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D Milenković

Publications and source records attributed to D Milenković.

At least 19 recordsLinked to original sources

[Ileal conduit--quality of life].

Removal of the urinary bladder--cystectomy--imposes the problem of urine derivation. The most sophisticated forms of urinary derivation imply those where the continent urinary reservoir is anastomosed to the urethra. One of these is Came's enteroplasty. In our hospital this technique was applied on 52 patients. Postoperative complications and obtained results suggest that this form of urinary derivation is an important step forward not only to incontinent forms of derivation, but to non-orthotopic continent urinary derivations, as well. All patients in our series were very successful in reintegration into the normal life, i.e. they were able to achieve a high quality of life after otherwise mutilating surgical procedure.

Cystectomy↗

[Analysis of intracranial aneurysms from autopsy material].

The analysis of 44 intracranial aneurysms found at 7.687 autopsies is performed. The largest number of aneurysms was of congenital (secular) type, then, of arteriosclerotic type while inflammatory and traumatic aneurysms were very rare. The elastic and reticular fibres in the aneurysmal wall and the normal arteries of the base of the brain were identified by a standard and special staining. Significantly decreased quantity and disturbed distribution of the reticular fibres were found in the congenital aneurysms which was considered to be a consequence of degenerative processes. The finding of the preserved elastic internal lamina in the wall of the congenital aneurysm and its absence or fragmentation in cases of arteriosclerotic aneurysms suggest the different etiology and pathogenesis of these aneurysms.

Adult↗

[Tuberculous inflammation of the synovial membrane].

Four patients with tuberculous synovitis of the large joints are reported in whom primary tuberculous process has not been confirmed as a possible foci of spreading of the acidoresistant bacilli. The authors, describing in details the histologic picture of tuberculous synovitis, point out the importance of an early biopsy of the synovial membrane and obligatory microbiological confirmation of the established diagnosis.

Adult↗

[Morphologic characteristics of surgically removed menisci].

The authors have analysed histologically and histochemically 88 surgically removed damaged menisci of which 8 were studied by the electron microscope. Of the total number of the analysed cases only 20 had the anamnesis specific for meniscus trauma while in the rest meniscus was damaged spontaneously. The age of the operated patients ranged from 16 to 50 years, the majority being from 20 to 25 years old. The authors have reported that the morphological examinations of the damaged menisci have shown that the main cause of the ruptured menisci was destruction of the collagenous fibres of the menisci and severe mucoid degeneration of their tissues with the increasing number of the elastic fibres at the site of the destructed collagenous fibres. The histochemical examinations have shown that the basic meniscus substance contains chodroitin sulfate mucopolysaccharides which, according to their opinion, were secreted by the choindroid cells.

Adolescent↗