[Closed diaphragmatic rupture as a surgical problem].
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Biomedical subjects
Publications and source records attributed to M Sosić.
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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.
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Incidence, localization and clinical characteristics of diverticulosis of the digestive tract detected within the period 1971-1980 are analysed. Of 12.352 examined patients, diverticulosis was found in 425 (3,44%). The largest number was detected radiologically and some endoscopically. Diverticulosis was most commonly found in: colon 355, duodenum 42, eosophagus 20 and small intestine 16 (of them 11 with Meckel's) and most rarely in the stomach, 12 patients. Symtomatology was non-characteristic. The treatment was conservative, except in the case of complications. Complications occurred in 39 (9,2%) patients. Due to complications, Meckel's diverticuli were actively searched for and all cases were operated on.
Within a two-year period urgent endoscopy due to bleeding from the upper digestive tract was performed in 209 patients, that is, 4,6% of all endoscopies. The cause of bleeding was detected in 84% of the examined patients. The most common cause of bleeding was: gastroduodenal ulcer, erosive esophagogastroduodenitis, malignant gastric neoplasm, and, in a smaller percentage, peptic postresection ulcer and esophageal varices. Analysing causes of a relatively high percentage of nonidentified bleedings the authors insist on detection of small lesions as well as indirect signs of mucosal alterations as possible causes of bleeding.
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The etiologic relationship of hepatocellular carcinoma (HCC) and chronic hepatitis B viral infection was proved clinically, epidemiologically, virologically, serologically and by other methods. Together with viruses, carcinogenesis is promoted by faster recovery of hepatocytes (liver cirrhosis, chronic hepatitis, etc.). We have discovered 103 HCC in the period of 21 years. There were 81 men and 22 women; they were in the sixth and seventh decade of life in 90% of cases. Liver cirrhosis was also confirmed in 55% of cases and chronic hepatitis in 19%, namely, in 74% of patients HCC has developed on the changed liver. Fifty three patients were HBsAg positive (51.45%). The ultrasound and determination of alpha-feto proteins proved to be most valuable. It is a slow growing tumour and by its early detection surgical treatment is possible.