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L Kraljević

Publications and source records attributed to L Kraljević.

15 recordsLinked to original sources
PubMed1976

[Rupture of the duodenum due to blunt injury].

Injuries of the duodenum, although rare, have increased in frequency of occurence during the past ten years. Careful attention must be given to them, especially if the injury was brought about by a blunt blow of the abdominal, and lower thoracic regions. X-rays are the most important means used in diagnosing such cases. Injuries of the duodenum often occur along with injuries of other related structures, especially in polytraumatized patients. Early diagnosis, and surgical treatment are conditio sine qua non for successful results. During the operation itself, a compete inspection of the entire duodenum, both intra and extraperitoneal parts, careful placement of sutures about the perforation and an exact drainage are of utmost importance in the prevention of postoperative complications. In cases in which the duodenal wall has lost its vitality for accepting suture, a gastrojejunal, duodenojejunal anastomisi, or gastrostomia are performed, the content of the duodenum is aspirated, the duodenum is decompressed and adequate drainage of the peritoneal cavity is established. In cases of accompanying injury of the pancreas, or choledochus, a drainage of the extrahepatic bile duct is recommended. The authors discuss one case with a ruptured duodenum, resulting from blunt trauma, in which all of the above mentioned procedures were used; they insist that any suspicion of a duodenum's rupture indicates an immediate laparotomy.

Duodenum↗
PubMedDate not supplied

[Sanatoria in Split].

In 1904, the first private surgical sanatorium in the Slavic South was founded in Split by Jaksa Racić, M.D., surgeon, urologist and radiologist. He was conferred degree in Insbruck "sub auspiciis imperatoris" in 1900. The sanatorium had 14 beds, operating theaters for aseptic and septic surgeries, the most modern devices, instruments, roentgenograph and electric light (17 years before Split was supplied with electricity). Doctor Jaksa Racić contributed a lot to the development of Marjan as city-park. All those achievements of Dr. Jaksa Racić were often reported in the Yugoslav and foreign newspapers. Doctor Vladimir Roić opened his own private surgical sanatorium in Split in 1929. His sanatorium had 20 beds, operating theater, delivery room and roentgenograph. In 1933 Dr. Jakov Milicić opened gynecological and obstetric sanatorium in Split. His sanatorium had 15 beds, operating theater, delivery room and roentgenograph. Those three sanatoriums, founded at the beginning of this century, with the first surgical sanatorium of Dr. Jaksa Racić, in 1904, have been of great importance for the development of health services in Split, in general.

General Surgery↗