Trenchev, Viktor

Now showing 1 - 6 of 6

Some of the metrics are blocked by your
consent settings
SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study
(Wiley, 2022-01)
COVIDSurg Collaborative* and GlobalSurg Collaborative*
;
;
;
;
Chokleska, N
SARS-CoV-2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri-operative or prior SARS-CoV-2 were at further increased risk of venous thromboembolism. We conducted a planned sub-study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 days of surgery. SARS-CoV-2 diagnosis was defined as peri-operative (7 days before to 30 days after surgery); recent (1-6 weeks before surgery); previous (≥7 weeks before surgery); or none. Information on prophylaxis regimens or pre-operative anti-coagulation for baseline comorbidities was not available. Postoperative venous thromboembolism rate was 0.5% (666/123,591) in patients without SARS-CoV-2; 2.2% (50/2317) in patients with peri-operative SARS-CoV-2; 1.6% (15/953) in patients with recent SARS-CoV-2; and 1.0% (11/1148) in patients with previous SARS-CoV-2. After adjustment for confounding factors, patients with peri-operative (adjusted odds ratio 1.5 (95%CI 1.1-2.0)) and recent SARS-CoV-2 (1.9 (95%CI 1.2-3.3)) remained at higher risk of venous thromboembolism, with a borderline finding in previous SARS-CoV-2 (1.7 (95%CI 0.9-3.0)). Overall, venous thromboembolism was independently associated with 30-day mortality (5.4 (95%CI 4.3-6.7)). In patients with SARS-CoV-2, mortality without venous thromboembolism was 7.4% (319/4342) and with venous thromboembolism was 40.8% (31/76). Patients undergoing surgery with peri-operative or recent SARS-CoV-2 appear to be at increased risk of postoperative venous thromboembolism compared with patients with no history of SARS-CoV-2 infection. Optimal venous thromboembolism prophylaxis and treatment are unknown in this cohort of patients, and these data should be interpreted accordingly.
Some of the metrics are blocked by your
consent settings
Surgical zones of extensor tendon injuries of the hand: principals of surgical teratment
(Macedonian Association of Anatomists and Physiologists, 2011)
Djokic Gj
;
Gjorgievska J
;
;
;
Milosevska Mijalkovska M
Some of the metrics are blocked by your
consent settings
MANAGEMENT OF A GIANT LIPOMA IN THE AXILLA: A CASE REPORT
(Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2023)
;
;
Toleska, Natasha
;
Daskalov, Darko
;
Angjushev, Darko
Lipomas are the most common benign mesenchymal tumors in adults.Generally,they are less than 5 cm in size but sometimes they can present as giant lipomas.Axillary region is an unusual localization for lipomas in general, especially for giant lipomas.A case of a 62-year-old male with a giant lipoma in the axillary region is presented.The tumor was located in the left axillary region beneath the pectoralis major muscle and extended all along to the scapula. It was adjacent to the axillary vessels and the brachial plexus, but did not invade the neurovascular bundle.A team of a plastic and thoracic surgeon performed the operation.The pathology report confirmed a benign lipoma weighting 454 grams and measuring 13.5x8x7 cm. Follow-up examinations (clinical examination and ultrasound) revealed no recurrence three years after the operation.The mechanism of lipoma formation is not completely clear. It includes twopotential and overlapping mechanisms in which trauma seem to have the major role.The treatment includes surgical excision or liposuction. However,excision of large lipomas can sometimes be a surgical challenge.Giant lipomas in axillary region should beremoved in order to establish the pathohistological diagnosis and to prevent possible compression of the neurovascular structures. In our opinion, surgical excision is a preferred method of treatmentbecause there is less possibility of damaging vital structures and it offers better control against local tumor recurrence.
Some of the metrics are blocked by your
consent settings
Suborbital fat protrusion of the lower eyelids
(Macedonian Academy of Sciences and Arts, 2007-12)
;
;
Gjorgievska, Jasmina
;
;
Naceska, A
Background: Protrusion of the lower eyelid is an aesthetic condition that is influenced by many anatomical features. Aim is to identify and categorize fat pad protrusion under the lower eyelids, and to evaluate the scoring system for determining the anatomical characteristics that will yield optimal surgical results. Material and Methods: During a six year period (2000–2005) we operated 42 patients with suborbital protrusion of lower eyelids. In our assessment of the fat pad protrusion we employed analysis of: prominence of the orbicular muscle, prolapse of the suborbital fatty tissue, eyelid fluid, stretching of the lower eyelid, triangular prominence in the malar region, loss of skin elasticity (tear through). Results: Our study showed that the cause for baggy lower eyelids appearance is a group of complex anatomical changes. The cumulative contribution score used in this study allows for determination of the principal cause for the appearance of the sagging baggy lower eyelids. With this knowledge, the surgeon has the opportunity of choose the most appropriate Blepharoplasty technique in obtaining the optimum aesthetic effect. Conclusion: The cumulative contribution score for each anatomic variable show us that prolapsed orbital fat received high score in man as compared to women. The knowledge of the origin of baggy eye lids can aid surgeons in their selection of the correct facial sculpting technique in order to achieve the optimal aesthetic effect.
Some of the metrics are blocked by your
consent settings
Multiple primary melanomas: a case report
(Македонско лекарско друштво - Macedonain Medical Association, 2022)
;
;
;
;
Some of the metrics are blocked by your
consent settings
SARS-CoV-2 vaccination to support safe surgery during the pandemic: a modelling study using data from an international prospective cohort study
(Oxford University Press on behalf of BJS Society Ltd, 2021)
;
;
;
;
Cokleska Shuntov, Natalija

Trenchev, Viktor

Filters

Settings

Sort By

Results per page