TAP) block is a (new) regional anesthetic technique that provides analgesia to the parietal peritoneum, as well as the skin and muscles of the anterior abdominal wall, by introducing local anesthetic into the neuro-fascial plane between the internal oblique and the transversus abdominis muscles. Pain after laparoscopic bilateral inguinal hernia surgery can be moderate to severe and can result in prolonged hospital stay, unanticipated hospital admission and delayed return to normal daily activities. We evaluated the efficacy of TAP block in patients undergoing laparoscopic bilateral inguinal hernia repair in a randomized controlled clinical trial. Material and methods: Sixty patients undergoing laparoscopic bilateral inguinal hernia repair were randomized to undergo standard care (n=30) or to undergo a bilateral TAP block with bupivacaine (n=30). All patients received standard anesthetic, and after induction of anesthesia, the TAP group received an ultrasound-guided bilateral TAP block. Each patient was assessed after operation at 2, 6, 12 and 24 hours after surgery. Results: Bilateral ultrasound-guided TAP block significantly reduced postoperative visual analogue scale (VAS) pain scores at rest and on moving, reduced ketonal and tramadol postoperative consumption and reduced incidence of PONV in the TAP block group after surgery compared to control group. Conclusion: Bilateral ultrasound-guided TAP block provides effective postoperative analgesia during the 24 postoperative hours after laparoscopic bilateral inguinal hernia repair. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Promoter length polymorphism in UGT1A1 and the risk of sporadic colorectal cancer(Elsevier BV, 2012-04); Kapedanovska Nestorovska, Aleksandra - Some of the metrics are blocked by yourconsent settings
Item type:Publication, DOUBLE, VERY SHORT CYSTIC ARTERY: ANATOMIC VARIATION REVEALED DURING LAPAROSCOPIC CHOLECYSTECTOMY: A CASE REPORT(Македонско лекарско друштво = Macedonian Medical Association, 2020); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, HYPERTENSIVE DISORDERS IN PREGNANCY-PHYSICIANS’AWARENESS FOR EARLY DETECTION(Македонско лекарско друштво = Macedonian Medical Association, 2019); Abstract Introduction. Hypertensive disorders in pregnancy are a major cause of perinatal morbidity and mortality. Early diagnosis, term delivery, and/or patient’s transfer to a tertiary institution have a huge impact on favorable outcome. Aim. To estimate ob-gyn physician’s awareness for early detection of pregnancy hypertension i.e. for establishing diagnosis before the onset of symptoms. Methods. Study population was consisted of all pregnant women in ≥37 week of gestation admitted to Special Hospital for Obstetrics and Gynecology “Mother Teresa” during the period 15.02-28.02.2018. Тhe study was designed as a retrospective one, and the data were collected by a questionnaire. Additionally, histories of all patients admitted to SHOG “Mother Teresa” between 01.01.2017 and 31.12.2017 under diagnosis of PIH/PE (pregnancy-induced hypertension/pre-eclampsia), were analyzed retrospectively whether the diagnosis was established during the hospital admission or before. Results. Twenty-two percent of pregnant women that underwent regular antenatal check-ups did not have blood pressure measurement taken by their ob-gyn physician at all. Only in 16.7% of cases, the diagnosis was established early, i.e. before the onset of symptoms. Conclusion. The awareness of ob-gyn physicians for early (pre-symptomatic) detection of hypertensive disorders in pregnancy is low. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, MENAGEMENT OF BUTTONHOLE RECTAL INJURY AFTER VAGINAL DELEVERY - A CASE REPORT(Македонско лекарско друштво = Macedonian Medical Association, 2020); ; ; ; Abstract Introduction. A special form of higher degree perinealtear is a laceration of the anorectal epithelium with in-tact external anal sphincter muscle (“buttonhole tear”). This is very rare but, when not treated, carries the risk of a rectovaginalfistula. Case Report. We present a case of a nullipara, in which a spontaneous vaginal delivery of a fetus in the vertex presentation was complicated by a buttonhole rectal tear with a partial lesion of the sphincters. It was recognized on the 4thpostpartum day, and a recon-struction of the lesion with a diversing colostomy was made soon. Upon returning the colostoma, the patient at 6 months postpartum has good continence and is in a good condition. Discussion. There are very few cases reporting an isolated rectal lesion during parturition. Several factorsmay play a role in the etiology of these lesions, inclu-ding instrumentation, birth weight of more than 4 kilo-grams, midline episiotomy, persistent occipitoposterior presentation, nulliparity, tissue factors, and second sta-ge >1 hour. Obstetric anal sphincter and rectal injuriescan be missed if rectal examination is not carried out asa standard procedure prior to suturing. This can have a devastating effect on the physical and emotional well-being of women.Conclusion. Careful examination of the vagina and the rectum should be performed in all cases of perineal tears following a vaginal delivery. Buttonhole injuries, although rare, should be considered as severe traumas similar to the 4th degree lacerations and managed prom-ptlyby experienced surgeons. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Effect of Adding Dexamethasone as a Ropivacaine Adjuvant in Ultrasound-Guided Transversus Abdominis Plane Block for Inguinal Hernia Repair(Macedonian Academy of Sciences and Arts / Walter de Gruyter GmbH, 2015); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Single Dose of Magnesium Sulfate as an Adjuvant to General Anesthesia Improves Pain Control, Discomfort and Quality of Sleep Postoperatively(Macedonian Medical Association/Walter de Gruyter GmbH, 2016-12-01); ; ;