Biomedical subjects

S Stratev

Publications and source records attributed to S Stratev.

12 recordsLinked to original sources

PubMed1991

[The complications of the polycystic kidney requiring surgical treatment].

The complications--incidence, relation with renal function and treatment--and the results of treatment are analyzed in 87 patients with autosomal-dominant polycystic disease of the kidneys. Complications requiring surgical management developed in 16 patients (18.4 per cent). In 8 patients there was infection of cysts, 3 had obstructive calculous uropathy and the rest--other complications. Nine patients were operated. In patients with suppurated cysts the surgical method of choice was excision of the cysts and ignipuncture. Taking into account the significantly higher incidence of infections in patients on hemodialysis (p less than 0.05), the ultimate results of treatment are evaluated as very good--control of the septic state, no case fatalities.

Adult↗

PubMed1990

[The diagnostic difficulties in multiple tumors of the urothelium].

Early diagnosis of all the foci in multiple urothelial tumors keeps on being difficult. On comparison of the clinical and postmortem diagnosis the tumor of the renal pelvis remains unrecognized in about 31 per cent of the cases and the tumor in the ureter in more than 50 per cent. A case is reported of primary multiple urothelial tumor, for whose diagnosis all modern methods were used. In spite of all this, the focus in the renal pelvis was diagnosed four years after the onset of clinical manifestations of the disease. In this connection, the possibilities of the different methods of examination are discussed.

Carcinoma, Transitional Cell↗

PubMed1990

[Ketamine analgesia with low (subanesthetic) doses during endoscopic urological operations].

The aim of the study is analgesia of patients in urologic practice with unusual (subanesthetic) ketamine doses from 0.5 to 1 mg/kg body mass. It was applied in 50 men 50 to 70 years of age for the period 1986-1988--in 40 for transurethral resection (TUR) and in 10 for urethrotomy. The average duration of the operative interventions was 25 minutes. After standard premedication--droperiodol, phentanyl, atropine, 30 to 40 minutes before the operation ketamine 0.5--1 mg/kg and diazepam 0.2 mg/kg were administered intravenously and in case of need--maintenance dose from 0.25 to 0.50 mg/kg. Pulse rate, breathing rate and arterial pressure were followed up. Analgesia was evaluated by anesthesiologist, operator and patient. The disadvantages, which have been avoided and the advantages over other types of anesthesia, as well as the final positive assessment, allow recommendation of this form of anesthesia in urologic practice.

Aged↗

PubMed1990

[Rare complications in polycystic kidney--the difficulties in their diagnosis and treatment].

The development of some rare complications of renal polycystosis is discussed. Four patients with chronic polycystosis with complications are followed up. In 3 of them (2 of them on chroniodialysis) the cysts suppurated and after an infective conservative treatment they were treated surgically-puncture, cyst excision and unilateral nephrectomy. To the fourth patient bilateral nephrectomy had been performed 5 years ago because of other reasons. All 4 patients are alive at present with a fairly good end result.

Diagnosis, Differential↗

PubMed1989