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T Atanasijević

Publications and source records attributed to T Atanasijević.

17 recordsLinked to original sources
PubMed2002

[Splenic injuries and mortality in polytrauma].

Severe trauma is the leading cause of death in the working population. Traffic accidents are the most frequent etiological factor, with substantially more male than female victims. In this paper we have analyzed 53 cases of dead patients, among 240 severe traumatized treated in Center of emergency surgery, Emergency Center, CCS from January, 2000-June 2002. Spleen is the most frequent injured abdominal organ. In 34% surviving period was less than 72 hours. One-third of patients required at least two surgeries, including laparotomy. The most preciously diagnosis were performed in the cases of spleen injuries. The most common cause of death was cariopulmonal insufficiency, according both clinical diagnosis and forensic findings.

Abdominal Injuries↗
PubMedDate not supplied

[Multidisciplinary investigations in dead persons suspicious of AIDS].

The background of AIDS is the deregulation of the cellular immune system caused by HIV infection. AIDS has proved to be entirely different from any previous known diseases. It affects practically all the tissues and organs of the human body. Clinical and autopsy diagnoses are confronted with an incomparable diversity of inflammatory, vascular, degenerative and neoplastic changes. Thanks to clinical and pathological researshes, the medical knowledge of AIDS has rapidly progressed. The Institute of Forensic Medicine is, for now, the unique medical institution organized to perform obligatory autopsies of drug-addicts, to detect the other cases suspect of HIV infection or some AIDS indicative diseases. The aim of this study is to establish the basis for multidisciplinary investigations of AIDS and to solve very important problems such as: a) to accept the diagnostic criteria for correct diagnosis of AIDS, with or without laboratory evidence of HIV infection; b) to recognize the early stadium of clinico-pathological entities associated with HIV infection; c) to improve the "indicator" of AIDS disease for daily medical practice.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

[Abdominal war injuries].

In the period of July 1, 1991-December 31, 1992, 4292 wounded were treated in the Military Medical Academy (MMA) in Belgrade. Out of 410 (9.6%) wounded with abdominal war injuries, 156 (38%) received the primary treatment in MMA and the remainder in other hospitals. One fifth of the wounded with abdominal injuries suffered combined injuries of more organs and 82.7% of the cases had multiple injuries of one organ or combined injury of two or more abdominal organs. Wounding caused by explosive devices prevailed (61.5%), and the most frequently injured organs were small intestine in 40% and colon in 30.7% of the cases. Reoperation due to complications was performed in 7% of the wounded primarily managed in MMA and 33.8% of there primarily managed in other hospitals. Total mortality due to the abdominal war injuries was 10.9%, while mortality in patients primarily managed in MMA amounted to 4.5% compared to 14.9% of those operated on in other hospitals.

Abdominal Injuries↗
PubMedDate not supplied

[Comparative analysis of sutured and stapled colorectal anastomoses].

In the period of 1987-1993 at the Clinic of General and Vascular Surgery, Military Medical Academy, 364 colorectal anastomoses were performed; the group I was composed of 167 patients with sutured anastomoses, and 197 patients with stapled anastomoses were in the group II. More than half of patients were over 60, and ratio between males and females was 2:1. The reason for resection in almost 90% of the patients was adenocarcinoma of the rectum of which in 40% of the patients the process advanced up to stages C and D by Dukes. Pathologic process in the group I was localized in the lower two thirds of the rectum in 24.6% of the patients, while the percentage in the group II was tripled--76.1%. Surgical wound complications were most frequent in both groups (14.3%:9.6%), and complications associated with anastomosis were less frequent in the stapler group. Clinically clear anastomosis dehiscence appeared in 11.4% of the group I and in 10.7% of the group II. Total mortality was 3.3% (Group I 3.6%, group II 3.0%). By comparative analysis of early complications after resection of the rectum with sutured or stapled colorectal anastomosis, it is concluded that the introduction of staplers in colorectal surgery facilitated the easier accomplishment of larger number of low-lying colorectal or coloanal anastomoses, which are safer and followed by fewer complications, and with equal oncological disease control.

Adult↗