Biomedical subjects

I Manchev

Publications and source records attributed to I Manchev.

At least 19 recordsLinked to original sources

PubMed1999

A comparative analysis of the postoperative complications of thyroid cancer surgery related to surgical approach.

A retrospective study of the postoperative complications in 129 patients treated for thyroid cancer in the clinics of surgery of the Higher Medical Institute for a period of 9 years (1988-1996) was performed. The majority of the patients (90) were treated by total thyroidectomy. Subtotal thyroidectomy was performed in 21 and thyroid lobectomy in 15 patients. Postoperative complications occurred in 56 of the operated patients. Of these 5 had permanent and 51 transient complications. Most of the complications (80.35 +/- 3.56%) ensued from total thyroidectomy. The variety of the complications included permanent hypoparathyroidism in 3 patients, transient hypocalcemia in 37 patients, injury of the recurrent laryngeal nerves in 11 patients, esophageal damage in 1 patient, hematoma within the operation field in 1 patient and suppuration of the operative wound in 1 patient. Four of the patients with injury of the recurrent laryngeal nerve suffered from obstruction of the airways which required temporary tracheostoma to be performed. No lethal postoperative outcome was observed. The data of the study are discussed in relation with the literature data.

Humans↗

PubMed1999

Retrosternal (intrathoracic) goitre--diagnosis and surgical treatment.

For a period of 12 years (1987-1998) 2033 patients underwent surgical treatment of the thyroids in the surgical clinics of the Higher Medical Institute in Plovdiv. Retrosternal or intrathoracic goitre was found in 29 patients (p +/- Sp = 1.43 +/- 0.26%). Of these, seven were males and 22 females all aged 32 to 76 years. Twenty two of the patients were euthyroid and seven hyperthyroid (75.9 +/- 7.9% and 24.1 +/- 7.8%, respectively). Compression of adjacent organs was detected in 19 of the patients (65.5 +/- 8.8%) (P < 0.05). X-ray, ultrasonography, scintigraphy (gamma-chamber), computed tomography, and in cases of voice disorders, direct laryngoscopy were used in making the diagnosis. All patients underwent surgical treatment. Cervical collar incision was suitable in 27 patients and in one patient longitudinal sternotomy was used and in other, who had deep posterior mediastinal goitre, Hart's method of combined thoracotomy and cervicotomy was required. The weight of the resected glands varied from 50 to 1500 g. The results obtained are discussed in terms of the incidence, type, and site of the retrosternal (intrathoracic) goitre, capabilities of the contemporary methods of diagnostics, surgical necessities, surgical approach and compared with literature data.

Adult↗

PubMed1997

[The surgical treatment of pancreatic pseudocysts following acute pancreatitis].

The tactics and results of the operative treatment of pancreatic cysts, complicating severe destructive pancreatitis in a series of thirteen patients, are discussed. The following operative methods are made use of: marsupialization (1), Yurash (10), cystojejunoanastomosis with Braunova (2). The character and scope of surgical intervention are determined intraoperatively, depending on the anatomical situation faced. In pancreatic cysts operated according to Yurash (cystogastroanastomosis), an original drainage method with two probes introduced nasally is used--one wider into the anastomosis, and a narrower one into the duodenum for feeding. The probes are retained for periods ranging from 9 to 35 days. No relapse of the cysts operated by different methods are registered, with the exception of a female patient undergoing marsupialization. In one case operated according to Yurash where no preoperative preparation is done the outcome is fatal, with the patient dying of hemorrhage on the third postoperative day. All patients are operated within 3 months after the formation of cysts. The preoperative preparation includes Kontrikal, Petphtoruracil, atropine, heparin and antibiotic; in some patients the listed drugs are introduced intraarterially into truncus celiacus. A number of inferences are reached and recommendations made: 1. Waiting for the generally accepted 3-month term is unnecessary. 2. In cysts involving the head of the pancreas, tightly adherent to the posterior wall of the stomach, the method of Yurash with the modification suggested for probing should be given preference. 3. In cysts of the body region and tail cystojejunoanastomosis with Braunova is practicable. 4. Proceeding with the preoperative medication in the postoperative period is advisable.

Acute Disease↗

PubMed1983