E Zhivkov

A case of fibrino-purulent peritonitis due to necrosis of the appendicular stump in an eight-month pregnant woman

Radoslav Todorov, Emiliya Tosheva, Liliya Simonova, Dani Penev et autres

Of all the complications following the early postoperative period of an appendectomy, the appendicular stump necrosis is one of the most formidable ones. The duality of not well-presented symptoms in the early postoperative period, combined with a rapidly progressing peritonitis, forms a …

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Localized extrapulmonary tuberculosis misdiagnosed as a spinocellular carcinoma of the anus

Radoslav S. TODOROV, Evelina S. MLADENOVA, Dilyana ZHELEVA, E Zhivkov et autres

Tuberculosis is a disease that appears mainly in a pulmonary form and is caused by Mycobacterium tuberculosis. In humans, it is caused by different bacteria of the mycobacterium family. Non all of the mycobacteria family subtypes can cause tuberculosis. In most common …

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Pattern of pancreatic amylase enzyme change in the early postoperative period as a marker of evolution and development of postoperative pancreatitis

Radoslav S. TODOROV, E Zhivkov, Lilia B. SIMONOVA, A. Yonkov

BACKGROUND: Postoperative pancreatitis is a severe complication in the postoperative period, which threatens not only the favorable outcome of the surgery but also the patient’s life. Postoperative pancreatitis proceeds and develops with a mechanism very similar and close to that of acute …

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Diagnostic biomarkers of early anastomotic leakage prediction after colorectal surgery

Radoslav S. TODOROV, A. Yonkov, Zhivko A. SHAVALOV, E Zhivkov et autres

BACKGROUND: Anastomotic leaks still represent a major possibly of a life-threatening complication after colorectal surgery. This study aims to assess biomarkers for early detection of AL following colorectal surgery.METHODS: Clinical, laboratory and statistical study was performed. Blood serum levels of biomarkers - …

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Use of indocyanine green for liver function assessment and its role in predicting the risk of postoperative liver failure

Elena Arabadzhieva, S. Bonev, D Bulanov, Dragomir Dardanov et autres

Postoperative liver failure (POLF) is one of the most serious complications in abdominal surgery, as its appearance is often associated with an unfavorable outcome.OBJECTIVE: To investigate the role of Indocyanine Green (ICG) and Indocyanine Green Retention rate (ICG-R15) for assessment of liver …

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Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Stephen R Knight, Catherine A. Shaw, Riinu Pius, Thomas M Drake et autres

BACKGROUND: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between …

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Significant prognostic factors for anastomotic leakage after colorectal resection

Л. Simonova, Elena Arabadzhieva, S. Bonev, A. Yonkov et autres

INTRODUCTION: Anastomosic leakage after colorectal resection is a complication that requires reliable methods for prevention and early diagnosis which are also related to assessment of predictive factors for its occurrence. OBJECTIVE: To analyze various factors that are presented in the literature as …

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Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

Stephen R Knight, Caitlin Shaw, Riinu Pius, Thomas M Drake et autres

BACKGROUND: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the …

Doppler-guided transanal hemorrhoidal dearterilization versus conventional hemorrhoidectomy for treatment of hemorrhoids – early and long-term postoperative results

Viola Maria Popov, A. Yonkov, Elena Arabadzhieva, E Zhivkov et autres

BACKGROUND: A variety of effective methods for treatment of hemorrhoids has been proposed. In recent years, there has been an increasing number of studies comparing transanal hemorrhoidal dearterilization (THD) and conventional hemorrhoidectomy (CH), but the focus of most studies has been about …

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Prevention and Management of Leakage After Rectal Resection with Extraperitonization of Drainage and Anastomosis

A Ionkov, Л. Simonova, А. Taseva, E Zhivkov et autres

Background: The aim of surgical treatment in cases of carcinoma of the distal rectum is to save the anal sphincter, decrease the number of postoperative complications and limit the risk of reoperation. Therefore, mechanical /stapler/ anastomosis is currently widely used. In our …

Обзор на хирургичните операции при колектомия и проктоколектомия

Живков, E Zhivkov, Токов, P Tokov et autres

Адрес за кореспонденция: Д-р Е. Живков, Клиника по обща, жлъчно-чернодробна и панкреатична хирургия, УМБАЛ “Алек- сандровска”, ул. “Св. Г. Софийски”, 1431 София ***** Address for correspondence: E. Zhivkov, MD, Clinic of General, Hepato-Biliary and Panсreatic Surgery, University Hospital „Alexandrovska“, 1 Sv. G. …

Advantages of transanal hemorrhoidal dearterialization as compared to other surgical techniques for the treatment of hemorrhoidal disease.

E Zhivkov, P Tokov, Elena Arabadzhieva, Тасев et autres

UNLABELLED: Transanal hemorrhoidal dearterialization (THD) is a new surgical technique used for the treatment of hemorrhoidal disease. It is known for its easy performance and low perioperative risk. 44 patients have been operated by this method at the Clinic of General, Liver …

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