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V Stepić

Publications and source records attributed to V Stepić.

10 recordsLinked to original sources

[Decortication of the lung in the treatment of nonspecific pleural empyema].

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.

Adolescent

[Characteristics of primary blast injuries at the beginning of armed conflict in Yugoslavia in 1991].

At the beginning of combat operations in Yugoslavia among 290 wounded members of the Y.P.A. and Territorial Defence sent to the treatment at the Military Medical Academy, 60 (20.7%) were with explosive mine wounds. In the group of 12 wounded with rupture of one or both tympanic membranes or with traumatic hearing impairment of various degrees, the chest x-ray was also performed. Radiologic signs characteristic of primary blast injury of the lung were found in a high percentage (42%). A possible relationship of primary auditory and primary nonauditory blast injury was discussed, and it has been concluded that more severe rupture of the eardrum in the injured by mine explosion can suggest the presence of primary blast injuries.

Adult

[Mechanical sutures in the management of the stump of the main bronchus].

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.

Aged

[Injuries of the thorax].

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.

Adult