Mircevska Zhogovska, Elizabeta
Preferred name
Mircevska Zhogovska, Elizabeta
Official Name
Mircevska Zhogovska, Elizabeta
Translated Name
Мирчевска Жоговска Елизабета
Alternative Name
Zogovska Mirchevska E.
Zogovska Mircevska E.
E. Mircevska Zogovska
E. Mirchevska Zogovska
E. Zhogovska
E. Mirchevska
E. Mircevska
Mirchevska Zogovska E.
Zhogovska E
Mirchevska E.
Mircevska E.
Zogovska E.
Zjogovska E.
Mirchevska Zhogovska E.
Mircevska Zhogovska E.
Zhogovska Mirchevska E.
Zhogovska Mircevska E.
E. Zogovska
E. Zjogovska
E. Zjogovska Mirchevska
E. Zjogovska Mircevska
E. Mirchevska Zhogovska
E. Mircevska Zhogovska
E. Zhogovska Mirchevska
E. Zhogovska Mircevska
Mircevska Zogovska Elizabeta
Mirchevska Zogovska Elizabeta
Zhogovska Elizabeta
Mirchevska Elizabeta
Mircevska Elizabeta
Zogovska Elizabeta
Zjogovska Elizabeta
Zjogovska Mirchevska Elizabeta
Zjogovska Mircevska Elizabeta
Mirchevska Zhogovska Elizabeta
Mircevska Zhogovska Elizabeta
Zhogovska Mirchevska Elizabeta
Zhogovska Mircevska Elizabeta
Zogovska Mirchevska Elizabeta
Zogovska Mircevska Elizabeta
Mircevska Zogovska E.
Zjogovska Mirchevska E.
Zjogovska Mircevska E.
E. Zogovska Mirchevska
E. Zogovska Mircevska
Main Affiliation
Email
elizabeta.mircevska@medf.ukim.edu.mk
34 results
Now showing 1 - 10 of 34
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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, PRESENCE OF METATARSAL SYNDROME IN PATIENTS WITH HALLUX VALGUS DEFORMITY OPERATED BY KELLER'S METHOD(MIT Univerzitet Skopje, 2020); ; ; ; Metatarsalgia syndrome is a common pathological outcome in patients with hallux valgus deformity. However, the association between the occurrence of preoperative and the presence or absence of postoperative metatarsalgia in operated patients with this deformity has not been systematically investigated. The aim of this study was to investigate the presence of metatarsal syndrome preoperatively and postoperatively in patients with hallux valgus deformity operated by resection arthroplasty using the Keller method. Material and method: The material of the study included 35 patients with hallux valgus deformity, treated with the operative procedure according to the Keller method. The metatarsal pain was evaluated with the clinical method - accordion test. Clinical and radiographic examination of the subjects was done preoperatively and postoperatively. Results: Metatarsalgia was registered before surgery in 27 (77.1%) subjects, of which only 5 (18.5%) subjects had this symptom after surgery. All 8 (22.9%) subjects without metatarsalgia preoperatively, are without this symptom and postoperatively. Conclusion: Resection arthroplasty according to Keller method allows a drastic percentage reduction of metatarsal syndrome in the postoperative period. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Partial auricular reconstruction with conchal pedicled flap – a case report(MIT Univerzitet Skopje, 2020); ; Ear defects in addults occur mainly due to traumatic injuries or after tumor resections. Reconstruction is often chalanging as it has to maintain functional and aesthetic results, later more important in younger patiens. There are many different techniques for ear reconsruction, many of which a multy-staged, using devices or cartilages of other parts (ribs or healthy ear), bearing high risk of failure and distant scars appart from the affected ear. We present a case of a young boy that suffered ear bite in a fight, with a missing upper thirth of auricular scaffold. Since other scars were not acceptible for the patient, a local pedicaled flap from concha of the ipsilateral ear was planned to reconstruct the upper ear. The paper explanes the tecnique, documented with intraoperative and postoperative photos.The result was aesthetically pleasant and no other refinements are done so far. As a paired and visible organ, successful auricular reconstruction should preserve and sustain basic anatomic auricular form and lines, thus achieving sufficient aesthetic outcome. Despite all the available tecniques for ear reconstruction, local flaps are very usefull since they comprise similar tissue in terms of color and quality, what is a mainstay of good aesthetic results. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Thymectomy for myasthenia gravis and anesthetic implications - a retrospective study(League Against Epilepsy of the Republic of Macedonia = Лига против епилепсија на Република Македонија, 2017); ; ; ; Mojsova Maja - 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, ЗГРИЖУВАЊЕ НА ДЕФЕКТИТЕ НАСТАНАТИ ПО ЕКСЦИЗИЈА НА SINUS PILONIDALIS ВО САКРО-КОКЦИГЕАЛНАТА РЕГИЈА(Македонско лекарско друштво = Macedonian medical association, 2012); ; ; ; Introduction. The pilonidal cyst is still an actual surgical problem due to the frequency of its appearance and high risk of post-operative recurrence. Radical excision and treatment of the defect is classic surgical technique when dealing with this clinical identity. Having in mind the frequency of post-operative recurrences, many surgical methods to treat the tissue defect have been developed. The tendency is to avoid the straight line in the inter-gluteal crease. The objective of our study is to evaluate the different available operative techniques that are used when treating this disease. Methods. This is a retrospective-prospective study that includes all 671 patients treated in a period of 10 years with various techniques employed. The techniques are analyzed and compared regarding their complications with a special attention paid to the recurrence and the rate of the disease. Results. Recurrences are seen after 6-12 months of follow up. There are 22 eases of recurrences (3,28%). Most of them, or 72% of the total number, are seen in the patients that were operated with the method of direct suture of the postexcisional defect (2,88%). In the open method, no recurrences are presented. In the other 93 cases where other techniques were utilized, there are only 2 recurrences (2.07%). Conclusions. There are no recurrences in cases of opened wound healing, but hospital stay is the longest one. Com-paring other methods. there is a smaller recurrence risk with this technique. and although patient and surgeon de-pended. it has insignificant differences concerning the risk of postoperative complications. - 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, USAGE OF DIFFERENT TYPES OF ANESTHESIA IN ORTHOPEDIC PATIENTS TREATED WITH DAY CASE SURGERY(MIT University Skopje, 2016); ; ; ; Introduction: Orthopedic patients treated with day case surgery expect rapid recovery, high postoperative satisfaction and low postoperative pain and complications. Aim: The aim of our study is to report the annual frequency of the day case surgeries in our clinic, as well as to point out the types of orthopedics surgical procedures used. Material and methods: Between 2013 and 2015, at the University clinic for orthopedic surgery, patients were selected for day case surgery on hands and feet. Local anesthesia, intravenous regional anesthesia or peripheral nerve blocks were used for different types of operations. Results: In 3 years period, we operated 5124 patients, 1143 of them were treated as day case surgery. We found that our day case surgery rate was 22%. Out of 1143 patients, 657 (57%) were operated under local anesthesia, 237 (21%) with intravenous regional anesthesia and 249 (22%) with peripheral nerve blocks. 645 were females and 498 were males with average age of 47 ± 15 years. The procedures performed under local anesthesia were; 399 (35%) release of carpal tunnel, 171 (15%) release of trigger finger, 84 (7%) release of de Quervain’s and 3 (0.3%) minimal invasive suture of Achilles tendon rupture. Procedures performed with intravenous regional anesthesia were; 156 (14%) excision of fascia palmaris in Dupuytren contracture and 81 (7%) excision of ganglion of the wrist. Operations performed with peripheral nerve blocks were; 171 (15%) correction of hallux valgus deformities and 78 (7%) bunion deformities. Conclusion: The rate of day case surgery in our clinic is low. We use local anesthesia, intravenous regional anesthesia and peripheral nerve blocks for hand and foot operations. Day case surgery can offer a number of advantages for patients; it can minimize the costs, reduces the surgery waiting time and lowers the postoperative complications. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, OPEN VS PERCUTANEOUS TENORRHAPHY IN TREATMENT OF “MALLET FINGER” INJURY – OUR EXPERIENCE(2023-11); ;