[Late results in the surgical treatment of diaphragmatic relaxation].
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Biomedical subjects
Publications and source records attributed to V Stanić.
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In the period 1986-1990 at the Clinic of Cardiac and Thoracic Surgery 86 patients with nonspecific pleural empyema were treated. There were 18 men and one woman, mean age of 35.6 years. Causes of empyema have been the following: pleuropneumonia (10 patients), chest trauma (2), iatrogenic pleural infection (2), spontaneous pneumothorax (2), mediastinitis (1) and pleural infection per continuitatem (2). The authors consider that decortication should be performed as early as possible, immediately after stabilization of acute signs of infection. The optimal time for surgery is from to six hours since the onset of the disease.
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In the period 1964-1988 there have been performed 3173 pulmonary resections of which 1261 pneumoectomies. In 952 patients the mechanical suture was placed in the main bronch and standard suture in 309 patients. For mechanical sutures the Soviet UKL-40 or 60 apparatus was used. The bronchial fistula occurred in 9.2% of surgical patients after using mechanical suture and in 36.5% after using standard suture.
Within the period of 16 years (1973-1988) 692 patients with chest injuries were treated at the Military Medical Academy or 7% of all hospitalized patients with trauma. The largest source of trauma was traffic accidents (431 or 62.3%). Thoracotomy was performed in only 32 (4.6%) patients and the total mortality was 6.9% (48 traumatized). The importance of early recognition of vitally threatening syndromes and immediate initiation of therapeutical measures for correction of the disturbed intrathoracal relationship and hypovolemia have been pointed out.