Publications by authors named "Sv Toshev"

Endometriosis is a common gynecological disease that is characterized by the presence of endometrial glands and stroma outside the uterus. Ectopic endometrial tissue can be localized in all organs of the human body, but it affects most often organs in the pelvis. The localization in the inguinal canal is extremely rare - 0.

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Colorectal cancer (CRC) is a widespread disease and represents an extremely important social--health problem caused by its increasing frequency in recent years, incl. our country. The current high level of development of medical science, oncology and surgery and achieved significant results in the treatment of colorectal cancer, there are still a number of unresolved problems--high morbidity and mortality, higher rates of complicated forms and frequent recurrences, as well as the absence of clear and accurate prognostic criteria defining an exact individual therapeutic and surgical conduct for each patient.

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Introduction: Retroperitoneal tumors, in general, are rare tumors which histopathological characteristics and biological behavior can be considered as benign or malignant. They originate from various tissue elements located in the retroperitoneal space. They often cover Anatomical structures of varying importance - mainly retroperitoneal vessels and organs, which determines the type of surgery - radical or palliative.

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We report a case of a successfully conducted anesthesia, without complications of a patient with hyperkalemic periodic paralysis who underwent elective laparoscopic cholecystectomy for chronic calculous cholecystitis. The perioperative considerations, the characteristics of anesthesia, and the factors that can lead to complications in this rare genetic disorder are discussed.

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Anti-reflux laparoscopic operations replaced conventional surgery and are now widely available, because of the advantages of this type of surgery. One of the main reasons for the high complications rate in this type of operations is the lack of experience of the surgeons, although recently in the reports of most leading authors complications and increased mortality rate is due to the older patients undergoing this type of surgery. The main causes of death were gastrointestinal hemorrhage, necrosis with perforation of the esophagus or stomach, cardiac arrest, respiratory and inflammatory complications, and pulmonary thromboembolism.

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Over the period 2000-2011 (6th m) a total of 856 patients with complicated colorectal cancer are subjected to treatment in the Clinic of surgical diseases--Department of Surgery in University Hospital "Alexandrovska", Sofia. Obturation is the commonest form of complication--47 per cent, perforation within the tumor or diastasis noted in 74 cases (8.6 %), paratumor abscesses and infiltrates--in 7.

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This is a report on 311 patients presenting colorectal carcinoma with complication assuming the form of occlusive ileus, observed over the period 2005 through 2009. Obturation is the commonest complication of colonic carcinoma (48.9%) with the left colon being more often involved (58.

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We presented our experience in treating 109 patients with acquired rectovaginal fistula operating in the Clinic of Surgery ?? 2001-2009. In 56 patients the modified method used by Gabriel, at 20 a modified method by Gabriel with sphincterolevatorplasty, in 3 abdomino-anal resection with the fall of the sigma in demucosal anal canal, in 13 definitive anus preter and in 17 out temporary anus preter subsequent expression in Gabriel. To allow a conclusion that despite the small number of cases, our results of treatment of rectovaginal fistula are encouraging with good technical and operational performance is a reliable treatment.

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