Mladenovikj, Dragoslav
Preferred name
Mladenovikj, Dragoslav
Official Name
Mladenovikj, Dragoslav
Main Affiliation
Email
dragoslav.mladenovic@medf.ukim.edu.mk
10 results
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Item type:Publication, Primary Myeloid Sarcoma of the Ileum and Mesentery Causing Small Bowel Obstruction: Case Report and Literature Review(Vilnius University Press, 2020-06-10); ; ; <jats:p>Myeloid sarcoma (extramedullary myeloblastoma, granulocytic sarcoma, chloroma) is an extramedullary isolated malignant tumor of myeloblasts and immature myelocytes. It can occur anywhere in the body as a solitary tumor or can be accompanied with acute myeloid leukemia. We are presenting a case of a young male patient that presented with sings of a small bowel obstruction and a palpable tumor mass in the abdomen. After uneventful postoperative period, the immunohistochemistry analysis reported an extramedullary myeloid sarcoma since a normal bone marrow biopsy was revealed.</jats:p> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Complications after Laparoscopic Appendectomy for Complicated Appendicitis(Vilnius University Press, 2020-06-10); ; Background. Laparoscopic appendectomy is established method in the treatment of complicated appendicitis. Certain advantages of the technique do not fulfill the expectations for its superiority over the open appendectomy as when it is used for uncomplicated appendicitis. This is generally caused because of the high variety of postoperative complications reported in different series for complicated appendicitis. Material and methods. This prospective interventional clinical study analyzes 61 patients operated with laparoscopic and open appendectomy due to complicated appendicitis, with an end point of comparing the intra and postoperative complications in both groups. Results. Conversion in open appendectomy was forced in one patient (1.63%). The operative time was significantly shorter in the laparoscopic group (p = 0.048). Wound infection was significantly predominant in the open group (p = 0.045). Postoperative intraabdominal abscess occurred in one patient in the laparoscopic group (p = 0.52). The overall morbidity was 26.2% (7 patients in the laparoscopic, and 9 in the open group; p = 0.59). Length of stay was significantly shorter in the laparoscopic group (p = 0.00001). Conclusion. Certain significant advantages of the laparoscopic appendectomy as low incidence of wound infection, short hospitalization, less postoperative pain and faster socialization makes the laparoscopy up to date method in the treatment of complicated appendicitis. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Manual Colonic Decompression - Faster Than On-Table Lavage in Obstructed Left Colon Cancer(Medical University of Varna, Bulgaria, 2016-09); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Our first experience in laparoscopic colorectal operations(Medical University of Varna, Bulgaria, 2013); ; ; G. Stavridis - Some of the metrics are blocked by yourconsent settings
Item type:Publication, CORRELATION OF SCORING SYSTEMS WITH HISTOPATHOLOGICAL FINDINGS AND THEIR IMPORTANCE IN REDUCING THE PERCENTAGE OF UNNECESSARY APPENDECTOMIES(Macedonian Medical Association, 2019-02); ; ; ; Markov, Petar - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The Chevrel Technique in the Treatment of Midline Giant Incisional Hernia(Medical University of Varna, Bulgaria, 2016-10); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Retroperitoneal Liposarcoma with `Milky Abdomen` in Elective Laparoscopic Cholecystectomy (a Case Report)(Medical University of Varna, Bulgaria, 2016-10); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, EARLY POSTOPERATIVE OUTCOME IN OPEN AND LAPAROSCOPIC APPENDECTOMY. OUR COMPARATIVE DATA ANALYSIS(Medical University of Varna, Bulgaria, 2017-09); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Primary Myeloid Sarcoma of the Ileum and Mesentery Causing Small Bowel Obstruction: Case Report and Literature Review(Vilnius University Press, 2020-06-10); ; ; Myeloid sarcoma (extramedullary myeloblastoma, granulocytic sarcoma, chloroma) is an extramedullary isolated malignant tumor of myeloblasts and immature myelocytes. It can occur anywhere in the body as a solitary tumor or can be accompanied with acute myeloid leukemia. We are presenting a case of a young male patient that presented with sings of a small bowel obstruction and a palpable tumor mass in the abdomen. After uneventful postoperative period, the immunohistochemistry analysis reported an extramedullary myeloid sarcoma since a normal bone marrow biopsy was revealed. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, CORRELATION OF SCORING SYSTEMS WITH HISTOPATHOLOGICAL FINDINGS AND THEIR IMPORTANCE IN REDUCING THE PERCENTAGE OF UNNECESSARY APPENDECTOMIES(Македонско лекарско друштво = Macedonian medical association, 2019); ; ; ; Markov, PetarIntroduction. Acute appendicitis (AA) is one of the most common emergency surgical conditions, where emergency laparotomy is necessary. However, perforation rates and negative laparotomies during this procedure have not been reduced. The purpose of this paper was to evaluate the importance of the scoring systems in the differenttial diagnosis for setting an indication for appendectomy. Method. Prospective comparisons of the values of 4 scoring systems were performed among 60 patients: Alvarado, Appendicitis Inflammatory Response (AIR), Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and Tzanakis. Values for the scores were determined in all patients treated with lower right quadrant (LRQ) abdominal pain, under a differential diagnosis of AA. After the appendectomy (open surgery or laparoscopic), a correlation was obtained between the histopathologic findings (HP) and the corresponding latent values. Results. In the study 63.33% of the patients were male. Distribution of patients according to the values of the three different systems (Alvarado, RIPASA and Tzanakis) showed that the largest number of patients had values higher than 8 and AIR values of 7- 8. In the study, 95% of the operated patients were positive for appendicitis compared to the histopathological finding. 80% of the surgeries included on-time appendectomy, 15% delayed diagnosis, and 5% were found to be with an unnecessary appendectomy. According to the HP findings of those with positive findings, 77.2% of the cases had appropriate preoperative ultrasonographic (US) diagnosis. A statistically significant association of the scores with HP findings (promptly phlegmonous, promptly gangrenous, late perforated and unnecessary) was found only for the Alvarado, AIR, Tzanakis, and no statistically significant association was found for the RIPASA score. Conclusion. Scoring systems are useful diagnostic tools for appendectomy indication. Using one or a combination of two or more scoring systems reduces the percentage of unnecessary appendectomies.