[Diagnosis of venous diseases].
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Biomedical subjects
Publications and source records attributed to V Dukić.
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Although, carcinoma of the breast, because of its high frequency and many specific properties, belongs to the most studied of malignancies, it remains a fact that during the past 3 decades the incidence of mortality from this disease has changed little. The authors, drawing on their 30 years experience, demonstrate that the mortality rate and the survival rate depend on the kind of surgical intervention as well as the stage of development of the disease at the moment of operation. For this purpose a total of 655 operated cases were recorded (643 female and 12 male) using the Steinthal classification. In this series 68.1% were infertile; the upper outer quadrant was affected in 54% of cases; histologically the most frequent form was scirrhous adenocarcinoma. The greatest number of patients belonged to stage II and III, whereas the average time from the appearance of the first symptoms up to the medical examination was 6-12 months. Further spread of the disease and regional metastases were presented in more than 65% of cases. It was demonstrated that surgical procedure used depended on the extensiveness of the disease; modified radical mastectomy was performed in 54.2% of patients and Halsted's radical mastectomy in 40.15%. 185 patients were given the control examination. A strictly statistical analysis of the results confirmed that whereas the length of survival was not significantly affected by the kind of operation, the mortality rate did vary according to which surgical procedure was used. The author conclude that there is no best or unique surgical method and that each patient should be examined in a multidisciplinary way, and his treatment should be carefully planned.
In this study the experience in treating 213 patients suffering from chronic ischemia with improvement of the microcirculation has been discussed. Medicamental treatment of chronic ischemia in patients with various pathologiic alterations of the circulation is indicated in cases which do not indicate reconstructive surgery. In the abundance of measures adopted in the treatment of these pathologic conditions the authors summarize their experience with the use of Pentoxyphyllin (Trental). During 1976 theyy treated 213 patients with this drug: 142 patients with pathologically altereed arterial circulation 51 patients with pathologically altered venous circulation 20 patienst on whom transplantations using various tissue transplants were used. The plan of administration of the drug, its undesireable side effects and the manifesting vasoactive effects of trental at the microcirculatory level especially on the microcirculation in tissue with pathologicaly altered perfusions has been discussed. Based on the shortlasting and limeted experiences the authors conclude that this drug can be recommended in therapy for various conditions of pathologicaly altered tissues circulation.
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