Pub Date : 2023-09-18DOI: 10.55791/2831-0098.1.2.213
Background: Video-assisted thoracic surgery (VATS) for both minor and major thoracic procedures has become routine practice worldwide. In this study, we present our experience with multiportal and uniportal VATS (MVATS and UVATS) in Bosnia and Herzegovina (B&H). MVATS and UVATS procedures were performed in two B&H Clinical Centers: Tuzla and Sarajevo. The first MVATS procedure at Tuzla Clinical Center was conducted in 2004, and the first UVATS lobectomy was performed in 2019. At Sarajevo Clinical Center, the initial MVATS took place in 2005, and the first UVATS lobectomy was carried out in 2020. Methods: We retrospectively analyzed 401 VATS procedures with prospective data, collected between 06/2017 and 04/2023. The VATS technique was employed for wedge resections, partial resections, lobectomies, and other types of resections, including metastasectomy. Results: Out of the 401 patients, 242 (60.34%) were male, and 159 (39.66%) were female, with a mean age of 57.2±23 years. The procedures consisted of 231 UVATS and 170 MVATS. Lobectomy was performed in 61 (15.21%) cases, wedge resections in 216 (51.37%), partial resections in 85 (21.19%), and other types of resections in 39 (9.72%) patients. The median duration of the procedure was 210 minutes for lobectomy, and 77.5 minutes for wedge and other types of resections. Major complications, such as bronchopleural fistula in 22 (5.49%) cases, wound infections in 20 (4.99%), atelectasis in 19 (4.74%), lung infiltrations in 15 (3.74%), and bleeding in 15 (3.74%) patients, were observed. The overall mean hospital stay for all procedures was 6.45 days. Conclusion: Uniportal and multiportal VATS techniques are feasible and safe for various indications in thoracic surgery. VATS can be performed in middle-income countries such as Bosnia and Herzegovina with acceptable results, by thoracic surgeons experienced in general thoracic surgery
{"title":"VATS Lung Resection in Bosnia and Herzegovina","authors":"","doi":"10.55791/2831-0098.1.2.213","DOIUrl":"https://doi.org/10.55791/2831-0098.1.2.213","url":null,"abstract":"Background: Video-assisted thoracic surgery (VATS) for both minor and major thoracic procedures has become routine practice worldwide. In this study, we present our experience with multiportal and uniportal VATS (MVATS and UVATS) in Bosnia and Herzegovina (B&H). MVATS and UVATS procedures were performed in two B&H Clinical Centers: Tuzla and Sarajevo. The first MVATS procedure at Tuzla Clinical Center was conducted in 2004, and the first UVATS lobectomy was performed in 2019. At Sarajevo Clinical Center, the initial MVATS took place in 2005, and the first UVATS lobectomy was carried out in 2020. Methods: We retrospectively analyzed 401 VATS procedures with prospective data, collected between 06/2017 and 04/2023. The VATS technique was employed for wedge resections, partial resections, lobectomies, and other types of resections, including metastasectomy. Results: Out of the 401 patients, 242 (60.34%) were male, and 159 (39.66%) were female, with a mean age of 57.2±23 years. The procedures consisted of 231 UVATS and 170 MVATS. Lobectomy was performed in 61 (15.21%) cases, wedge resections in 216 (51.37%), partial resections in 85 (21.19%), and other types of resections in 39 (9.72%) patients. The median duration of the procedure was 210 minutes for lobectomy, and 77.5 minutes for wedge and other types of resections. Major complications, such as bronchopleural fistula in 22 (5.49%) cases, wound infections in 20 (4.99%), atelectasis in 19 (4.74%), lung infiltrations in 15 (3.74%), and bleeding in 15 (3.74%) patients, were observed. The overall mean hospital stay for all procedures was 6.45 days. Conclusion: Uniportal and multiportal VATS techniques are feasible and safe for various indications in thoracic surgery. VATS can be performed in middle-income countries such as Bosnia and Herzegovina with acceptable results, by thoracic surgeons experienced in general thoracic surgery","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135152913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-18DOI: 10.55791/2831-0098.1.2.209
The treatment of anal fistulas presents a challenge for surgeons because of their high incidence and recurrence rate, prolonged healing time, because we still do not have a single standardized technique that fits all, and last but not least, possible problems with some types of postoperative continence disturbance that may occur in cases of inadequate treatment. The most common symptoms that patients have who suffer from this disease are constant anal pain and soiling from the fistula tract which undoubtedly decreases the patient’s quality of life. Most fistulas have cryptoglandular etiology, but also may be associated with Crohn’s disease, trauma, radiation etc. This text gives an overview of modern approaches in anal fistula treatment with the emphasis on sphincter preserving techniques.
{"title":"Modern Approaches to the Treatment of Anal Fistulas","authors":"","doi":"10.55791/2831-0098.1.2.209","DOIUrl":"https://doi.org/10.55791/2831-0098.1.2.209","url":null,"abstract":"The treatment of anal fistulas presents a challenge for surgeons because of their high incidence and recurrence rate, prolonged healing time, because we still do not have a single standardized technique that fits all, and last but not least, possible problems with some types of postoperative continence disturbance that may occur in cases of inadequate treatment. The most common symptoms that patients have who suffer from this disease are constant anal pain and soiling from the fistula tract which undoubtedly decreases the patient’s quality of life. Most fistulas have cryptoglandular etiology, but also may be associated with Crohn’s disease, trauma, radiation etc. This text gives an overview of modern approaches in anal fistula treatment with the emphasis on sphincter preserving techniques.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135153133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-18DOI: 10.55791/2831-0098.1.2.211
Surgery following neo-adjuvant chemoradiotherapy has been the standard in the treatment of lower rectal cancer for some time, providing good oncological outcomes. However, for patients who achieve a clinical complete response, in addition to surgery, the concept of a watch-and-wait (W&W) strategy, has been developed, that is, simply monitoring these patients with no surgical intervention. The W&W strategy can ensure a significantly higher organ preservation rate but with similar oncological outcomes as in patients after total mesorectal excision. Thus, the W&W strategy is considered an attractive treatment choice to avoid major surgery and permanent stoma, in patients with lower rectal cancers. It is also a valid treatment strategy for patients who are willing to accept potentially worse oncological outcomes to achieve this goal.
{"title":"What is the watch and wait strategy in the treatment of lower rectal cancer?","authors":"","doi":"10.55791/2831-0098.1.2.211","DOIUrl":"https://doi.org/10.55791/2831-0098.1.2.211","url":null,"abstract":"Surgery following neo-adjuvant chemoradiotherapy has been the standard in the treatment of lower rectal cancer for some time, providing good oncological outcomes. However, for patients who achieve a clinical complete response, in addition to surgery, the concept of a watch-and-wait (W&W) strategy, has been developed, that is, simply monitoring these patients with no surgical intervention. The W&W strategy can ensure a significantly higher organ preservation rate but with similar oncological outcomes as in patients after total mesorectal excision. Thus, the W&W strategy is considered an attractive treatment choice to avoid major surgery and permanent stoma, in patients with lower rectal cancers. It is also a valid treatment strategy for patients who are willing to accept potentially worse oncological outcomes to achieve this goal.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135153135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-18DOI: 10.55791/2831-0098.1.2.207
Cholelithiasis is the occurrence of one or several gallstones in the gallbladder. It can be complicated by choledocholithiasis, acute or chronic cholecystitis, cholangitis, biliary pancreatitis, biliary ileus, etc. The causes of this disorder in the pediatric population can be hemolytic (hereditary spherocytosis, thalassemia, or sickle cell anemia) or non-hemolytic - other hereditary disorders such as cystic fibrosis, Wilson’s disease or ileum disorders, total parenteral nutrition, use of certain medication, choledochal cysts, organ transplantation and, in adolescence, those similar to adult patients (obesity). Most gallstones found in children are cholesterol or pigmented gallstones. There are many diagnostic imaging methods for objectifying gallstones and their complications (such as choledocholithi- asis that requires ERCP). There are also some differential diagnoses that should be taken into consideration before treatment (biliary dyskinesia, Odii sphincter dysfunction, neonatal jaundice, cholestasis, pediatric cholecystitis, pediatric pancreatitis and pancreatic pseudocysts, as well as pediatric pyelonephritis). The first line of treatment of cholelithiasis is diet, saline infusions and medication, and if cholelithiasis is symptomatic and/or complicated, then cholecystectomy is recommended. The surgical approach may be an open procedure or laparoscopy. Some studies show that injuries of the bile ducts are more common in laparoscopic treatment of pediatric cholelithiasis, but nevertheless it has been shown that with an experienced team and good preparation it is the gold standard in the treatment of pediatric cholelithiasis. We present a comprehensive review of the literature on the clinical presentation, pathophysiology, diagnostic evaluation, and management of cholelithiasis in the pediatric population. Laparoscopic cholecystectomy is safe and effective in children, and shows the same advantages reported in adults.
{"title":"The Specific features of pediatric cholelityhiasis. A Literature review.","authors":"","doi":"10.55791/2831-0098.1.2.207","DOIUrl":"https://doi.org/10.55791/2831-0098.1.2.207","url":null,"abstract":"Cholelithiasis is the occurrence of one or several gallstones in the gallbladder. It can be complicated by choledocholithiasis, acute or chronic cholecystitis, cholangitis, biliary pancreatitis, biliary ileus, etc. The causes of this disorder in the pediatric population can be hemolytic (hereditary spherocytosis, thalassemia, or sickle cell anemia) or non-hemolytic - other hereditary disorders such as cystic fibrosis, Wilson’s disease or ileum disorders, total parenteral nutrition, use of certain medication, choledochal cysts, organ transplantation and, in adolescence, those similar to adult patients (obesity). Most gallstones found in children are cholesterol or pigmented gallstones. There are many diagnostic imaging methods for objectifying gallstones and their complications (such as choledocholithi- asis that requires ERCP). There are also some differential diagnoses that should be taken into consideration before treatment (biliary dyskinesia, Odii sphincter dysfunction, neonatal jaundice, cholestasis, pediatric cholecystitis, pediatric pancreatitis and pancreatic pseudocysts, as well as pediatric pyelonephritis). The first line of treatment of cholelithiasis is diet, saline infusions and medication, and if cholelithiasis is symptomatic and/or complicated, then cholecystectomy is recommended. The surgical approach may be an open procedure or laparoscopy. Some studies show that injuries of the bile ducts are more common in laparoscopic treatment of pediatric cholelithiasis, but nevertheless it has been shown that with an experienced team and good preparation it is the gold standard in the treatment of pediatric cholelithiasis. We present a comprehensive review of the literature on the clinical presentation, pathophysiology, diagnostic evaluation, and management of cholelithiasis in the pediatric population. Laparoscopic cholecystectomy is safe and effective in children, and shows the same advantages reported in adults.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135152912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-18DOI: 10.55791/2831-0098.1.2.215
Background: Epiphrenic (supradiaphragmatic) esophageal diverticula are epithelial-lined mucosal pouches that protrude through the esophageal wall. Almost all of these pulsion diverticula are acquired and appear within the last 10 centimeters of the distal esophagus. Among others, the main cause of the occurrence of these gigantic diverticula is achalasia. We present a 54-year-old male patient with symptoms of large epiphrenic diverticulum, and achalasia Eckardt score 7. Presentation of case: The results of the gastrografin swallow test, computed tomography, and esophageal manometry showed a large epiphrenic diverticulum, and therefore surgical treatment was indicated. We performed laparoscopic transhiatal diverticulectomy, Heller myotomy, hiatoplasty, and Dor fundoplication. The overall operation time was 180 minutes. While performing Heller myotomy, an iatrogenic lesion of esophageal mucosa appeared within 2 centimeters of the lower esophageal sphincter. The perforation was immediately closed with a single suture. After this, a Dor fundoplication was created. On the fifth postoperative day, a gastrografin swallow test was performed with no evidence of a suture-line leakage. On the sixth postoperative day, the patient was discharged home in good general condition. Discussion and conclusion: Resection of esophageal diverticula by a transabdominal laparoscopic approach is a feasible method that, in the case of intraoperational incidents such as lesions of the esophageal wall, enables prompt and excellent visualisation of the lesion site. Furthermore, primary suturing of iatrogenic perforation of the distal esophagus is a feasible technique for resolving these kinds of surgical complications, also taking into account the fact that a Dor fundoplication is then created over the lesion site.
{"title":"The laparoscopic transabdominal approach for resection of the large epiphrenic esophageal diverticulum","authors":"","doi":"10.55791/2831-0098.1.2.215","DOIUrl":"https://doi.org/10.55791/2831-0098.1.2.215","url":null,"abstract":"Background: Epiphrenic (supradiaphragmatic) esophageal diverticula are epithelial-lined mucosal pouches that protrude through the esophageal wall. Almost all of these pulsion diverticula are acquired and appear within the last 10 centimeters of the distal esophagus. Among others, the main cause of the occurrence of these gigantic diverticula is achalasia. We present a 54-year-old male patient with symptoms of large epiphrenic diverticulum, and achalasia Eckardt score 7. Presentation of case: The results of the gastrografin swallow test, computed tomography, and esophageal manometry showed a large epiphrenic diverticulum, and therefore surgical treatment was indicated. We performed laparoscopic transhiatal diverticulectomy, Heller myotomy, hiatoplasty, and Dor fundoplication. The overall operation time was 180 minutes. While performing Heller myotomy, an iatrogenic lesion of esophageal mucosa appeared within 2 centimeters of the lower esophageal sphincter. The perforation was immediately closed with a single suture. After this, a Dor fundoplication was created. On the fifth postoperative day, a gastrografin swallow test was performed with no evidence of a suture-line leakage. On the sixth postoperative day, the patient was discharged home in good general condition. Discussion and conclusion: Resection of esophageal diverticula by a transabdominal laparoscopic approach is a feasible method that, in the case of intraoperational incidents such as lesions of the esophageal wall, enables prompt and excellent visualisation of the lesion site. Furthermore, primary suturing of iatrogenic perforation of the distal esophagus is a feasible technique for resolving these kinds of surgical complications, also taking into account the fact that a Dor fundoplication is then created over the lesion site.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"226 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135152918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.55791/2831-0098.1.1.89
Laparoscopic Right hemicolectomy is a procedure that involves removing the cecum, the ascending colon, the hepatic flexure, the first third of the transverse colon, and part of the terminal ileum. Due to anatomic complexity, laparoscopic surgery for right colon cancer, especially hepatic flexure and transverse colon, is not an easy procedure. Some key steps are quite complicated procedures, so we would like to point out and explain the difficult sites of dissection during a right colectomy.
{"title":"Laparoscopic Right Hemicolectomy – Anatomy and Critical Structures","authors":"","doi":"10.55791/2831-0098.1.1.89","DOIUrl":"https://doi.org/10.55791/2831-0098.1.1.89","url":null,"abstract":"Laparoscopic Right hemicolectomy is a procedure that involves removing the cecum, the ascending colon, the hepatic flexure, the first third of the transverse colon, and part of the terminal ileum. Due to anatomic complexity, laparoscopic surgery for right colon cancer, especially hepatic flexure and transverse colon, is not an easy procedure. Some key steps are quite complicated procedures, so we would like to point out and explain the difficult sites of dissection during a right colectomy.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"63 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131125978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.55791/2831-0098/1.1.95
Uterine fibroids are a common occurrence in women. Treatment options range from medical management to surgeries, with hysterectomy providing the most effective treatment. Newer methodologies to treat fibroids continue to evolve, one being the use of radiofrequency ablation, which offers a minimally invasive and uterus-sparing technique to manage fibroids. This article provides a review of both laparoscopic and transvaginal approaches to radiofrequency ablation for the management of fibroids.
{"title":"Radiofrequency Ablation of Uterine Fibroids","authors":"","doi":"10.55791/2831-0098/1.1.95","DOIUrl":"https://doi.org/10.55791/2831-0098/1.1.95","url":null,"abstract":"Uterine fibroids are a common occurrence in women. Treatment options range from medical management to surgeries, with hysterectomy providing the most effective treatment. Newer methodologies to treat fibroids continue to evolve, one being the use of radiofrequency ablation, which offers a minimally invasive and uterus-sparing technique to manage fibroids. This article provides a review of both laparoscopic and transvaginal approaches to radiofrequency ablation for the management of fibroids.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128222536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.55791/2831-0098.1.1.86
In this article we describe the surgical technique of the Complete Mesocolic Excision (CME) with Central Vascular Ligation (CVL) during laparoscopic right hemicolectomy (LRH) with intracorporeal anastomosis, as performed in our current surgical practice. The preparation of the patient, the operating room, the position of the surgeons, equipment and trocar placement are described in detail. The procedure is divided into well-defined steps, and each one is meticulously described.
{"title":"Complete Mesocolic Excision with Central Vascular Ligation during Laparoscopic Right Hemicolectomy: Technical Notes","authors":"","doi":"10.55791/2831-0098.1.1.86","DOIUrl":"https://doi.org/10.55791/2831-0098.1.1.86","url":null,"abstract":"In this article we describe the surgical technique of the Complete Mesocolic Excision (CME) with Central Vascular Ligation (CVL) during laparoscopic right hemicolectomy (LRH) with intracorporeal anastomosis, as performed in our current surgical practice. The preparation of the patient, the operating room, the position of the\u0000surgeons, equipment and trocar placement are described in detail. The procedure is divided into well-defined steps, and each one is meticulously described.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"42 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120860515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.55791/2831-0098.1.1.113
An ectopic ureter is defined as a ureter that does not insert into the normal anatomical position. The occurrence of ectopic ureters is 1/2,000 in newborns and 1/2,000–4,000 in the general population. In most cases the ectopic ureter is associated with a duplicated renal collecting system, while in 20% a single system is found. The majority of cases are diagnosed during childhood as a result of continuous urinary dribbling or recurrent urinary tract infections. In ectopic ureteral openings, diagnosis is often delayed because of inadequate evaluation; in addition, most diagnostic methods do not provide sufficient information about ectopic ureteral openings. In this particular case, we report on a patient with urinary incontinence and frequent episodes of urinary infections. In her childhood, she exhibited enuresis and was examined by a psychiatrist, followed by a neurologist and a gynecologist. CT urography revealed mainly hydronephrosis of the upper pole of the right kidney and a duplicate ureter on the right side, but not duplicate ureter insertion. Percutaneous nephrostomy was performed, with insertion of methylene blue into the collecting system. After the clinical investigation of the vagina with a speculum, a was observed blue dot at the vaginal fornix. Right partial upper pole nephrectomy and ureterectomy were performed. An ectopic ureter opening is a clinical entity, rarely observed in a small country such as Bosnia and Herzegovina, but should be kept in mind during clinical evaluation of patients with incontinence, irrespective of the patient’s age.
{"title":"Vaginal Insertion of Ectopic Ureter Diagnosed in Adulthood, the First Case in Bosnia and Herzegovina","authors":"","doi":"10.55791/2831-0098.1.1.113","DOIUrl":"https://doi.org/10.55791/2831-0098.1.1.113","url":null,"abstract":"An ectopic ureter is defined as a ureter that does not insert into the normal anatomical position. The occurrence of ectopic ureters is 1/2,000 in newborns and 1/2,000–4,000 in the general population. In most cases the ectopic ureter is associated with a duplicated renal collecting system, while in 20% a single system is found. The majority of cases are diagnosed during childhood as a result of continuous urinary dribbling or recurrent urinary tract infections.\u0000In ectopic ureteral openings, diagnosis is often delayed because of inadequate evaluation; in addition, most diagnostic methods do not provide sufficient information about ectopic ureteral openings.\u0000In this particular case, we report on a patient with urinary incontinence and frequent episodes of urinary infections. In her childhood, she exhibited enuresis and was examined by a psychiatrist, followed by a neurologist and a gynecologist. CT urography revealed mainly hydronephrosis of the upper pole of the right kidney and a duplicate ureter on the right side, but not duplicate ureter insertion. Percutaneous nephrostomy was performed, with insertion of methylene blue into the collecting system. After the clinical investigation of the vagina with a speculum, a was observed blue dot at the vaginal fornix. Right partial upper pole nephrectomy and ureterectomy were performed.\u0000An ectopic ureter opening is a clinical entity, rarely observed in a small country such as Bosnia and Herzegovina, but should be kept in mind during clinical evaluation of patients with incontinence, irrespective of the patient’s age.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131563675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.55791/2831-0098.1.1.102
Abnormal location of liver tissue or ectopis liver is a rare anomaly is usually found on gallbladder, but as this tissue if functionally handicapped it is susceptible to hepatocarcinogenesis. In this article, we present data about case reports of ectopic liver published from 2004 to 2020, about the connection between hepatocellular carcinoma and ectopic liver, its location, and the reason for a visit to a medical professional.
{"title":"Ectopic Liver and Hepatocellular Carcinoma","authors":"","doi":"10.55791/2831-0098.1.1.102","DOIUrl":"https://doi.org/10.55791/2831-0098.1.1.102","url":null,"abstract":"Abnormal location of liver tissue or ectopis liver is a rare anomaly is usually found on gallbladder, but as this tissue if functionally handicapped it is susceptible to hepatocarcinogenesis. In this article, we present data about case reports of ectopic liver published from 2004 to 2020, about the connection between hepatocellular carcinoma and ectopic liver, its location, and the reason for a visit to a medical professional.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121644458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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