Biomedical subjects

Kerim Begić

Publications and source records attributed to Kerim Begić.

4 recordsLinked to original sources

PubMed2006

Laparoscopy after previous laparotomy.

Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previous laparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured.

Abdomen↗

PubMed2005

[Pregnancy after laparoscopic treatment of ovarian endometriotic cysts].

OBJECTIVE: The aim of study was to present the optimal laparoscopic treatment of the ovarian endometriotic cysts in patients who had been treated of sterility and to present the success of the sterility treatment. METHODS: Ovarian endometriotic cysts do not have proper reaction to hormonal supressive therapy and surgical treatment is required. Laparoscopic cystectomy of ovarian endometriotic cysts using electrocision was performed in 45 patients who previously underwent laboratory tests specific for that type of patients, as well as sperm analysis of their husbands. At the same time, potency test of the uterine tubes was performed. RESULTS: 34 patients had normal uterine tubes potency and normal semen analysis of their husbands. Out of 34 patients, 12 (35%) spontaneously got pregnant during 12 months following laparoscopic treatment. At the same period of 12 months, in 6 (13,3 %) patients recurrent ovarian cysts were discovered. CONCLUSION: Laparoscopic cystectomy of ovarian endometriotic cysts is efficient method of preserving fertility in certain number of patients. Although the laparoscopic treatment may reduce ovarian reserve, it presents a method of choice in therapy of ovarian endometriotic cysts.

Adult↗

PubMed2004

[Trial of labor after previous cesarean section].

Elective repeat cesarean section continues to remain the standard to care at GYK and OBST. Department in Sarajevo. This paper is a study of 216 patients with previous cesarean section who requested and were allowed a trial of labor. One hundred fifty-six (72%) achieved successful vaginal delivery with no maternal or fetal mortality or significant morbidity. Review of the USA literature indicates similar results in other independent studies. Continued accumulation of cases showing the efficacy of post-cesarean section trial of labor should encourage a reassessment of the continuing practice of elective repeat cesarean section.

Adult↗

PubMed2003

[Perinatal mortality at the Gynecology-Obstetrical Clinic of the Clinical Center in Sarajevo in 2001].

Work results of the gynecology-obstetrics clinic Sarajevo maternity ward have been shown. Number of deliveries reached 3289, which iz significantly less then in the year 200. Prematurity reached 6.6%. Cesarian Sections were carried out in 19.3% cases and this represents a remarkable increase in comparison with the previous year 2000, when it reached 16.8%. Perinatal mortality iz 11.1@1000. Perinatal mortality shows a decrease in comparison with the period before the war. Late fetal mortality has not been significantly changed. Neonatal mortality shows an apparent decrease. Total perinatal mortality of mature newborns iz 6.9@1000 and has a constant tendency to decrease, reaching 10.5@1000 in 1991. Clinical presentation of deceased newborns predominantly presents with respiratory distress syndrome.

Bosnia and Herzegovina↗