ABSTRACT
Organization of the first war hospital (War Hospital Dakovo) in the 1991/1992 war in Croatia is presented. During the 13-month period 15123 patients were examined, among them 747 wounded. Complete treatment in the hospital was provided for 334 wounded. Only 23 wounded died immediately after admission, or later on in other hospitals. Most wounds were single and caused by shrapnel. Among the wounded, 75.8 per cent were Croatian soldiers, 22 per cent civilians and 2.2 per cent enemy soldiers.
Subject(s)
Hospitals, Military/organization & administration , Warfare , Wounds and Injuries/epidemiology , Adult , Croatia/epidemiology , Humans , Trauma Severity Indices , Triage , Wounds and Injuries/therapy , Wounds, Penetrating/epidemiologySubject(s)
Pancreas/injuries , Pancreatic Cyst/etiology , Pancreatic Pseudocyst/etiology , Adolescent , Child , Female , Humans , Male , Pancreatic Pseudocyst/surgeryABSTRACT
The authors describe 8 cases of carcinoma of the male breast treated at the Clinic of Surgery, Clinical Medical Center Banja Luka in the period 1968-1988. In their discussion, the authors review contemporary findings concerning the genesis, evolution and treatment of this carcinoma.
Subject(s)
Breast Neoplasms , Aged , Breast Neoplasms/diagnosis , Breast Neoplasms/pathology , Breast Neoplasms/surgery , Humans , Male , Middle AgedABSTRACT
These injuries are becoming more and more frequent and the prevalent etiological factor is the traffic accident. The isolated ruptures of the diaphragm are rare, while combined injuries of the organs (craniocerebral, the injuries of spine, pelvis, thorax and extremities) are more frequent. Left hemidiaphragm occurs more often than the right rupture. Clinical feature is a result of the prolapse of abdominal organs into the thorax. Apart from anamnesis and physical examination, radiological findings are the most important for diagnosing the rupture. Gastric tube and contrast medium are of considerable help. Pleural punction should be avoided because of possible complications, abdominal punction is helpful, whereas pneumoperitoneum is dangerous in the present respiratory insufficiency. If abdominal symptoms prevail, laparotomy is indicated: while in damages of thoracis organs and in neglected cases with large adhesions, thoracotomy is carried out. The prognosis depends on the injuries of other organs while in isolated diaphragmal ruptures death-rate is minimal (if diagnosis was made early). The authors present their experiences in the treatment of 30 patients during 16 years period (1972-1988).
Subject(s)
Diaphragm/injuries , Wounds, Nonpenetrating/diagnosis , Adolescent , Adult , Child , Female , Humans , Male , Middle Aged , Multiple Trauma/pathology , RuptureSubject(s)
Immunity, Cellular , Immunoglobulins/analysis , Splenectomy/adverse effects , Adolescent , Child , Child, Preschool , Female , Humans , MaleABSTRACT
Hydatid disease is rare and sporadically seen in our region. With the use of modern diagnostic methods the diagnose of echinococcus cyst in the liver is easily and exactly made; most frequently we performed cystectomy paying attention not to disseminate the parasite fluid, and treating the cavum of the pericyst as described by PAPADIMITROU. Using the drainage of subphrenic space we prevent postoperative complications. When the subphrenic abscess appears the hospitalisation period is prolonged, the patient's life is threatened and the treatment is getting expensive.
Subject(s)
Echinococcosis, Hepatic/diagnosis , Adult , Echinococcosis, Hepatic/surgery , Female , Humans , Male , Middle AgedSubject(s)
Kidney Neoplasms/therapy , Adult , Child , Female , Humans , Kidney Neoplasms/classification , Kidney Neoplasms/diagnostic imaging , Male , Middle Aged , RadiographyABSTRACT
Contemporary way of living accompanied by everday frustrations, a frequent use of medicaments, an easy application of corticosteroids, complexity of an opeation, so as an increased incidence of polytraumas --those are the factors responsible for an increasing rate of stress ulcus. The rate of 54 verified stress ulcus in the period from 1969-1979 in Regional Medical Centre of Banja Luka, at Surgical Department, are very often indicative of this disease. Thirty eight operatively treated patients are indicative of severity of this disease. The authors are reporting their experiences in resolving this disease by method of vagotomy with partial gastrectomy in comparison to simple sutures of acutely developed ulcus in addition to PS vagotomy. Perforation, which has, usually, been bigger than the chronic ulcus, we had in 31 cases. If the reports of the world authors are reliable, perforation occurs in 5% of cases only, therefore it is clear how many such conditions has remained undetected or treated under various other "working" diagnoses: (DIC, consumer coagulopathy, fibrinolysis, etc.". The stress ulcus is the disease which is a danger to any patient at Surgical Department.