Biomedical subjects
Publications and source records attributed to S Bilbija.
The authors describe 8 cases of carcinoma of the male breast treated at the Clinic of Surgery, Clinical Medical Center Banja Luka in the period 1968-1988. In their discussion, the authors review contemporary findings concerning the genesis, evolution and treatment of this carcinoma.
These injuries are becoming more and more frequent and the prevalent etiological factor is the traffic accident. The isolated ruptures of the diaphragm are rare, while combined injuries of the organs (craniocerebral, the injuries of spine, pelvis, thorax and extremities) are more frequent. Left hemidiaphragm occurs more often than the right rupture. Clinical feature is a result of the prolapse of abdominal organs into the thorax. Apart from anamnesis and physical examination, radiological findings are the most important for diagnosing the rupture. Gastric tube and contrast medium are of considerable help. Pleural punction should be avoided because of possible complications, abdominal punction is helpful, whereas pneumoperitoneum is dangerous in the present respiratory insufficiency. If abdominal symptoms prevail, laparotomy is indicated: while in damages of thoracis organs and in neglected cases with large adhesions, thoracotomy is carried out. The prognosis depends on the injuries of other organs while in isolated diaphragmal ruptures death-rate is minimal (if diagnosis was made early). The authors present their experiences in the treatment of 30 patients during 16 years period (1972-1988).
Hydatid disease is rare and sporadically seen in our region. With the use of modern diagnostic methods the diagnose of echinococcus cyst in the liver is easily and exactly made; most frequently we performed cystectomy paying attention not to disseminate the parasite fluid, and treating the cavum of the pericyst as described by PAPADIMITROU. Using the drainage of subphrenic space we prevent postoperative complications. When the subphrenic abscess appears the hospitalisation period is prolonged, the patient's life is threatened and the treatment is getting expensive.