Penetrating injuries of heart and great vessels in patients wounded during the 1992-1994 war in Bosnia and Herzegovina.

Aim: To present characteristics of heart and great vessel injuries in patients wounded during the 1992-1994 war in Bosnia and Herzegovina and their management in conditions of lack of complex diagnostic and therapeutic procedures.

Methods: Retrospective analysis was performed on the medical records of 31 patients treated for cardiac and great vessel injuries at the Department of Surgery, Tuzla University Hospital, between January 1992 and December 1994.

Results: The most frequent localization of the injuries was the right and left ventricles (each 10 cases), left atrium in 5, superior caval vein in 5, and inferior caval vein in 5 cases.

Treatment of penetrating chest injuries during the 1992-1995 war in Bosnia and Herzegovina.

Aim: To assess the need for and significance of immediate thoracotomy compared to conservative treatment (thoracostomy and/or thoracocentesis) of penetrating chest injuries.

Methods: Retrospective analysis was performed on medical records of 743 war wounded patients treated for chest injuries in the Department of Surgery, University Hospital Tuzla, between January 1992 and December 1995. Minimally invasive (tissue saving) surgery was the most frequent method applied, which usually included sutures of the lungs after débridment of margins and hemostasis, followed by atypical resection.

[Isolated war injuries of the thorax].

From own clinical material the authors examined and analysed isolated injuries of thorax made by war injuries. The results are compared with the same from other authors in same conditions. Conclusion is that the fast evacuation to the first hospital urgent and if it is possible compensate the volume of blood, reanimation and drainage of pleural cavum.

[Importance of exploratory thoracotomy in the diagnosis of malignant neoplasms of the lung].

Role and importance of the explorative thoracotomy in diagnostics of malignant neoplasmas of the lung have great value. Among other diagnostic procedures explorative thoracotomy has an advantage because of visualization of process and possibility of the biopsy "extempore". As each diagnostic procedure, explorative thoracotomy has its own deficiencies because the procedure is aggressive, related to possibility of the postoperative complications, and because of these problems explorative thoracotomy is ultimative method in diagnosis of malignant neoplasmas of the lungs.

[Surgical treatment of pulmonary carcinoma].

In this article we report the historical movement and the contemporary state of the surgical treatment of lungs carcinoma. We especially point to importance of early diagnosis of lungs carcinoma, in order to get right time for the radical resection. The TNM classification has a very important.

[40 years' experience in the treatment of echinococcosis].

The authors present their experience on, 1168 operated patients with hepato-pulmonary hydatid disease. In a long work with hydatid disease the authors refused many earlier methods, as mistake. The authors think that great radical surgery in the treatment of the hydatid disease is not justified.

[Gastrontestinal hemorrhage following thoracic surgery].

The authors discuss eight cases who suffered hemorrhaging stress ulcers out of 200 cases on whom Thoracotomies were performed. Presented is the common factor of the onset of this complication, it's diagnosis, and therapy. Listed below are the diagnoses and operative procedures used on these eight patients.