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Biomedical subjects

D Dugalić

Publications and source records attributed to D Dugalić.

12 recordsLinked to original sources
PubMed1990

[Duodenal obstruction caused by gallstones (Bouveret syndrome)].

Gallstone obstruction of the duodenum (Bouveret's syndrome) is a very rare complication of biliary calculosis. A great biliary calculus with long-term persistence causes cholecystoduodenal fistula and after passing through this fistula into duodenum, subsequent duodenal obstruction develops. The authors present a 73-years-old woman with Bouveret's syndrome. She was admitted to the Institute of digestive diseases with clinical signs of high intestinal obstruction. Preoperative radiographic examination detected gallstone obturation of the duodenum. At operation, two large gallstones were extracted from the duodenum, a thickened gallbladder was removed and duodenal suture was done. Post-operative course was delayed, due to respiratory complications and the patient went home on the 37th day after the operation in good condition.

Aged↗
PubMed1989

[Early postoperative complications in elective splenectomy in hematologic diseases].

This study analyses frequency of complications and mortality after elective splenectomy done for various hematological diseases, dependent on the spleen weight. From 1979 to 1988 year, 236 patients were treated by splenectomy for various haematological disorders, including: autoimmune disorders (90), Hodgkin's disease (34), lymphoproliferative diseases (96) and myeloproliferative diseases (16 patients). In the early postoperative period, complications occurred in 51 (21.61%) patients, 10 of which (4.24%) died. Considering the size of the spleen (more or less than 1500 gr) there was no difference in the early postoperative mortality (p greater than 0.05; 3.30%:5.38%), while postoperative complications occurred significantly more often in patients with massive splenomegaly (p greater than 0.05; 1259%:3548%). The most frequent complications were septical (8.90%), prolonged fever (5.51 x), and postoperative bleeding (2.97%), while cardial, pulmonary and urinary complications occurred seldom, but more often caused patient's death. Defining the appropriate indications for splenectomy, performing suitable preoperative preparations and postoperative care, mortality was diminished from 7.14% in the period, 1979-1983 year, to 2.17% in the period 1984-1988.

Adolescent↗
PubMed1989

[Retroperitoneal sarcoma].

Clinical experience in the treatment of retroperitoneal soft tissue sarcomas during period 1978-1987 is presented. The material consists of 64 patients with the male predominance (60.94%), and the peak occurrence in the forth and fifth decade of life. The difficulties in the diagnostic of these tumours are mostly caused by unspecific clinical picture, which is usually cleared with the stage of inoperability. Modern diagnostic approach, using echotomography and angiography enables earlier diagnosis. The most often seen histological pictures in this series are: M. Hodgkin (28.14%), Liposarcoma (25%) Lympho and fibrosarcoma (twice 12.5%), and the other forms are rarely encountered (1-3%). The operability is very low, and the radical operation is performed only in 16 cases (25.50%), and exploratory procedures are performed in 44 (68.75%). In the rest of cases a reduction of bulk mass of tumour was performed. The 5 year survival in the radically operated is present in 25% (4 patients) what is in accordance with the literature. In the cases with exploration or partial resection, the average survival is 4.5 months, in spite of some longer survivals in the group with Hodgkin's disease, mostly because of the modern cytostatic treatment. Intermediate postoperative mortality is 3.12% (2 patients). In recent years, the more aggressive surgical approach is advised, resulting in better outcome.

Adolescent↗
PubMed1978

[Traumatic aneurysms].

Analysis of 37 surgical treated patients suffered from traumatic arterial aneurysms and fistulas is done. 27 aneurysms and 10 fistulas is presented. Restoration of continuity of damaged artery was performed in 26 patients and ligation was done in 11 patients. Good long term results were obtained in 29 patients (78.38 per cent), satisfactory in 4 patients and unsatisfactory in four, too. The authors advocate early surgery and method of restoration applied because of they give the best functional results. Ligation of vessel is method of necessity. No mortality and no amputation was in presented serie.

Adolescent↗