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Biomedical subjects

M Jekić

Publications and source records attributed to M Jekić.

At least 19 recordsLinked to original sources

[Polytrauma with retroperitoneal injuries].

From 1971-1987, 598 polytraumatized patients had concomitant injuries of the retroperitoneal space. The mortality rate came up to 33.4%. Diagnostically abdominal lavage, laparoscopy, selective angiography and CT were carried out. Often life saving laparotomy had to be practised without further delay.

Abdominal Injuries

[Primary clinical experience with heterotopic autologous transplantation of the spleen].

On the basis of research and results obtained in recent years that the removing of the spleen increases an aptitude to the infection, the authors have carried out in 1981-1982 four autotransplantations of the spleen; they did it in polytraumatised patients with an extensive rupture of the spleen, where, because of the safe haemostasis, only a splenectomy should have to be performed. By a new technique, removed ruptured spleen is prepared with special procedure, and it is transplanted into the omentum majus of the same patient. There were no complications, although it is concerned of a few patients and a short postoperative follow-up. Three to four months after surgery, the Howwel-Jolly bodies became normal as well as vacuolated erythrocytes and immunophoresis, so that it corresponds to the normal, in-situ, spleen activity; it means that it is to expect a sufficient protection against an infection.

Adolescent

[Traumatic intestinal infarction].

A study of 31 cases of traumatic intestinal infarction, often old cases, did not show any characteristic clinical picture or course but showed the following points: abdominal contusion, even mild, may induce intestinal infarction; the ileum and ascending colon are most commonly involved, and infarction usually follows a thrombosis of the mesenteric veins; the clinical course usually includes an interval between the trauma and the infarction.

Abdominal Injuries

[Osteomyelitis after osteosynthesis].

In reparative surgery, and particularly reosteo-synthesis, latent or apathogenic germ invasion of "old" wounds must always be reckoned with. Antiinfectious measures, which must be pursued untiringly, are to be placed beside equivalent surgical measures which should go beyond mere operative care of traumatic tissue damage.

Fracture Fixation, Internal