We present a patient with blunt abdominal trauma severe acute right limb ischemia and clinical signs of diffuse peritonitis. Computed tomography angiography showed circumferential dissection the infrarenal aorta occlusion common iliac artery. opted for simultaneous abdomen exploration open repair injured aorta. Critical weakening aortic wall imminent rupture was identified intraoperatively. Aortotomy cranially from bifurcation intimomedial dissection. The fixation fragile flap achieved...

We are reporting the case of a 53-year old woman presenting to our hospital with hemorrhagic low-grade glioma (LGG). She was admitted nearby general where she had presented aphasia, right hemiplegia and change mental status. Computer tomography (CT) images showed left temporo-parietal hemorrhage mass effect. transferred neuro-intensive care unit emergency craniotomy performed. A tumor hematoma removed further histopathology analysis revealed progression. reviewed literature cases central...

Carotid-cavernous fistulas (CCF) are vascular malformations characterized by an aberrant shunt between one or more sources of arterial inflow and the cavernous sinus (CS). They subdivided into direct indirect fistulas. This last one, called dural CCF involve fistulous connections branches internal carotid artery external artery. When conventional routes not eligible, surgical exposure vein is only access to fistula. We present case a patient successfully treated for right sided CCF, hybrid...

Background: Very small intracranial aneurysms, generally considered to be those 3 mm in diameter or smaller, pose particular technical challenges for endovascular surgeons. For this reason, very aneurysms have been excluded from many relevant studies. The aim of our research was establish the risk factors occurrence stroke complications after embolization ruptured and unruptured aneurysms. Methods: During period 2009-2023, team performed embolizations 1567 patients across four different...

Introduction/Objective. Sprains account for 85% of all ankle injuries. Syndesmosis injuries occur in 1?18% patients with sprains and are more common contact sports involving forced foot dorsiflexion. Methods. In our study, we compared 30 treated dynamic fixation acute syndesmotic injury rigid fixation. The criteria comparison were: American Orthopedic Foot Ankle Society (AOFAS) Hindfoot Scale, visual analogue scale (VAS), EuroQol five-dimension questionnaire (EQ-5D), range motion,...

Background/Objectives: Endovascular embolization is an effective treatment option for cerebral arteriovenous malformation (AVM) and dural fistulas (DAVFs). The objective of this study was to assess the safety efficacy MenoxTM in patients with cranial fistulas. Methods: From January 2021 2023, 19 intracranial DAVFs underwent procedures. All were treated by or/and combination other products such as Onyx (Covidien, Irvine, California), PHIL (MicroVention, Tustin, Squid (Balt Extrusion,...

Introduction. The fractures of the posterior process talus are relatively rare injuries ankle. They most frequently occur via mechanism forced hyper plantar flexion and inversion. Sometimes they not initially diagnosed, since over 40% cases seen in initial radiography. objective this work is review case study arthroscopically treated unhealed fracture talus. Case outline. In our report we present a 30-year-old male, professional soccer player, with threemonth-long history chronic pain region...

Introduction. Calcaneus fractures are rare but potentially debilitating injuries. Most of them displaced intraarticular fractures, whose management is among controversial issues. There no consensus on whether to operate or not. The most often chosen surgical treatment open reduction and internal fixation as the primary method. Failure this surgery needs secondary subtalar arthrodesis definitive management, so in cases with severe comminution represents one stage good functional results. Case...

Peripheral arterial disease is one of the manifestations atherosclerosis that manifests itself primarily in peripheral arteries lower extremities and aortoiliac segment.The largest number patients, about 90%, have functional ischemia (Stage IIa IIb according to Fontaine).For these therapy choice medication consisting a combination acetylsalicylic acid, cilostazol pentoxifylline.Smoking very significant risk factor for development also most outcome modifiers.The study included 82 patients...

Analysis of the influence risk factors on drug therapy measured by prolongation claudication distance in patients with functional lower extremity ischemia (FLEI) can significantly improve individual approach to treatment these patients.The aim study was determine impact effectiveness medicament FLEI.The included 82 diagnosed FLEI (Fontaine IIa, IIb), treated at Clinic for Vascular Surgery University Clinical Center Niš, starting from January 2020 December 31, 2020.After 6 months examination,...

Abstract Tanycytic ependymoma is a very rare spindle-cell variant of derived from tanycytes, which are part the primitive nervous system. This paper presenting 48-year old woman who presented with low back and right-sided leg pain moderate intensity. MRI showed spinal intradural tumor at level L1 vertebral body. Right-sided hemilaminectomy en bloc resection were performed. Neuroradiological intraoperative diagnosis schwannoma was revised to tanycytic after careful immunohistochemical...

Abstract Discectomy is a surgical procedure in the treatment of lumbar disc herniation (LDH) if sciatica or neurological deficits occur and still persist after course conservative therapy. Standard discectomy (SD) microdiscectomy (MD) are equal curent clinical practice. Many retrospective prospective studies have shown that there no clinically significant difference functional outcome two modalities. The aim our study was to determine whether differences incidence reoperation performing SD...

Introduction/Objective. Low-grade gliomas affect younger adults and carry a favorable prognosis. We aim to describe clinical patterns of low-grade as well prognosis in different groups patients. Our intention was determine parameters that may prognosis, whether greater extent resection would increase the long-term progression-free or overall survival patients with gliomas. Methods. analyzed data obtained from files diagnosis World Health Organization classification grade II The relationships...

Introduction. Haglund?s deformity represents a reactive enlargement of the posterosuperior aspect calcaneus and often causes pain that can significantly disturb everyday activities. If patient?s condition does not improve after six months non-surgical treatment, surgical treatment could be taken into consideration. Although is successfully treated by endoscopic calcaneoplasty with two-portal technique, we decided to apply slightly newer technique ? arthroscopic surgery three-portal...

Traumatic brain injury (TBI) is considered to be a "silent global epidemic" and the leading cause of death in young males developed countries, major disability, morbidity, mortality worldwide. The classification TBI severity was performed using Glasgow coma scale (GCS) into mild (GCS = 15-13), moderate 12-9), severe 8-3). Despite developments modern intensive care, improvements resuscitation vital organ support, management critically ill patients with traumatic presents challenge all members...

In a busy working environment, with shortage of healthcare workers and increased workloads since the beginning COVID-19 pandemic, implementation an easy-to-remember mnemonic can significantly help anesthesiologists clinicians in conducting intensive therapy. One first mnemonics critical care therapy was implemented by Jean-Louis Vincent 2005. FAST HUG concept reminds crucial moments - nutritional support(F-feeding), analgesia sedation (A analgesia, S sedation), thrombosis prophylaxis (T...

Introduction. Leg conquassation caused by petrol tiller is one of the most severe injuries in bone and joint traumatology. Firm strokes sharp blades produce strong force that easily damages both soft tissues bones. Since tillers are used soil processing, wounds highly contaminated with dirt fertilizers, hence anaerobic spore-forming bacilli, such as tetanus gas gangrene pathogens. Case report. This paper presents treatment a 69 years old man chronic arterial insufficiency lower extremities...

Introduction. Tibial plateau fractures are complex injuries that, in most cases, require surgical treatment order to prevent far-reaching consequences for the functionality and quality of life patient. While numerous techniques have been described, it is evident that technique arthroscopically assisted repositioning (reduction) internal fixation has potential take lead management these types injuries. Case report. We present case a 36-year-old patient injured traffic accident with fracture...

Introduction. Significant cranial defects result from a decompressive craniectomy following head trauma, malignant brain edema, intracranial hemorrhage, or resection of tumor affected bone. Unrepaired are not just tremendous esthetic problem. The underlying is unprotected, prone to injury, and this state can lead the so-called ?syndrome trephined? with mood instability, headaches, even neurological deficit. Currently, there no widely accepted uniform technique vault shape restoration....

Delirium is not only a mental change but also complex clinical syndrome with multiple pathophysiological changes. an acute brain dysfunction accompanied by or fluctuation of basal status, loss attention disorganized thinking, altered level consciousness. Although healthcare professionals realize the importance recognizing delirium, it frequently goes unrecognized in intensive care unit. Acute delirium associated increased mortality, morbidity, length stay, and costs units hospitals. The...

Myopericytoma is a benign, soft tissue tumor probably derived from perivascular myoid cells. They are usually found in subcutaneous tissues the extremities. Intracranial localization of myopericitoma exceedingly uncommon. We report 43 years old male patient with incidentally posterior fossa. Patient was operated and completely removed. subsequently diagnosed acquired immunodeficiency syndrome due to human virus infection. One year after operation showed no signs recurrence, but developed...