CHolanchevski, Risto

Preferred name
CHolanchevski, Risto
Official Name
CHolanchevski, Risto
Main Affiliation
Email
risto.colancevski@medf.ukim.edu.mk

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    Efficacy of Intraperitoneal Bupivacaine on Pain Relief After Laparoscopic Cholecystectomy
    (Macedonian Academy of Sciences and Arts /Walter de Gruyter GmbH, 2018-07-01)
    Toleska, Marija
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    Panovski, Milcho
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    Patients undergoing laparoscopic cholecystectomy do experience postoperative pain, especially in the abdomen. Postoperative pain management remains a major challenge after laparoscopic procedures. Administration of intraperitoneal local anesthetic (IPLA) after surgery is used as a method of reducing postoperative pain. In this study, we evaluated the effect of intraperitoneal infiltration of local anesthetic (bupivacaine) for pain relief after laparoscopic cholecystectomy.</jats:p> <jats:p><jats:bold>Material and methods:</jats:bold> In this prospective, controlled, and randomized study were included 50 patients aged 25-60 years (35 female and 15 male), scheduled to laparoscopic cholecystectomy with ASA classification 1 and 2. Patients were classified randomly into two groups: group A, which included 25 patients who received intraperitoneal instillation of bupivacaine 0.5% 20 ml; and group B, which included 25 patients who didn’t receive any intraperitoneal instillation. Postoperative pain was recorded using the visual analogue scale (VAS) for 24 hours after laparoscopic cholecystectomy.</jats:p> <jats:p><jats:bold>Results:</jats:bold> There was no significant difference with respect to age, weight, and sex; duration of surgery; and anesthesia time. VAS scores at different time intervals were statistically significantly lower at all times in group A compared to group B. There were statistically significant differences in VAS scores between group A and group B at all postoperative time points - 1hr,4 hr,8 hr,12hr and 24hr (p < 0.00001).</jats:p> <jats:p><jats:bold>Conclusion:</jats:bold> Intraperitoneal instillation of bupivacaine provides good analgesia in the postoperative period after laparoscopic cholecystectomy.</jats:p>
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    Heterotopic pancreas in the hepatobiliary triangle
    (Department of Anaesthesia and Reanimation, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Macedonia, 2020)
    Gelevski R
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    Bajdevska Dukovska D
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    Хирургија кај неситноклеточен белодробен карцином (N2 статус)
    (Македонско лекарско друштво = Macedonian Medical Association, 2011)
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    Трајанка Трајковска
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    Борче Антевски
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    CHALLENGES IN DIFFICULT AIRWAY MANAGEMENT - AIRWAY MANAGEMENT IN A CASE OF PROLONGED ENLARGED THYROID GLAND (STRUMA PERMAGNA)
    (Department of Anesthesia and reanimation, Faculty of Medicine, Ss.Cyril and Methodius University, Skopje Macedonia, 2018-12)
    Trposka A
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    Stojkovska A
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    Preoperative identification of patients with difficult airway is of vital importance in order to avoid unnecessary risks posed - to patients. Tracheal intubation in a patient with tracheal deviation and/or compression is challenging. Difficult airway management is of paramount priority to the anesthesiologist and also to the surgeon. Failure to oxygenate or ventilate the patient’s lungs during anesthesia can quite rapidly and predictably lead to brain damage or death. Proper preoperative airway assessment, preparation and skillful management reduce the morbidity and mortality in difficult airway cases involving thyroid enlargement.
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    Results of surgical treatment of pleular empyema
    (Здружение на инфектолози на Македонија = Macedonian Infectious Diseases Society, 2016-10-27)
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    Џиновски И.