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Biomedical subjects

M Budalica

Publications and source records attributed to M Budalica.

At least 19 recordsLinked to original sources
PubMed1999

Penetrating injuries of heart and great vessels in patients wounded during the 1992-1994 war in Bosnia and Herzegovina.

AIM: To present characteristics of heart and great vessel injuries in patients wounded during the 1992-1994 war in Bosnia and Herzegovina and their management in conditions of lack of complex diagnostic and therapeutic procedures. METHODS: Retrospective analysis was performed on the medical records of 31 patients treated for cardiac and great vessel injuries at the Department of Surgery, Tuzla University Hospital, between January 1992 and December 1994. RESULTS: The most frequent localization of the injuries was the right and left ventricles (each 10 cases), left atrium in 5, superior caval vein in 5, and inferior caval vein in 5 cases. Isolated pericardial injury was found in 5 cases. Immediately after injury, 22 injured suffered from shock, 7 from pericardial tamponade, and 2 were in a stable state. The mortality rate was 58%. Eight patients died during the operation as a consequence of bleeding. The highest mortality rate was recorded in the injuries of the left ventricle followed by the injuries of the in right ventricle and of superior caval vein. All 4 patients with multiple heart and great vessel injuries died. Mortality rate was significantly higher in patients who suffered from shock than in those who suffered from tamponade. CONCLUSIONS: Penetrating war injuries of heart and great vessels are among the most serious injuries in war. These injuries require prompt treatment to save life, but this is hardly manageable in hospitals without cardiopulmonary bypass facilities.

Adult↗
PubMed1998

Treatment of penetrating chest injuries during the 1992-1995 war in Bosnia and Herzegovina.

AIM: To assess the need for and significance of immediate thoracotomy compared to conservative treatment (thoracostomy and/or thoracocentesis) of penetrating chest injuries. METHODS: Retrospective analysis was performed on medical records of 743 war wounded patients treated for chest injuries in the Department of Surgery, University Hospital Tuzla, between January 1992 and December 1995. Minimally invasive (tissue saving) surgery was the most frequent method applied, which usually included sutures of the lungs after débridment of margins and hemostasis, followed by atypical resection. RESULTS: Out of 743 patients, there were 414 (55. 7%) cases of immediate thoracotomy, whereas 295 (39.7%) who were treated conservatively, including thoracostomy and/or thoracocentesis. Twenty four (3.2%) patients died at admission, and 10 (1.3%) did not require any surgical treatment. The most frequent complications were secondary wound infection (10.8% in the conservative treatment group and 2. 5% in the group treated by thoracotomy), pleural effusion (19.3% in the conservatively treated group and 10.8% in the group treated by thoracotomy), and empyema (5. 1% in the conservatively treated group and 13.4% in the group treated by thoracotomy). CONCLUSION: Our results are similar to those reported for other war situations but surgeries were very often performed on the basis of subjective judgements on the severity of the patient's clinical condition and necessity for thoracotomy.

Adolescent↗
PubMed1996

[Isolated war injuries of the thorax].

From own clinical material the authors examined and analysed isolated injuries of thorax made by war injuries. The results are compared with the same from other authors in same conditions. Conclusion is that the fast evacuation to the first hospital urgent and if it is possible compensate the volume of blood, reanimation and drainage of pleural cavum. Considering the results the authors are making clear the indications for operative treatment for early and last thoracotomy and specially noticed contraindications for thoracotomy. The intensive care: is also very important and it has to be interdisciplinary, permanent and aggressive. The separate part is analysis of logistics in treatment of cases injury of thorax where the authors are showing their own experiences and making suggestions for solving the problem.

Adolescent↗
PubMed1995

[Surgical treatment of pulmonary carcinoma].

In this article we report the historical movement and the contemporary state of the surgical treatment of lungs carcinoma. We especially point to importance of early diagnosis of lungs carcinoma, in order to get right time for the radical resection. The TNM classification has a very important. But, some attitudes of the right time of the radical resection are for the next discussions and investigations.

Humans↗
PubMed1995

[Importance of exploratory thoracotomy in the diagnosis of malignant neoplasms of the lung].

Role and importance of the explorative thoracotomy in diagnostics of malignant neoplasmas of the lung have great value. Among other diagnostic procedures explorative thoracotomy has an advantage because of visualization of process and possibility of the biopsy "extempore". As each diagnostic procedure, explorative thoracotomy has its own deficiencies because the procedure is aggressive, related to possibility of the postoperative complications, and because of these problems explorative thoracotomy is ultimative method in diagnosis of malignant neoplasmas of the lungs.

Female↗
PubMed1989

[40 years' experience in the treatment of echinococcosis].

The authors present their experience on, 1168 operated patients with hepato-pulmonary hydatid disease. In a long work with hydatid disease the authors refused many earlier methods, as mistake. The authors think that great radical surgery in the treatment of the hydatid disease is not justified. For success in treatment of hydatid disease it's necessary to operate on the parasite and it's consequences, to keep the function of the organ to prevent contamination of the environment, and to make conditions for fast reduction of peri-cystic cavity.

Echinococcosis, Hepatic↗
PubMed1976

[Gastrontestinal hemorrhage following thoracic surgery].

The authors discuss eight cases who suffered hemorrhaging stress ulcers out of 200 cases on whom Thoracotomies were performed. Presented is the common factor of the onset of this complication, it's diagnosis, and therapy. Listed below are the diagnoses and operative procedures used on these eight patients. Cysta Aerea Permagna Lobi Inf. Pulm. Dexter/operation: Mytomis Longitudinalis Ooesophagi. Caverna Bronchiectatica Permagna Lobi Inferior Pulmo Dexter/operation: Lobestomia Typica. Echinococcus Heaptis Complicatus, Empyema Pleurae Dexter/opetation: Decorticatio. Haemathorax Spontaneous Lobus Sinister/operation: Decorticatio Pleurae Sinister. Echi Comp. Cupolae Hepatis Permagnus/operation: Thoracotomia Phrenotomia, evacuatio, Triplex Drainage. Bronchiectasiae Lobi Medius et Inferior Pulmo Dexter/operation: Biblobectomia Typica. Carcinoma Bronchi Lobi Inferior Pulmo Dexter/operation: Lobectomia Typica. Gastric problems had troubled four of these eight patients in their past history. Bleeding in three patients occurred three days postoperatively, and in the remaining five, thirty days following their operation. Six patients had to be treated conservatively because of serious contraindications to reoperation. Four of them expired. Autopsy revealed: Pyothorax, Dehiscention Bronchi, Empyema, and Gastritis Errosiva with multiulcerations, hemoragia, and dilatation of the right heart. Two patients with recent stress ulcers were reoperated on, and were cured. The authors estimate that the occurrence of hemorrhaging stress ulcer following thoracic surgery are basically due to Hypoxia. The chain of events whic brought about the stress ulcer, however, began even before the operation, continued throughout the operation, and appeared postoperatively due to postoperative complications. The authors point out that these complications can be foreseen (early and late), but firstly, an attempt should be made to treat the patient with conservative therapy. Inasmuch as the hemorrhaging does not respond to conservative measures, conservative surgery is indicated; Suture and Vagotomy, and eventually pyloroplasty.

Adult↗