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Biomedical subjects

A Mitov

Publications and source records attributed to A Mitov.

31 records · Page 2Linked to original sources
PubMed1977

[Gunshot injuries of chest and abdomen (author's transl)].

A total of 51 patients with gunshot injuries of the chest and the abdominal cavity were treated at the Emergency Aid Institute "Pirogov" in Sofia from 1967 to 1976. The series included 45 men and 6 women, with a letality rate amounting to 21.5 per cent (11 patients). In 41 per cent it was a matter of abdominal injury where the letality was the highest (33 per cent). Chest injuries included 33 per cent with 12 per cent letality, while combined chest-abdominal injuries included 26 per cent with 14 per cent letality. Involvement of the small and large intestine showed the highest incidence of all abdominal organs (37 per cent). Traumatic-hemorrhagic shock and acute respiraotyr insufficiency prevailed. The operative tacties resorted to was strictly individual. In combined lesions of treatment of respiratory insufficiency, parenchymatous organs and major blood vessels has priority over the treatment of hollow organs.

Abdominal Injuries↗
PubMed1975

[Experimental and clinical results of autotransplantation of part of the spleen].

Eleven patients with traumatic rupture of the spleen were subjected to splenectomy and autotransplantation of part of the spleen. The technique of the operation is described: 5--20% of the spleen is incised into transversal slices of 2--3 mm of thickness which are placed along the periphery of omentum majus, they are enveloped in it and are studied. The number of the applied transplants is 3--6. By means of hematological tests the authors prove that the transplants have functions close to those of the spleen. The clinical and laboratory investigations have revealed that in 9 of the patients operated no symptoms of asplenia were present, whereas in another two patients signs of hyposplenism were detected. Immune studies have demonstrated that no autoimmune reactions have followed autotransplantation of part of the spleen. The indications for the operation are mentioned: traumatic rupture of the spleen, benign tumours and cysts of the spleen with splenic parenchyme being preserved. Contraindications for autotransplantation of part of the spleen are all cases with the syndrome of hypersplenism and systemic blood disorders--lymphogranulomatosis, leucemia, reticuloses and others.

Adult↗