Biomedical subjects

G Paskalev

Publications and source records attributed to G Paskalev.

At least 19 recordsLinked to original sources

PubMed2004

[Therapeutic and microbiologic aspects of pleural empyema].

The pleural empyema is a severe disease which passes with respiratory insufficiency and general toxic symptoms. The early staged surgical treatment combined with total evacuation of the puss from pleural cavity is important for the successful outcome of the disease. We made retrospective study including 82 patients with pleural (61 with acute and 21 with chronic) empyema. We performed the following operative interventions: thoracocentesis with active aspiration--at 43, VATS--20, decortication and pleurectomy--in 16, thoracoplastic with muscle flap--3. Three patients died. The most common causes for the empyema were Gr (+) coccy. At most of the patients combined operative treatment and antibiotic therapy were the most effective.

Acute Disease↗

PubMed2003

[Proximal resection of carcinoma of the gastric cardia].

Carcinoma of the gaster remains one of the major problems of the operative oncology, because of its high freguency, late diagnosis and low rate of five years survival. Although there are a lot of researches in this field, there is still a controversy about the size of the operative treatment of carcinoma of the gastric cardia. Some of the surgeons advocate gastrectomy as the only radical operation. Others prefer proximal resection as a method, saving a part of gaster, and in that way its important physiological functions for the organism.

Carcinoma↗

PubMed2003

[About the surgical treatment of oesophageal cancer].

Oesophageal cancer is among the most malignant tumors with bad prognosis. Surgery offers the best chance for treatment. Subjects of our retrospective study are 56 patients with oesophageal cancer, treated at the Clinic of thoracic and abdominal surgery, University Hospital-Plovdiv, for 9 years period. Palliative surgery was performed at 18 of the patients, and resection of the oesophagus at 38 of them. Neoesophagus from the stomach we made in 30 of the patients, and in 9--from large intestine. In radically treated complications were observed in 14 (36.8%) cases. Six (15.8%) patients died.

Aged↗

PubMed2003

[Diagnosis and treatment of retrosternal goiter].

Retrosternal and intrathoracal goiters are actual surgical problem. This is because of the severe clinical symptoms, complications and some difficulties at the operative treatment. For the period of 1991-2002 at the Clinic of Thoraco-Abdominal Surgery at Medical University Plovdiv are operated 1131 patients with thyroid disease. Of them 38 were operated with cervical incision, 3 with median sternotomy, 2 with thoracotomy. There were complication at 7 patients. Only one patient died from pulmonary embolism.

Adult↗

PubMed2002

[Surgical treatment of chronic nonspecific empyemas].

Approximately 4% to 20% of all acute empyema turn into chronic empyema despite the up-to-date complex treatment. The authors report their results of the surgical treatment of 38 patients with chronic nontuberculous empyema within a 5 years period. The age of the patients range from 18 to 72 years and they include 26 men and 12 women. Twenty eight were treated by thoracotomy and decortication, 7 underwent video-assisted thoracoscopy and decortication, and 3 thoracoplasty. In one of the patients a latissimus dorsi muscle flap was used.

Adolescent↗

PubMed1989

[A clinical assessment of the computed tomographic potentials in the diagnosis of postoperative peritoneal abscesses].

Modern diagnosis of postoperative abscesses in the peritoneal cavity keeps on being a difficult problem in abdominal surgery. They often develop against the background of the operation and the underlying disease, which masks the clinical course. Fourty-six patients suspected of having postoperative abscess were examined. Computer tomographic examination presented unequivocal data on the presence or absence of abscess in 42 patients (91.3 per cent), whereas in 6.5 per cent the conclusion was not emphatic for abscess and in 2.2 per cent there was lack of coincidence. This makes the method particularly suitable when other methods fail to produce explicit evidence for abscesses and the clinical suspicion remains.

Abscess↗

PubMed1988