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Biomedical subjects

S Baev

Publications and source records attributed to S Baev.

At least 37 records · Page 2Linked to original sources

[One-step breast reconstruction].

The mental trauma induced by removal of the mammary gland for cancer may be overcome by reconstruction of the breast. One-step reconstruction applied on 4 patients showed considerable advantages over a postponed reconstruction: technically it is easier to perform; a single stay of the patient in hospital makes it cheaper. It is no obstacle to perform pre- and postoperative radio- and chemotherapy. According to available data in the literature, implanted prosthesis or transposed flap do not veil a local relapse.

Adult↗

[Rectal prolapse].

A variety of pathogenetic mechanisms underly rectal prolapse. Treatment is predominantly operative. Some of the basic surgical techniques are reviewed. The modification of posterior rectopexy with ampoxen, implicated at the Department of Surgery of the Medical Academy in Sofia, is presented. After exposure of the rectum at the side of the sacrum, the intestine is fixed to the presacral fascia. The aim is to create adhesions. Septic complications are avoided, which otherwise, with applications of other synthetic implants are quite common. Experience is recorded with the application of the method in three patients, who were followed up over a period of 2 years.

Humans↗

[A case of somatostatinoma of the pancreas].

A case of a 36-year-old man with pancreatic somatostatinoma is reported. Such cases are very rare. The following signs were found; quick ESR, increased alpha 2- and beta-globulins, shortened Weltmann's coagulation band, increased serum bilirubin level, especially of the conjugated fraction, enzyme constellation of cholestasis and moderate liver cytolysis. Ultrasound examination of the abdomen, retrograde cholangiopancreatography and percutaneous liver cholangiography were performed in order to prove the diagnosis. They demonstrated an obstruction in Vater's papilla region and a bulky process in the head of the pancreas. The patient was operated. The microscopic, electron microscopic and immunohistochemical examinations proved a somatostatinoma of the pancreas. The positive immunohistochemical tests for somatostatin and carcinoembryonal antigen in the tumor cels are especially indicative.

Adenoma, Islet Cell↗

[Relaparotomy in early postoperative complications in the abdominal cavity].

A series of 138 (1.3 per cent) re-laparotomies, performed for diverse complications subsequent to abdominal interventions, are reviewed. The lethality rate is rather high. Eighty-five patients died which makes 61.5 per cent those undergoing re-operation. Complications demanding re-laparotomy are divided up into five groups. Group I includes hemorrhage a/ in the lumen of the digestive canal and b/ in the abdominal cavity. Group II - postoperative peritonitis. It includes perforative, circumscribed and diffuse peritonitis without perforations, and due to suture insufficiency, as well as to necrosis of the pancreas and biliary peritonites. Group III - postoperative ileus conditions: mechanical and paralytic. Group IV - operative wound dehiscence. Group V - seventeen patients where re-laparotomy is justified by miscellaneous complications omitted in the listed above four basic groups.

Abdomen↗