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Volume 53, Issue 4, 2025

Online ISSN: 2560-3310

ISSN: 0350-8773

Volume 53 , Issue 4, (2025)

Published: 30.06.2025.

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01.01.2016.

Professional paper

Surgical treatment of biliary pathology in patients: 13 years of experience

Biliary pathology represents today one of the most common indication for surgery in abdominalnj surgery. Calculosis gallbladder is a serious pathological condition, that their frequency, severity and possible complications constitute a significant percentage of medical emergencies. Septic complications are the most important factor of morbidity and mortality in biliary surgery. In relation to the gender structure of M: F=160: 519 1 3.2 23.6%: 76.4% is female domination. The highest incidence of biliary diseases in this interval is 91 (13.4%) in 2006, and 75 (11.0%) of 2010 average incidence of 52 patients per year. The lowest incidence was 2002 g 6 (0.9%) patients. The youngest patient was females aged 12 years. The oldest patient who underwent surgery were female, with a 82 yr. The range is 82-12=70g. The average age of the patients was 51 years, with dominant females 76.4%. Cholecystitis chronice is present in 423 (62.3%), cholecystitis acuta 251 (37%). Cholelythiasa 666 98%. Acalculosa 13 (1.91%). Calculosis gallbladder was present in 666 (98.1%) cases. OP: Solitary holelithiasis, 149 (22.4%), multiple holelithiasis 517 (77.6%). The absence of cholelithiasis in biliary diseases was verified in 13 (1.91%) patients. Holecistit empyema was verified in 8 (1.18%) cases. The structure of the surgical findings shows that gallbladder represents the dominant place of infectious processes in the acute pathology of extrahepatic bile ducts. 436 (64.2%). Hydrops 47 (10.8%). Empyema 102 (23.4%). Acute complications related to the spread of infection from the gallbladder put the main biliary tree and free abdominal cavity were registered in 2 (0.46%). Abscessus subhepatis 11 (2.52%). Choledocholythiasis 6 (1.38%). Cholangitis ac 17 (3.9%). Neo vesicae felleae 7 (1.03%). From that polypus vesicae felleae 2 (0.4%), ca vesicae felleae 4 (0.59%). There hepatocholedoci 1 (1.15%). Meta and hepato 4 (0.59%). M: F = 2: second Icterus 8 (1.18%). The ratio of M: F = 7: 1. Incidenca baktibilije analyzed in the entire series was 57%. Microbiological analysis of samples identified teen bacterial species.

Slobodan Arandjelovic

01.12.2015.

Professional paper

Our experience with the surgical treatment of appendicitis

Acute appendicitis is the most common surgical disease in the pathology of the population. Incidence in the general population is 6%. In the period from 15.01.2002 to 08.16.2014 as any 627 appendix which je12,4% of the 5055 total patients. Prevalent patients males 55.5% compared to 44.5% female. According to the age of the children present in 393 (68.47%) and 181 adults (31.53%). The greatest incidence is in children aged age group of 15-20 years, 131 (23.06%). In the adult group the highest incidence is represented in the third decade of 21-30 years, with 77 (13.4%). The most common disease of acute appendicitis is in the second decade of the 258 cases (44.9%). Intraoperative pathomorphologically highest incidence wearing Appendicitis phlegmonosa with 317 (52.1%). Peritonitis acuta is the most common complication of severe forms of appendicitis acuta 231 (71.96%). Anterograde apendectomia was performed in 532 (87.5%) patients and retrograde in 76 (12.5%). Abdominal drainage procedures were performed in 145 (23.85%) patients. Postoperative complications 6 (4.68%). Surgical wound infection 4. Fistula appendicularis 1 (3.12%). Mortality 1 (0.16%).

Slobodan Arandjelovic

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