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Management of aortic pathology was surgical and invasive until late 1980s. Stent grafts considerably lowered the invasiveness of the procedure for patients, suitable for endovascular management. Today, endovascular management of aorta is feasible in patients with coarctations, aneurysms, pseudoaneurysms, dissections and ruptures if anatomical requirements are met – a healthy neck for stent graft attachment must be present and vital … Preberite več >>

Ehlers-Danlos syndrome type IV or vascular type is a rare connective-tissue disorder caused by impaired collagen III synthesis. It occurs due to the mutation in the COL3A1 gene, which is inherited or caused sporadically by mutation de novo. Due to collagen III deficit the vascular tissue and tissue of visceral organs is fragile, which leads to numerous life-threatening complications. The … Preberite več >>

Aortic stenosis is the most common structural disease of the heart. The second most common heart surgery is treatment of aortic stenosis by replacing the aortic valve with a prosthetic valve. The classic surgical approach reyuires full sternotomy, general anesthesia, and cardio-pulmonary bypass, hence this procedure is not appropriate for all the patients. With the development of new surgical and … Preberite več >>

Treatment of lymphedema requires integrated and extensive management in several steps. Surgical treatment follows conservative therapies when adequate results were not obtained. It is individually planned and requires long-term postoperative rehabilitation. Surgical procedures are classified as physiological or excisional. Physiological procedures aim to improve lymphatic drainage, whereas excisional techniques are used to remove the affected tissues. Early results of surgical … Preberite več >>

Subungual melanoma typically presents with dark, longitudinal lines under the fingernail. The disease is commonly initially misdiagnosed, which leads to delays in correct diagnosis and treatment. Diagnosis is especially difficult in the case of amelanotic subungual melanoma. A histopathological diagnosis is essential; therefore a nail matrix biopsy must be performed. Surgical treatment includes amputation of the distal phalanx of the … Preberite več >>

Intra-abdominal infections encompass all forms of bacterial peritonitis, intra-abdominal abscesses and infections of intra-abdominal organs. They are subcategorized in two groups: uncomplicated and complicated. Complicated infections often result in peritonitis, therefore,
source control requires surgical management, supplemented by antibiotics and supportive therapy. In most severe cases, abdominal sepsis occurs; this may be of intraperitoneal or extraperitoneal origin. For patients with … Preberite več >>

Mitral regurgitation is defined as a systolic retrograde blood flow from the left ventricle to the left atrium. Moderate or severe mitral regurgitation can be found in 10% of people older than 75 years. It is treated surgically, usually by valvuloplasty. Patients treated by medical treatment alone have a poor prognosis. Percutaneous treatment is becoming the treatment of choice for … Preberite več >>

Hypoplastic left heart syndrome is a congenital heart defect where only right ventricle remains functionally unimpaired. Soon after birth, the newborns become severely ill with cardiorespiratory collapse which is followed quickly by death without immediate medical intervention. A crucial step in treatment is staged surgical palliation. Infants with hypoplastic left heart syndrome must be managed by a multidisciplinary team. A … Preberite več >>

Priapism is the condition of an unwanted erection that persists for more than four hours. There are three different types of priapism: ischemic (low-flow), nonischemic (high-flow) and intermittent (stuttering) priapism. The ischemic type, which represents a form of thevcompartment syndrome, is the most dangerous form, because it can lead to permanentverectile dysfunction if not treated promptly. The nonischemic type is … Preberite več >>

Compartment syndrome is a condition in which increased pressure within the confined space of a compartment impairs blood flow and causes organ or tissue dysfunction. Compartment syndrome can be primary or secondary, acute or chronic. If acute, it has an urgent clinical presentation which requires prompt surgical intervention. Common causes of acute compartment syndrome are trauma, vascular, iatrogenic or soft … Preberite več >>

Meckel’s diverticulum is the most common anomaly of the small intestine. It is present in almost 2% of the population; its most common location is in the terminal part of the ileum. In 4–10% of the affected population, it manifests itself as acute complications, such as bleeding, inflammation of the diverticulum or obstruction of the bowel lumen. In over half … Preberite več >>

BACKGROUNDS. Laparoscopic inguinal hernia repair is still rarely used in Slovenia. In the European Hernia Society guidelines, the use of the laparoscopic transabdominal preperitoneal technique is recommended for the active part of the population (based on the socioeconomic aspect) and for recurrent as well as bilateral inguinal hernias. METHODS. From 2007 to 2012, 48 patients with inguinal hernias were treated … Preberite več >>