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Z Hrgovic

Publications and source records attributed to Z Hrgovic.

10 recordsLinked to original sources
PubMed2006

[A new approach to the transvaginal needle suspension technique after Raz. Technique and long-term results].

AIM: Our aim is to describe the surgical technique and to present a long-term evaluation of the results. MATERIALS AND METHODS: A total of 53 patients with stress incontinence underwent a Raz transvaginal needle suspension operation with the introduction of a polypropylene mesh strip (15x1.5-2 cm) pulled under the suspension threads. The suspension threads occur on the endopelvic fascia in order to support the bladder neck and to permit the function of the polypropylene mesh strip, which, however, does not take part in supporting the bladder neck. The same urologist carried out 53 consecutive operations with clinical evaluation at 6 months, 1 and 5 years after surgery. RESULTS: After 6 months, 51 of the patients (96.2%) reported remaining dry after increasing intra-abdominal pressure. Two (3.7%) still had stress incontinence symptoms. After 1 and 5 years, 47 (88.6%) were dry and urinated normally, with spontaneous disappearance of nightly enuresis in two and surgery for subvesicular obstruction in one. CONCLUSIONS: The introduction of a polypropylene mesh strip in the suspension threads in cases using the trasvaginal suspension technique has good, long-term results for the treatment of patients with stress incontinence.

Adult↗
PubMed2005

The congruity between urine and cervical swab cultures in pregnant women with versus without amniotic fluid infection.

INTRODUCTION: We observed the congruity of bacteria found in urine and cervix of pregnant women with amniotic fluid infection (AFI) compared to healthy controls. PATIENTS AND METHODS: Over three years, we prospectively analysed urine and cervical swabs cultures in 120 pregnant women in gestational week 16-20. The patient population was divided in two groups: group I patients had clinical symptoms of AFI. The rest of the patients were designated as healthy controls (group II). Congruity between findings in both groups was observed. In patients with bacterial growth, antibiotic treatment was initiated as recommended and once ended - culture probes were repeated. RESULTS: The rates of nonsignificant and significant bacteriuria were doubled in group I. Fifty-five percent (n = 33) of patients in group I had identical bacteria cultured both from the urine sample and cervical swab, in contrast to only 13.3 % in group II. Congruity was most pronounced for Klebsiella species and E. coli, the later being single most dominant isolate in regards to both cultures. After antimicrobial treatment, microbial eradication occurred in 15 patients (45.5 %). The observed incidences of abortions and preterm deliveries were significantly lower in patients with microbial eradication versus patients with microbial persistence. CONCLUSION: Patients with clinical symptoms of AFI have high risk for bacteriuria identical to bacterial culture from cervical swab. Antimicrobial treatment was effective only partially where indicated. Screening for eradication is recommended and consensus on the most appropriate therapy is needed.

Amniotic Fluid↗
PubMed2004

[Differential diagnosis of urinary retention: aneurysm of the iliac artery].

A 69-year old male presented with anuric acute renal failure. Abdominal ultrasound at admission revealed a mass in the pelvis thought to be the urinary bladder and the diagnosis of urinary retention was made. When placement of an urinary catheter did not induce urine flow, digital rectal examination was done. Palpation of a pulsating mass finally led to the diagnosis of aneurysm of the iliac artery. Based on this case, the general problem of diagnosing an iliac artery aneurysm is discussed.

Acute Kidney Injury↗
PubMed2003

Ruptured interstitial pregnancy Two case reports.

The authors described two cases of the ruptured unrecognized interstitial pregnancy. 32-year-old woman, was admitted for abdominal colics in 17th week of uncontrolled pregnancy. Obstetric finding on admission was normal, while ultrasonography pointed to 17th week of gestation. During the first night of hospitalization, severe abdominal pain, with collapse, tachycardia and hypotension developed. Laparotomy was performed in general endotracheal anesthesia with resuscitation measures, and revealed hematoperitoneum and ruptured right-sided interstitial pregnancy with a dead fetus among the bowels. Abdominal hysterectomy without adnexa was performed. S. J., a 35-year-old tertigravida, six years before, left-sided adnexectomy was performed for perforated tubal pregnancy. 5 weeks before artificial abortion now, ultrasonography revealed a vital fetus biometrically corresponding to the 11th week of gestation. The condition was recognized as an unsuccessful artificial abortion and intact pregnancy. During preoperative preparation the patient lost consciousness and required immediate resuscitation. The abdominal cavity was opened by Pfannenstiel's relaparotomy, and revealed hematoperitoneum with numerous adhesions between the small intestine, sigma, uterus and urinary bladder, and ruptured left-sided interstitial pregnancy. Adhesiolysis was completed, a lesion in the sigma was sutured, and hysterectomy was performed. Exploration of the abdominal cavity revealed a dead fetus among small intestine loops, and an indurated, sharply delineated neoplasia of the head of the pancreas.

Abdominal Pain↗
PubMed1990

[Factors influencing physiologic pressure variations of the lower esophageal sphincter in healthy probands].

Manometric characteristics of lower esophageal sphincter (LES) in 59 healthy persons have been investigated. The aim of the investigation was to find out possible physiological changes of LES pressures considering posture, part of the day, maximal inspiration and expiration, empty or partially full stomach and abdominal compression. It has been proved that the minimal value of lower esophageal sphincter pressure in all the investigated patients was 1.77 kPA (13.3 mm Hg) while the maximal one was 4.53 kPa (34.0 mm Hg). The absolute difference between the lowest and the highest measured lower esophageal sphincter pressure was 1.43 kPa (10.77 mm Hg). The mean value of all pressures was 2.99 kPa (22.4 mm Hg). It seems that the posture during pressure measuring is irrelevant. The pressure does not vary more significantly considering neither the time of the day nor any exertion of the examinee.

Adolescent↗
PubMed1990

[Methemoglobinemia in a newborn infant following pudendal anesthesia in labor with prilocaine. A case report].

A genetically intact newborn suffered from methaemoglobinaemia after delivery under pudendum anaesthesia with prilocaine. Complete restitution was promoted by i.v. applied ascorbic acid and thionine. This is of special importance because in this case methaemoglobinaemia was not produced by medication of the patient herself but must be attributed to the local anaesthesia of the mother with prilocaine. The special sensitivity of newborn and infants, as well as the use of possible treatment methods as described in literature, are discussed.

Adult↗
PubMed1989

Contribution to the recognition of iniencephaly on the basis of a new case.

A child at term had been delivered by means of Caesarean operation because of its I. dorso-superior transverse position. The not viable, female newborn had a malformation causing an extremely retroflexion of the head. After intensive pathological and anatomical study the main diagnosis was iniencephaly and heart malformation. A large number of further results, also of malformated brain anatomy is given to contribute to the knowledge of the malformation sequence. The chances for early detection of the malformation are discussed.

Abnormalities, Multiple↗
PubMed1988

[Preventive use of antibacterials with a single administration of 1 g ceftriaxone in gynecology and obstetrics].

An indication for prophylaxis in vaginal and abdominal hysterectomy is given in the case of high postoperative infection morbidity. In order to reach an adequate level of antibacterial activity in serum and tissue one should apply the initial dose before the operation. The presence of various risk factors in Caesarean section is also an indication for prophylaxis. This applies especially to emergency Caesarean sections which have an increased infection rate. The application of the substance should follow the separation of the child from the mother after cutting the umbilical cord in order to prevent a diaplacental diffusion of the substance which can lead to a false diagnosis of the newborn. Our clinical studies demonstrated that an infection prophylaxis in gynaecological obstetrical standard operations is very effective with a single application of 1 g Ceftriaxone. Only 1 from 90 patients developed a postoperative infection. There were only 2 patients with side effects, which were diarrhoea and an allergical reaction. The hematological, hepatical and nephrological function tests did not indicate any alteration of values related to the test substance. Finally we have observed that Ceftriaxone has not only proven to be highly effective in a perioperative antibiotic prophylaxis in extensive gynaccological and obstertrical operations, but also a compatible medicament in view of the rare occurrence of side effects. The clinical application of this medicament in gynaecology and obstetrics can therefore be recommended.

Adult↗
PubMed1987

[Pathogenesis, clinical aspects, morphology, therapy and prognosis of phyllodes tumors of the breast].

A case is reported of a malignant cystosarcoma phylloides. After 7-year-follow-up period an increase in size was observed in a mammary nodule, first suspected diagnostic ascertainment. Histology of the removed tumor with an unsuspicious tissue sheath revealed a malignant cystosarcoma. Consequently, any palpable breast node suspected to be fibroadenoma should be removed with short-spaced follow-up examination or at least observed over long periods of time in view of the possible malignant degeneration despite of absent criteria of malignancy.

Biopsy, Needle↗