Echinococcus is a zoonosis, parasitic disease, caused by echinococcus granulosus, E. multilocolaris, E. Vogeli and E. oligarthus. The most frequent at humans is a cystic form of the disease caused by E. granulosus, and rarely the alveolar one caused by E. multilocolaris seu alveolaris. It can affect all the organs and tissues. The most affected ones are: liver (70- 80%) and lungs (10-25%), while rarely, at 5% it can be found in spleen, kidneys, brain, heart, pancreas, mussels and skeleton. The only secure treatment of the primary echinococcosis is the surgical one. It should start immediately after the diagnosis is set in order to avoid complications which follow echinococcosis. Several surgical methods are used in practice for live echinococcus treatment: partial pericystectomia, total cystopericystectomia and liver resection. Aim of the work is to show the importance of the echinococcus cyst of liver and treatment methods. The patient presented in the work is Dj.G., female, register number of the disease history 355/14.05.2007., 61 years old, hospitalized at Surgical Clinic because of the surgery of echinococcus cyst on the left liver lobe. Diagnosis was set by abdomen USG, CT of the abdomen, and laboratory analyses. During the surgery, we found a big echinococcus cyst localized in the second and third segment of liver, so we did a liver resection as a bisegmetectomia with total ekstirpacija of the cyst. Postoperative flow passed normally and the patient
was on the eight postoperative day sent to further home care in a generally and locally good state.

Autors reports 20 ten old boy received penetrating vulns thorasic with naif at midle linea.subksifoid area. Patient with angina pectoris, hypovolemic shock end cardiac arrest received at department intensive care Clinic hospital centre Prishtine in Gracanica. In cardiogenic arrest under reanimation is introduction in general endotracheal anestesy and intervention surgery. Maden midle sternotomy and verification laesio pericardii under right cordis longth of 20 mm,hematopericard and vulnus at parietis diaphragmalis right ventricular in area septoapicalis.Past evacuation sangui from pericard heart mobilisation and made compresion phingin.Placement closure laesion with cardiorraphia prolen 0000 sec.Cooley.Lesion right pleurae mediastinalis and placement drain in right torasic cavum and drain mediastine in restrosternal area i aspiration undervother sec. Bilay. Fixation sternum with fillum metalicum sec. Kurschner. Reanimation intensive care all time and past realisation complete haemostasis along linae sutturae heart folow up substitution adecquat failure volumen total sangui plasm and cristolid. Realisation total stability hemodinamic and patient move at department intensive care. Control EKG, echocardiography and cardiac ensims 5 and 10 dely psotoperative show fingins corectly. Not signs ischemic laesaoin and disfunction conducti and arrhythmi. Haert pariets is all corectly viability and cinesy.

Getting on in years individually becomes the biggest risk factor in appearance of the woman's brest cancer. From the entire number of new discovered woman's breast cancers, 48% are women older then age of 65. Woman's breast cancer discovered by persons got on in years diagnose in getting forward condition of illness besides bigger cancer freqvency with propitious histology and biological profile. There are not enough proper studies about the breast cancer in elderly. For the project development material has been used from the surgical clinic and clinic for Oncology, as wellas institute for Pathology of the clinical centre in the city of Nis.The data from our serial direct attention to rarer conduct of standard diagnostic procedures at elderly with breast cancer. Also the conectivity between years of the patients; and time being passing from the initial diagnosis until treatment has been studied. Using pathhistology exam we were reseiving information about histological type of cancer, about the size of cancer, histological and nuclear grade, as well as absence or hold of metastasis process of lymph nodus. The most frequent used surgical procedure was radical mastectomy modified by Madden and Patey. The presence of complications has been tracked in the postoperative progress. In the postoperative progress depending on condition of breast cancer histological and nuclear grade, hold of the lymph knots,positivism of hormonereceptors, presence of comorbidity female patientswere subjected to adjuvant therapy. With purpose of perception of diagnoses as well as caracteristics and results of treatment of the female patient's survival has been tracked. The average survival in the examined group was 21 months while it was 31 month in the control group

Chronic appendicitis presents inflammation of appendix with atypical clinical findings, without significant signs
and symptoms. Because of that diagnosing chronic appendicitis presumes a great problem. Indications for operative treatment based on clinical impression are followed with a great number of unnecessary appendectomies. Barium enema can show morphlogic changes of appendix during its chronic inflammation. Our aim was to show values of barium enema in diagnosing chronic appendicitis. Study went prospectively, in period 1999-2001 on Clinic for abdominal and endocrine
surgery, Institute for surgery Novi Sad. It includes 100 patients with symptoms, 50 of them were operated after barium
enema, and other 50 were operated after clinical impression of surgeon. Each appendix was patohistologicaly examined.
Incidental appendectoies were exluded. Of total 1425 appendectomies in three years period, 100 were operatde because of chronic appendicitis. Fifty of them were operated after barium enema, and other 50 were operated after clinical impression of surgeon. Range of years was 15 59 in examined group with average 35,6 years. In control group range was 15 57, with average 32,9 years. Lasting of pain episode more than 12 hours had 94% of patients in examined group, and 72% of patients in control group had painn less than 24 hourrs. During of pain episodes at 92% of patients from examined group was 3 weeks to 12 months, and 86% of patients from control group had pain standing 3-36 weeks. The most common sign on barium enema was finding of coprolites in lumen (52%), followed with unfilled appendix (18%, angulations (10%), distal amputation (8%), segmentation of contrast (8%), and fixated appendix (4%). Intraoperative macroscopic findings were as followed: 40/50 coprolites in lumen, 7/50 fibrous bounds, and 3/50 fibroses of appendix. Patohistologicaly, chronic appendicitis was confirmed at 90% of patients in examined group, and 58% in control group. After surgery, 94% of patients from examined group don't feel the preoperative pain. Barium enema significantly increases of chronic appendicitis. It is non-invasive, and reliable method for showing morphologic changes of chronic appendix. Use of barium enema dereases number of unnecessary appendectomies. Barium enema is suggested for evaluation of patients with chronic pain in right lower quadrant of abdomen, and thereby for diagnosing of chronic appendicitis. 

Background: Ultrasonography(US) is a method in diagnosis of hepatobillious tracts. Due to the construction of
modern ultrasound facilities this method presents one of the most important method in this field due to the fact that it is:
uninvasive method, it does not procedure harmful biological effect; it does not demand contrastive means, there are no
counter indications known, and it does not provoke uneasiness to patient. Methods:200 patients were treated ultrasonographically at Surgical Clinic Faculty of Medicine in Pristina. Results: In 119(59,9%) cases calculus in gallbladder was localised ultrasonographically and in 131(65,5%) cases operativelly. Calculus was found in Hartmann's place in 60 (30%) cases ultrasonographycally and in 65(32,5%) cases operativelly. Calculus in d.cysticus was operativelly found in 4 (2,0%) cases and it was not found ultrasonographically. Solitary calculosis was found ultrasonographically in 52 (26,0%) cases and it was confirmed operativelly 47 (23,5%) cases.Multiple calculosis was diagnosed ultarsonographically in(148 74%) cases, and operativelly in 153(76,5%) cases. Anteroposterious radious of gall bladder was found ultrasonographically to be 3 or more then 5 cmm long in 109(54,5%) cases, and operativelly in 111(55,5%) cases. Gallbladder wall size higher than 3 mm was found US in 149(74,5%) cases,and operativelly in 137 (68,5%) cases. Choledocholithiasis was US diagnosed in 29 (53,7%) cases and operativelly in 54 cases. Gallbladder carcinom was US diagnosed in 5(2,5%), and operativelly found in 7 (3,5 %) cases, 6 (3,0%) gallbladder path carcinomes were not US diagnosed. Conclusion:Those results show that ultrasonography is a method of chois in gallbladder disseases treatment accuracy of the method equalls 89,5% on our clinical material.