Published in Khirurgii︠a︡
Anti-reflux laparoscopic operations replaced conventional surgery and are now widely available, because of the advantages of this type of surgery. One of the main reasons for the high complications rate in this type of operations is the lack of experience of the surgeons, although recently in the reports of most leading authors complications and in...
Published in Khirurgii︠a︡
Based on the results of 62 simultaneous operations in patients with synchronous liver metastases from colorectal cancer, an attempt was made to calculate the index, assisting the surgeon in the selection of the liver resection, considering the sensitivity and specificity of the test. The index is calculated using equations based on variables and th...
Published in Khirurgii︠a︡
The filed of liver transplantation (LT) continues to evolve and is highly effective therapy for many patients with acute and chronic liver failure resulting from a variety of causes. Improvement of perioperative care, surgical technique and immunosuppression in recent years has led to its transformation into a safe and routine procedure with steadi...
Published in Khirurgii︠a︡
In 2012 there were nearly 1 million new gastric cancer cases (952,000 cases or 6.8% of all cancer cases). That has put the gastric cancer on 5th place in frequency, and on 3th placeas leading cause of death in both sexes in the world--723,000 fatalities or 8.8% of all. According to the data of the World Health Organization, in 2005 Bulgaria was on ...
Published in Khirurgii︠a︡
The ductal carcinoma in situ (DCIS) is the most rapidly growing subgroup in the family of the cancerous diseases of breast. The unclarified biology and pathogenesis of the DCIS result in uncertainty in the therapeutic measures, which leads to major variations in its treatment on a global scale. Contrary to the consensus reached for the complex ther...
Published in Khirurgii︠a︡
Omphalocele is a congenital abdominal wall defect. The treatment is surgical on one or multiple stages for the giant forms of the anomaly. It is a challenge for the pediatric surgeons while omphalocele is a giant one and it is impossible to insert all the organs in the abdominal cavity. The treatment and the hospitalization of the child are quite l...
Published in Khirurgii︠a︡
Vacuum Assisted Therapy (VAC) is a new technic in treatment of acute and chronic wounds. This new way of treatment is widely used in the late decades due to the good results. The authors present five cases with different types of wounds, successfully treated with VAC therapy. This method is proposed because of short time of treatment and value redu...
Published in Khirurgii︠a︡
Congenital lung cysts are congenital anomaly of the trachea-bronchial tree, known as "bronchogenic" cysts. In this research study, the staff of the Department of Pediatric surgery - UMHAT "St.George" - Plovdiv, shares its experience in the treatment of four children with congenital bronchogenic cysts. Methods and ways of treatment are revealed prec...
Published in Khirurgii︠a︡
There is still no consensus regarding the surgical treatment of various forms of acute suppurative-destructive diseases of the lungs and pleura (ASDDLP). Some authors attach great importance to the puncture method of treating ASDDLP, whilst they recommend the application of another treatment in case of failure.
Published in Khirurgii︠a︡
Despite the small sample size, our series clearly demonstrate the benefits of DCS and open abdomen in trauma patients with exsangiunating bleeding. The survival rate is highly dependent on the rapid implementation of DCS in properly selected patients. V.A.C. and VP provide a high rate of primary fascial closure in trauma.
