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Biomedical subjects

M Pazur

Publications and source records attributed to M Pazur.

At least 19 recordsLinked to original sources
PubMed1979

[Blunt injuries of the abdomen in Gorenjsko during the past 3 years].

This paper concerns blunt injuries of the abdomen in Gorenjsko (a Region of SR Slovenija northern of Ljubljana) treated during the past 3 years. Of the total 131 hospitalized patients, 51 (or 43.5%) were operated on. In 5 (8,8%) an explorative lapartomy was performed in which no pathological substrate was found. The most frequent lesions were found in the spleen, liver and small intestine. The paper stresses the importance of an early and correct diagnosis of such injuries. In making the exact diagnosis aside from the physical evaluation, the most important procedure is lavagage of the abdomen which the authors used in all cases suspect for acute abdomen and obtained excellent results. In 20% of the patients surgery was performed within 2 hours of their of hospital admission. Injuries of the liver were treated with necrectomy, ligature of the bleeding vessels, suturing of the biliary canals, and establishment of drainage. Ligation of the hepatic artery and hepatic resection was performed in two cases. Injuries of the pancreas were also treated with necrectomy, hemostasis and drainage. In one case with a posttraumatic pseudocyst of the pancreas surgery was performed with an isolated intestinal loop according to Roux-Herzen. In conclusion the author insists on a prompt diagnosis in which abdominal lavage plays an important role. Using such an approach the morbidity is significantly reduced.

Abdominal Injuries↗
PubMed1977

[Carcinoma of the stomach in the Gorensjka region].

With the review of his patients author in the discussion brings in consideration some points of interest to him: 1. The gastroscopic control with histologic biopsies of the mucosa. 2. Agressive surgical approach with subtotal resection of the stomach and total omentectomy, also when the resection is only palliative. 3. The total resection of the stomach gives long terms bad results. 4. The best type of resection is Billtorh I, because it is physiologic. 5. The citostatic therapy must follow operation.

Adult↗
PubMed1976

[Acute gangrenous cholecystitis with suppurative acute cholangitis in the 1st days of the puerperium].

A 25-year-old secundipara developed acute gangrenous cholecystitis coupled with suppurative cholangitis on the fourth pureperal day. The patient recovered after cholecystectomy and choledochotomy. It is pointed out that cholelithiasis is not rare in pregnancy but acute cholecystitis is very rare, especially in the puerperium. For this reason the diagnosis is difficult, yet the final issue depends on its early establishment and also on the early surgical intervention.

Acute Disease↗