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Biomedical subjects

B Antić

Publications and source records attributed to B Antić.

44 records · Page 3Linked to original sources
PubMedDate not supplied

[Post-gunshot wound lesions of the peripheral nerves which may be prevented with adequate primary surgical wound care].

The retrospective study includes 24 wounded persons with iatrogenic peripheral nerve lesion and 94 wounded whose neural damage occurred due to peripheral nerve engagement in scar tissue after main artery reconstruction, missile bone fracture or after soft tissues defects covering by Tiersch transplants. The authors analyzed frequency and localization of these lesions, intraoperative findings, applied operative procedures and clinical findings during preoperative follow-up. It is recommended to create the new bad for exposed peripheral nerve from adjacent muscles as part of primary surgical wound treatment. This procedure eliminates the risk of subsequent epineural scar formation in all situations that have been described (soft tissue defects, artery reconstruction and bone fracture) and makes the later operations on peripheral nerves unnecessary.

Cicatrix↗
PubMedDate not supplied

[Repair of a severed nerve with denatured muscle graft--preliminary results of a new surgical technic].

In Neurosurgical Clinic of Military Medical Academy prospective study about the use of denatured muscle graft in nerve repair is in progress, based on numerous experimental and sporadic clinical literature data. The first, experimental part of the investigation is directed to operative technique details and also to find out the manner and duration of muscle denaturation which provide ideal conditions for regenerating axons sprouting. It is concluded that greater pectoral muscle have to be muscle graft donor for nerve defects shorter than 6 cm, and sartorius muscle for those longer than 6 cm. Denaturation for 30 seconds in liquid nitrogen and after that in distilled water for 3 minutes results in micromorphological status in muscle graft which is optimal for axonal regeneration. In the second, clinical part of the work reparations of missile neurotmesis of radial nerve with denatured muscle grafts are performed. Preliminary results 9 months after operation are quite comparable with results after sural nerve graft reparation.

Adult↗
PubMedDate not supplied

[Craniocerebral injuries at the Vukovar battlefield].

In Neurosurgical Clinic of Military Medical Academy 33 wounded persons with craniocerebral injuries (CCI) from Vukovar battlefield were treated from September 16 to December 3. After the follow-up period of average 48 months the outcome of treatment was analyzed compared to the clinical status on admission and to the extent of cerebral lesion. All wounded with minor CCI (GCS = 15) and majority with mild injuries (GCS = 13-14) had the good outcome, and all the wounded with severe injuries (GCS = 3-8) died (p < 0.01). After unilobar penetrating CCI the outcome was mostly good, but after multilobar and transventricular injuries the outcome was worse or lethal (p < 0.01). Total mortality rate was 27.3%. Our conclusion is that bad clinical status on admission and more extensive cerebral lesions correlate with worse outcome of treatment of war CCI.

Adolescent↗
PubMedDate not supplied

[Results of repair of severed nerves in war injuries].

The results of surgical treatment of 397 wounded with 482 neurotmeses (64 median, 97 ulnar, 100 radial, 7 musculocutaneal, 120 peroneal and 94 tibial nerves) were analyzed. The treatment outcome was determined 12-36 months postoperatively by analyzing the sensorimotor recovery, EMNG status and operated person's attitude to the repair outcome. The change of all the four mentioned parameters was graded from 0 to 5 points, and the outcome was qualified as poor, moderate, good or excellent according to the point sum total. The majority of good and excellent results was obtained after radial (85%) and musculocutaneal (100%) nerve repairs and the less after peroneal nerve repair (13.3%). Based on the obtained results, it was concluded that radial and musculocutaneal neurotmeses should always be repaired, disregarding the height of lesion. Repair of high ulnar and peroneal lesions was unsuccessful. High lesions of tibial and median nerves should be repaired because of the possible recovery of protective sensibility in autonomous nerve zone.

Adolescent↗
PubMedDate not supplied

[Primary neurosurgical treatment of craniocerebral war injuries].

From September 1991 to December 1992, 41 patients with nonpenetrating and 84 patients with penetrating craniocerebral injuries were neurosurgically treated at the Military Medical Academy. The severity of injuries was estimated according to GCS and the outcome according to GOS. In 17 out of 27 patients with moderate nonpenetrating CCI, the outcome was favorable, and 5 patients out of 7 with severe CCI died (p < 0.01). Out of 33 patients with moderate penetrating CCI, favorable outcome or moderate disability were observed in 21 patients, and out of 26 patients with severe CCI, 19 died (p < 0.01). The majority of unilobar CCI resulted in favorable outcome or moderate disability, while 10 out of 26 patients with multilobar CCI, as well as 9 out of 16 patients with bichemispheric CCI died (p < 0.01). Mortality rate in patients with penetrating CCI was 25%. No significant differences were observed in the outcome of penetrating CCI in relation to the missile type (p > 0.05). Nonpenetrating CCI had a better outcome than the penetrating ones (p < 0.05). The outcome of war nonpenetrating CCI depended on the severity of injury and of penetrating CCI on the severity injury, of the extent of cerebral lesion and the form of penetration, respectively.

Adolescent↗