Publications by authors named "Vasil Manchev"
Article Synopsis
- This paper reviews a decade of data on rectal injuries at Grey's Hospital, aiming to improve management strategies for these injuries in civilian settings.
- A total of 88 patients with rectal trauma were analyzed, with a majority being young males and injuries predominantly resulting from penetrating mechanisms like gunshot wounds.
- The study highlights that rectal trauma leads to significant complications, including urogenital and gastrointestinal morbidity, underscoring the need for better management practices despite the reliance on techniques like proximal diversion and primary repairs.
Background: This study reviews our experience with combined cardiac and abdominal stab wounds over 12 years and reviews how changes in technology and clinical approaches have impacted our management of these patients.
Materials And Methods: A retrospective cohort study was conducted from January 2008 to January 2020 at a major trauma centre in South Africa. All patients with concurrent SWs to the chest and the abdomen and required both a thoracotomy for cardiac injury and a laparotomy for an intra-abdominal injury at the same setting were included.
Background: This study aimed to review our decade-long experience with the management of abdominal gunshot wounds (GSWs), to document trends in our approach and to develop an evidence base for our contemporary management algorithms in a major trauma in South Africa.
Materials And Methods: This was a retrospective study that included all adult patients with abdominal GSWs between January 2013 and October 2020 managed at a major trauma centre in South Africa.
Result: Five hundred and ninety-six cases were included (87% male, mean age: 32 years).
Introduction: Penetrating gastric injury (PGI) is common and although primary repair is sufficient for most injuries, several areas surrounding the peri-operative management remain contentious. This study reviews our experience in the management of PGI and review the clinical outcome at a major trauma centre in South Africa.
Materials And Methods: A retrospective study was conducted from January 2012 to April 2020 at a major trauma centre in South Africa.
Background: This study reviews our cumulative experience with the management of patients presenting with a retained knife following a penetrating neck injury (PNI).
Methods: A retrospective cohort study was conducted at a major trauma center in South Africa over a 15-year period from July 2006 to December 2020. All patients who presented with a retained knife in the neck following a stab wound (SW) were included.