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Search Results: 1 - 10 of 191457 matches for " Ignjatovi? D. "
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Preserving the superior rectal artery in laparoscopic anterior resection for complete rectal prolapse
IgnjatoviD.,Bergamaschi R.
Acta Chirurgica Iugoslavica , 2002, DOI: 10.2298/aci0202025i
Abstract: Anterior resection for the treatment of full thickness rectal prolapse has been around for over four decades. 1 However, its use has been limited due to fear of anastomotic leakage and related morbidity. It has been shown that high anterior resection is preferable to its low counterpart as the latter increases complication rates. 2 Although sparing the inferior mesenteric artery in sigmoid resection for diverticular disease has been shown to decrease leak rates in a randomized setting, 3 vascular division is current practice. We shall callenged this current practice of dividing the mesorectum in anterior resection for complete rectal prolapse developing a technique that allows the preservation of the superior rectal artery.
Historical review of the thyroid gland surgery
Ignjatovi? Mile D.
Acta Chirurgica Iugoslavica , 2003, DOI: 10.2298/aci0303009i
Abstract: Thyroid gland surgery passed through history from the suggestions for prohibition, during middle of XIX century due to unacceptable mortality even for mediaeval conditions, to highest level of surgical art later, as W. Halsted sad. First thyreoidectomy was done by Albucasis (El Zahrawi) in 925 A.D, and after him by Roger from Salerno. While Pierre-Joseph Desault in 1791 has done first operation on thyroid gland that can fulfill today’s criteria, Theodor Billroth gave scientific grounds of thyroid surgery. Genius attitude and surgical talent of Theodor Kocher raised thyroid surgery on scientific level, brought surgical skills on the top of surgical art pyramid, and brought him personally to the Nobel Prize in 1909. Very important contribution to development of thyroid surgery gave its giants: Johann von Mikulicz, William Halsted, Charles Mayo, George W. Crile and Frank Lahey. Thomas P. Dunhill, F. A. Coller, A. M. Boyden, and many others did important contribution, too. Development of thyroid surgery was constant to nowadays, with tendention for multidisciplinary approach in specialized centers. Thyroid surgery in Serbia followed this world trends, in spite of great problems in this area during history.
Rectal cancer: Is the surgeon the variable in the outcome
IgnjatoviD.,Bergamaschi R.
Acta Chirurgica Iugoslavica , 2004, DOI: 10.2298/aci0402093i
Abstract: Four factors influence the outcome of rectal surgery: tumour biology, stage of lesion, type of surgery performed and the performing surgeon himself1. Tumour biology and tumour stage depend on each other and are not influenced on by the surgeon, while he seems to have a great influence on the latter two factors. This influence mainly consists of the following: training, volume, individual skill and experience.
What role, if any, for laparoscopis surgery in Chron's disease of the hindgut?
IgnjatoviD.,Bergamaschi R.
Acta Chirurgica Iugoslavica , 2002, DOI: 10.2298/aci0202009i
Abstract: An outsider to the Held of surgery would probably take it for granted that surgeons have a highly developed rationale for choosing a laparoscopic approach to Crohns disease. After all, an increasing number of surgeons are performing laparoscopic surgery for Crohn's disease as witnessed by several articles published in the 1990s (Table)1-19. In fact this is not quite true. Most papers are case reports or series without controls, capable only of suggesting feasibility. Furthermore, comparison studies often feature selection flaws, and therefore beg the question of whether laparoscopic surgery should or not be considered as standard care. An attempt is made herein to give readers a concise insight of the evidence available in the English language literature. It does not pretend to offer a comprehensive review of the topic rather, it highlights some relevant issues, and then outlines what role, if any, laparoscopic surgery should play in Crohn's disease. There are at least 6 categories for discussion.
Serbian field surgical experience(1876-1918): Part II. Field surgery in Serbia during the Serbo-Bulgarian War (1885-1886)
Ignjatovi? Mile D.
Vojnosanitetski Pregled , 2003, DOI: 10.2298/vsp0306757i
Serbian war surgical experience (1876-1918): Part I. War surgery in Serbia during the Serbo-Turkish wars(1876-1878)
Ignjatovi? Mile D.
Vojnosanitetski Pregled , 2003, DOI: 10.2298/vsp0305631i
Modified Mainz Pouch II (sigma rectum pouch) urinary diversion: 12 years experience
Ignjatovi? I.,Ba?i? D.
Acta Chirurgica Iugoslavica , 2007, DOI: 10.2298/aci0704073i
Abstract: Objective: To analyze the outcome of Mainz Pouch II urinary diversion related to complications and life quality. Patients and Methods: From 1995 to 2006, a total of 67 patients (60 male and 7 female, mean age 58.4 years, range 48 to 70) who underwent modified ureterosigmoidostomy (Mainz Pouch II) procedure have been retrospectively analyzed. The mean follow-up was 18 (1 - 72) months and it was available for 56 patients (84%). Early and late postoperative complications as well as quality of life after surgery were analyzed. An clinical questionairre has been used for examination specific urinary diversion items. Results: Early postoperative complications (<30 days) we-re detected in 9 patients (13%) and late complications (>30 days) in 19 patients (28%). Early complications consisted of urine leakage of moderate degree in 5 (7%) and ileus requiring surgical revision in 4 (6%) patients. The late complications included acute pyelonephritis in 12 patients (18%) and uretero-sigmoidal anastomotic site stenosis in 7 (11%). Ureterosigmoidal anastomotic site stenosis was detected in 7 patients with 7 renoureteric units (RU). In 4 RU, metal Strecker stent was successfully applied. In 3 RU, permanent nephrostomy catheter was applied. Oral alkalizing agents were applied in 22 patients (33%) due to metabolic acidosis. Two patients died due to severe acidosis. Continent rate was 96%. The mean voiding frequency during the day and night was 5.2+1.8 and 2.7+ 0.5, respectively. Global life quality was bad for 3 (8%), acceptable for 15 (38%) and good for 22 (54%) patients. Conclusion: The Mainz Pouch II urinary diversion is simple and safe procedure regarding complications rate, continence and quality of life. It is good alternative to other forms of continent urinary diversion. Patient selection and compliance following by meticulous follow-up are of utmost importance for successful operative outcome.
Where to incise and/or divide the cystic duct
IgnjatoviD.,?uri? B.,?ivanovi? V.
Acta Chirurgica Iugoslavica , 2002, DOI: 10.2298/aci0201099i
Abstract: The study concern was to establish the position of cystic duct incision/division in circumstances of laparoscopic cholecystectomy. Seventy consecutive human cadavers were dissected. Corrosion casting (50) and post-mortem cholangiography (20) were employed. Cystic duct length was 34.6 mm, and in 88.6 % cases its length was 1-5 cm. Mean cystic duct diameters next to the gallbladder neck, within the valve and 5 mm proximal to the junction with the common hepatic duct were 1.95, 0.42 and 1.85 mm, respectively. Lateral cystohepatic junction was identified in 78.6%, spiral in 10% and parallel in 10%. In 90% cases the cystohepatic junction is within 4 cm of the hepatic duct junction. One case (1.43%) of cystic duct entering the right hepatic duct was identified. The valve of Heisteri consisted of three spiral turns in 73% of the cases with a range from 0 to 5. In 3/70 specimens the spiral valve did not exist.
Evaluation of effects of program for improving skills and motivation for employment
Mari? Zorica,D?amonja-Ignjatovi? Tamara
Psihologija , 2011, DOI: 10.2298/psi1102131m
Abstract: Contemporary programs that have been implemented in order to help unemployed reduce time for finding a job are based on clear theoretical background and empirical evidence. In addition to providing opportunities to learn necessary skills, these programs also incorporate important psychological components which will be addressed in this paper. The goal of these interventions is to reduce time for finding a job, prevent long-term unemployment and negative effects of unemployment on individuals“ mental health. The paper presents evaluation of the effects of these psychological interventions. The program was based on Ajzen’s theory of planned behavior (2005), Bandura’s social-cognitive theory (1997) and cognitive-behavior theory of behavioral change (Meichenbaum, 1993). The goal of this program was to help unemployed individuals take an active role in finding a job, reduce time for finding a job and prevent negative effects of unemployment on their mental health. The target group of the program were young unemployed individuals ages 19 - 30, with at least high school level of education. Evaluation study was conducted on a sample of 92 male and female individuals who attended 3-day psychological program. Participants filled out five short scales specifically designed to assess variables that were targeted for change, such as, active approach to finding a job, attitudes toward process of employment, self-efficacy and resilience to frustrations and obstacles. Scales were administered before and after the training. Evaluation results, based on these pre and post measures, showed significant positive effects of this program on all five variables.
Meta-analysis on minimally invasive surgical therapy of sigmoid diverticulitis
IgnjatoviD.,?ivanovi? V.,Vasi? G.,Ili? I.
Acta Chirurgica Iugoslavica , 2004, DOI: 10.2298/aci0403025i
Abstract: The bowel diverticulitis is a complication of diverticulosis, occuring in 35% patients in 20 years after diagnosis. The study purpose was analysis of the results published in world literature. Method: double blind electronic search of several databases using key words: diverticulitis, laparoscopy. Results: 11 studies with 415 patients that satisfy the criteria were selected. Age: 62,7 + 14.2. Hinchey stadiums: I, IIa i IIb of these 44% I and 28 % IIa i Iib each. Operative time: 197.4+ 49.6 min. Conversions: 11.7+10,1 (0-38,9%). Protective stoma: 5,5%. Bowel sounds: 2,3 - 3,2 postoperative day. Oral feeding: 2,6-5 postoperative day. Hospitalization: 6.1 2.1 dana. Anastomotic dehiscence: 2,8%, wound infection: 7,3%, iatrogen rectum perforation with stapler: 3,3%, bleeding: 3,5%, ileus: 4,4%, reoperation rate: 4,7%. Conclusion: Sigmoid resection with or without a protective "loop" ileostomy is technically feasable by minimally invasive surgical technique, with an acceptable ratio of benefits and complications.
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