Noveski, Lazo
Preferred name
Noveski, Lazo
Official Name
Noveski, Lazo
Alternative Name
Lazo Noveski
Noveski Lazo
L. Noveski
Noveski L
Лазо Новески
Main Affiliation
Email
lazo.noveski@medf.ukim.edu.mk
20 results
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Item type:Publication, Surgical treatment of scalp skin cancer with endocranial invasion(Macedonian Association of Orthopedics and Traumatology, 2016); ; ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Our experience in treatment of pressure ulcers by using local cutaneous flaps(Macedonian Academy of Sciences and Arts, 2008-07); ; ; Pressure ulcers appear in very ill patients and in states of prolonged immobilization. They are quite frequent in intensive care units and in paraplegic individuals. The expenses for their sanation are huge, due to the complicity of the long-lasting treatment. Shallow and superficial pressure ulcers are treated conservatively. Deep ones, with expressive underlying bone prominence in which no regression is on-going, are better to be treated operatively, if possible. Thus the hospitalisation period and the need for frequent dressings are shortened, preventing enormous scars (sanatio per secundam intentionem of the wound) and the risk of subsequent infection. What is also important for the treatment of the prime disease is that the patient can rehabilitate earlier. There are many methods of excision of the ulcer, ablation of the bone prominence and coverage of the defect with different types of flaps afterwards. Although muscle flaps can be utilized, we assume that their use additionally influences the general condition of the patient (malnutrition and anaemia always co-exist). Thus we find our way of treatment less traumatising and better, if pliable, for decubital ulcers. The objective of the study was to evaluate the clinical results after an operative treatment of deep decubital ulcers (III and IV grade) with local dermal flaps and to promote the method of their closure. We paid special attention to ablation of the bone prominence. We used local pivotal adipose-cutaneous flaps in order to cover the cleansed tissue defect. The types of flaps employed were unilateral and bilateral rotation flaps, transposition and bipedicular flaps. Our series covered 23 patients who were operated on in the last 10 years, of whom 16 (69.6%) had a spinal cord injury (paraplegic). Pressure ulcers in the sacral region dominated with 12 cases (52.2%). The operative techniques that we used were as follows: unilateral rotation flaps (in 7 patients), bilateral rotation flap (in 1 patient), transposition flaps (in 10 patients), bipedicular flaps (in 2 patients), free skin Thiersch auto-transplant (in 2 patients) and direct closure of the defect (in 1 patient). The results advocate the justification of these ways of treatment of pressure ulcers, with few early and late complications. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Surgical treatment of cancer on the eyelids and periorbital skin(Macedonian Surgical Association, 2003); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, COMPARATIVE ANALYSIS OF PREOPERATIVE AND POSTOPERATIVE DIAGNOSIS IN SKIN MELANOMA(Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2021-12); ; ; ; Gruev, VladislavIntroduction: Taking into account the increase in incidence and high mortality in advanced stages, early diagnosis is a prerequisite for successful treatment of melanoma. The aim of this study was to determine the concordance between dermatological (withdermoscopy), surgical and pathohistological diagnosis in patients with a suspicious finding of skin melanoma. Material and methods: A comparison between the clinical and pathohistological diagnosisof patients of both sexes, of all ages, with a referral diagnosis of skin melanoma was made. Results: Out of a total of 535 analyzed cases, 469 (87.5%) had preoperative dermato logical findings. In 329 of these patients the referral diagnosis was in favor of melanoma. In 140 cases with a dermatological finding other than melanoma, a pathohistological finding of melanoma was obtained, 30% with a dermatological finding.In addition to melanoma, in 289 cases out of 329 cases with dermatological findings a pathohistological finding for melanoma was obtained, and in 40 cases a pathohistological finding other than melanoma was obtained. Of 66 cases without dermatological findings, 27 patients with a surgical diagnosis other than melanoma were operated on, with a pathohistological finding for melanoma - 41%. With a diagnosis of melanoma without prior dermatological examination, 39 cases were operated on, of which in 12 cases the pathohistological finding was in support of melanoma. Of 58 patients who underwent dermoscopy, 78% had a matching dermoscopic and pa thohistological diagnosis. Conclusion: The results of this study showed a high percentage of erroneous preope rative diagnoses - Some of the metrics are blocked by yourconsent settings
Item type:Publication, SURGICAL TREATMENT OF PRIMARY LYMPHEDEMA COMPLICATIONS – A CASE REPORT(Macedonian Association of Anatomists and Morphologists, 2021); ; ; ; Jovanovska, KaterinaWe present a case of a 28-year-old woman with primary lymphedema of the right leg, with tumor formations on her right foot, causing functional disabilities. Tumor formations were removed and histologically confirmed as dermatofibromas. Five years later, the patient was readmitted due to foot problems, keratosis of the heel, as well as increased edema of the dorsum of the foot and lower leg. Liposuction and excision of lymphoedematous tissue from the dorsum of the foot, release of the constrictive band at the level of the anterior surface of the ankle with "Z" plasty, as well as liposuction of lymphoedematous tissue of the lower leg and thigh were performed. The postoperative course was without complications, with a light seroma at the dorsum of the foot. During the 4-year follow-up period, the patient showed a noticeable improvement, with a slow increase in the volume of the lower leg and thigh, which did not reach the preoperative dimensions. Unfortunately, lymphedematous tissue increased again on the dorsum of the foot as prior to surgery. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Predictive Factors in Malignant Melanoma(Macedonian Association of Anatomists and Morphologists, 2012); ; ; ; The vertical melanoma thickness according to Breslow, the anatomical level of the tumor skin invasion according to Clark, mitotic activity in the tumor cells, the type and the phase of growth of the tumor, the localization, the local inflammatory response to the tumor cells and the presence of the tumor infiltrating lymfocytes as well as the age and the sex of the patient are considered as factors which could influence the prognosis of the melanoma. The aim of this study was to define the correlation between the predicting factors of malignant melanoma (vertical melanoma thickness according to Breslow, the presence of the ulceration and the presence of tumor infiltrating lymphocytes), and the presence of metastasis in the sentinel lymph nodes, and, to determine the predicting value of these factors in patients with malignant melanoma of the skin. Thirty patients with malignant melanoma who had undergone surgery at the University Clinic for Plastic and Reconstructive Surgery in Skopje in the period from 2005 until 2009, were retrospectively evaluated. The following parameters were analyzed: primary tumor thickness according to Breslow, presence of ulcerations, lymphocytic infiltration and their relation with onset of metastases in the sentinel lymph node. The results showed that there was a statistically significant correlation of the vertical thickness of the tumor according to Breslow and the presence of the lymphocytic infiltration with the sentinel node positivity for metastasis. Higher value of Breslow indicates higher possibility for metastasis in the sentinel nodes. A more intense tumor lymphocytic infiltration is related to the lower possibility for metastasis in the sentinel nodes. The correlation between the ulceration of the melanoma lesion and the positivity for metastasis of the sentinel node was statistically insignificant. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, FREE REPLANTATION OF TOTAL AVULSED SCALP - A CASE REPORT(Macedonian Association of Anatomists, 2020); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Necrotizing fasciitis after caesarean section - presentation of two cases(Македонско лекарско друштво = Macedonian medical association, 2022); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Tissue expansion reconstruction of the scalp with secondary cutis verticis gyrate(Macedonian Association of Anatomists and Morphologists, 2016); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Doppler comparative measurements in the reconstruction of limbs with flaps and grafts(Македонско лекарско друштво = Macedonian Medical Association, 2017); ; ;