[100 years of surgery in the Kosevo Hospital in Sarajevo]. / Stogodisnjica hirurskog rada na lokalitetu Kosevo u Sarajevu.

The surgery Department of the Regional Hospital was opened on 1st July, 1894 in Sarajevo, what meant the beginnings of European surgery school influence here. The School was in the second half of its activity, better known as "century of surgery". The building, fittings, equipment and staff continued their work here coping the Viennese school achievements. It was headed by the prominent European surgeon, primarius Dr Josef Preindisberger, first assistant to the great personality Dr. Billroth. In the way this institution became a referral centre for two other hospitals in Sarajevo: the Vakuf's and the Military Hospital, but for some 17 more in BH, which were built in the course of ten years. Because of the therapeutic success in the domain of the general surgery and diseases of the eye and according the annual reports, the first 50 beds became insufficient for all those who wanted the treatment. So, the Department was enlarged, in 1905 a new regional Hospital was planned, to act as clinics. The World War 1 stopped the plans. During the period of Kingdom of Yugoslavia, destroyed by war, the Surgery Department continued its work with the doctors educated to continue the work on the pre war level. As a broad pathology basis, but the need of space that time chief surgeon. Primarius Milivoje Kostic worked out in details the former plan of the new hospital building up with a base for clinics. It was accepted as a ten years project, which, to the regrets, did not come to existence to the World War 2.(ABSTRACT TRUNCATED AT 250 WORDS)

[Gastrontestinal hemorrhage following thoracic surgery]. / Gastrointestinalne hemoragije nakon operativnih zahvata u grudnom kosu

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.

[Mediastinal pseudocyst of the pancreas]. / Medijastinaina pseudocista pankreasa.

The authors present two cases of successfully treathed mediastinal pseudocysts of the pancreas. This localisation is very rare (13 cases of te literature). The diagnosis was proved by x-ray examinations: chest PA and profile, esophago-gastroduodenum, scanning of liver, and transthoracic punction of the cyst with laboratory examination (analysis of the cyst liquid). We were two methods of surgically intervention. The method presents two cases at 22 C+internal drainage used in the one case and the method of external drainage in the second. In our opinion, pathophysiological aspects prefer title: pancreas pseudocyst penetrate in the thorax.