Cranial Injuries with Screwdriver – UCCK

In terms of anatomy, the human body is very complicated. Moreover it represents an entire structure of a human being. What makes it very unique is the way of its composition; different and diverse types of cells and everything is connected to everything else. A combination of cells create tissues which then those tissues create the organ systems. Therefore, in this study presentation I will present the importance of brain as an organ, with a focus on the cranial Injury with a screwdriver. One of the most important and complicated parts of the body is the human head

Herniated Lumbar Disc and Nursing Care

Spinal disc herniation, also known as a slipped disc, is a medical condition affecting the spine in which a tear in the outer, fibrous ring of an intervertebral disc allows the soft, central portion to bulge out beyond the damaged outer rings. Disc herniation is usually due to age-related degeneration of the outer ring, known as the anulus fibrosus, although trauma, lifting injuries, or straining have been implicated as well. Tears are almost always postero-lateral (on the back of the sides) owing to the presence of the posterior longitudinal ligament in the spinal canal. Disc herniations are normally a further development of a previously existing disc protrusion, a condition in which the outermost layers of the anulus fibrosus are still intact, but can bulge when the disc is under pressure. In contrast to a herniation, none of the central portion escapes beyond the outer layers. Most minor herniations heal within several weeks. Anti-inflammatory treatments for pain associated with disc herniation, protrusion, bulge, or disc tear are generally effective. Severe herniations may not heal of their own accord and may require surgery. The condition is widely referred to as a slipped disc, but this term is not medically accurate as the spinal discs are firmly attached between the vertebrae and cannot slip out of place. Lumbar disc herniations occur in the lower back, most often between the fourth and fifth lumbar vertebral bodies or between the fifth and the sacrum. Symptoms can affect the lower back, buttocks, thigh, anal/genital region (via the perineal nerve), and may radiate into the foot and/or toe. The sciatic nerve is the most commonly affected nerve, causing symptoms of sciatica. The femoral nerve can also be affected[25]and cause the patient to experience a numb, tingling feeling throughout one or both legs and even feet or even a burning feeling in the hips and legs. A hernia in the lumbar region often compresses the nerve root exiting at the level below the disk. Thus, a herniation of the L4/5 disc will compress the L5 nerve root. With the patient and doctor, plan a pain control regimen. Encourage the patient to express his concerns about the disorder. Urge the patient to perform as much self-care as his immobility and pain allow. Use antiembolism stockings, as prescribed, and encourage the patient to move his legs, as allowed. Assess the patient’s pain status and his response to the pain-control regimen. Perform neurovascular checks of the patient’s legs such as color, motion, temperature, and sensation. Monitor vital signs, and check for bowel sounds and abdominal distention. Teach the patient about treatments, which include bed rest and pelvic traction. Urge the patient to maintain an ideal body weight to prevent lordosis caused by obesity. Discuss all prescribed medications with the patient. If surgery is required, explain all preoperative and postoperative procedures and treatments to the patient and his family

Herniated lumbar disc & Nursing care

Spinal disc herniation, also known as a slipped disc, is a medical condition affecting the spine in which a tear in the outer, fibrous ring of an intervertebral disc allows the soft, central portion to bulge out beyond the damaged outer rings. Disc herniation is usually due to age-related degeneration of the outer ring, known as the anulus fibrosus, although trauma, lifting injuries, or straining have been implicated as well. Tears are almost always postero-lateral (on the back of the sides) owing to the presence of the posterior longitudinal ligament in the spinal canal. Disc herniations are normally a further development of a previously existing disc protrusion, a condition in which the outermost layers of the anulus fibrosus are still intact, but can bulge when the disc is under pressure. In contrast to a herniation, none of the central portion escapes beyond the outer layers. Most minor herniations heal within several weeks. Anti-inflammatory treatments for pain associated with disc herniation, protrusion, bulge, or disc tear are generally effective. Severe herniations may not heal of their own accord and may require surgery. The condition is widely referred to as a slipped disc, but this term is not medically accurate as the spinal discs are firmly attached between the vertebrae and cannot slip out of place. Lumbar disc herniations occur in the lower back, most often between the fourth and fifth lumbar vertebral bodies or between the fifth and the sacrum. Symptoms can affect the lower back, buttocks, thigh, anal/genital region (via the perineal nerve), and may radiate into the foot and/or toe. The sciatic nerve is the most commonly affected nerve, causing symptoms of sciatica. The femoral nerve can also be affected[25]and cause the patient to experience a numb, tingling feeling throughout one or both legs and even feet or even a burning feeling in the hips and legs. A hernia in the lumbar region often compresses the nerve root exiting at the level below the disk. Thus, a herniation of the L4/5 disc will compress the L5 nerve root. With the patient and doctor, plan a pain control regimen. Encourage the patient to express his concerns about the disorder. Urge the patient to perform as much self-care as his immobility and pain allow. Use antiembolism stockings, as prescribed, and encourage the patient to move his legs, as allowed. Assess the patient’s pain status and his response to the pain-control regimen. Perform neurovascular checks of the patient’s legs such as color, motion, temperature, and sensation. Monitor vital signs, and check for bowel sounds and abdominal distention. Teach the patient about treatments, which include bed rest and pelvic traction. Urge the patient to maintain an ideal body weight to prevent lordosis caused by obesity. Discuss all prescribed medications with the patient. If surgery is required, explain all preoperative and postoperative procedures and treatments to the patient and his family

Compliance of clinical diagnoses with histopathological diagnoses of laparoscopic cholecystectomy in UCCK for one year (2003)

In this paper, the compatibility of clinical diagnoses with histopathological ones has been analyzed. 418 laparoscopic cholecystectomy with clinical diagnoses were analyzed at the UCCK Laparoscopic Center with histopathological diagnoses performed at the UCCK Pathological Institute. In 173 cases, the clinical diagnoses did not match the histopathological ones. No cases of cholecystitis have been reported. Diagnosis was inconsistent in every 2.41 patients. The female-male ratio was 5: 1. All cholecysts operated on at the Laparoscopic Center were sent for histopathological analysis. Purpose of the paper - To see the compatibility between the clinical diagnoses of cholecystitis and histopathological ones - Examine the rationale for sending each cholecyst for histopathological analysis

Variety of Operations at the Laparoscopic Center in UCCK – Prishtina, November 1999 - MAY 2017

Laparoscopic Center near UCCK has started its work on 12.11.1999. Lecturer and trainer of laparoscopy was prof.dr. Faris al Hadi. He has also equipped the Laparoscopic Center with the equipment and has refurbished it. Four UKUK surgeons were trained by this professor and received diplomas in June 2000. Subsequently, there were also trained 8 other surgeons who received diplomas in December 2000.In the Laparoscopic Center at the beginning only cholecysts (gallbladder) have been operated. Subsequently, other operations have been carried out with a laparoscope. Up to now 7200 laparoscopic operations have been performed so far, over 90% of them have been laparoscopic cholecystectomy and others with laparoscopic surgery of other organs.Laproscopic cholecystectomy is the most common operation in the world and in the laparoscopic world. However, nowadays, other operations in the abdomen with laparoscopy are also being carried out in the world. We have a bit of stagnation due to the lack of experience and equipment, but we have done some of the other operations apart from laparoscopic cholecystectomy. We will present a series of them with video-presentation

Simultaneous Laparoscopic Treatment of Gallblader and Left Kidney Cysts

We report our experience with laparoscopic simultaneous cystic treatment the left kidney and the gall bladder, we appreciate the possibility of this technique and highlight the advantages of this intervention. Our institutional database was checked by the protocol of recording the simultaneous operation of the left ventricular laparoscopic cysts (2 cysts with 6x6 cm) and laparoscopic cholecystectomy on 10.02.2010. Cystic cysts are operated with retroperitoneal approach. We have data on postoperative results regarding final pathology, complications and hospital stay. Presentation of a 75-year-old patient operated with laparoscopic surgery of 2 left renal cysts combined with cholecystectomy. The kidney cyst surgery consisted of laparoscopic excision of most of the cystic wall near its 75% and remains only the part of the adjacent kidney wall. First, four-door collars (2 x 10mm and 2 x 5 mm) are operated. Then the patient is reversed in the right arm and retroperitoneal approach is operated with laparoscopic in 2 left renal cysts in size 6x6 cm. The duration of the kidney operation was 52 minutes and the laparoscopic time of cholecystectomy was 45 minutes. The drain of the cyst flask is removed after 24 hours. The hospital stay was 24 hours. The patient even after 8 years is in good health.The combination of laparoscopic kidney cyst surgery and laparoscopic cholecystectomy is a viable, efficient and safe operating intervention that requires close co-operation between urologists and general surgeons. This approach provides the patient with the benefits of minimal invasive surgery together with the obvious advantages of simultaneous treatment of coexisting pathologies

Epidural Hematoma Surgery at the University Clinical Centre of Kosovo ( 2015-2020 )

Hematoma is a common problem that occurs as a result of damage to one of the larger blood vessels in the body. A hematoma can look like a bruise, but bruises occur due to damage to small blood vessels rather than large ones. Hematomas are often described based upon their location. The most dangerous hematomas are those that occur inside the skull. There are three categories of hematoma: Epidural Hematoma, Subdural Hematoma, Intracerebral (intraparenchymal) Hematoma. Epidural hematoma is when bleeding occurs between the tough outer membrane covering the brain (dura mater) and the skull.Purpose: The purpose of this research was the analysis of epidural hematomas operated and treated in the University Clinical Center of Kosovo in the Neurosurgery Clinic.Materials and methods: In this retrospective clinical study- research, are taken into account the cranio-traumas presented at the UCCK Emergency Center during the period 2015-2020 , specifying the traumas with epidural hematomas in which the neurosurgical intervention was performed and a small number of traumas that were treated conservatively.Results: In the neurosurgery clinic in UCCK since 2015-2020, were operated and treated a total of 107 cases with epidural hematomas. The smallest number of cases recorded was in 2015 with a total of 14 cases, out of which 12 were operated on and 2 were conservatively treated, while the largest number was on 2018 with 27 cases, out of which 21 were operated and 6 were treated conservatively.Conclusion: Craniocerebral traumas with epidural hematomas, as well as some of those associated with other brain traumas, are more common in men than women with a ratio of almost 2:1. The operated cases (86) underwent surgery on the day of admission after clinical and radiological examination and had a 5-10 day hospital stay

Frequency of road accidents in prishtina in the period 2007–2010

Objective: To assess the predictors of fatal road traffic accidents following the war during the year 1999. Methods: The period January 2007-December 2010 has been considered for this research. The used criterion for this research was the distribution of vehicle accidents on a yearly basis, injuries based on systems, vehicle drivers based on their sex, age, causes, accident location, road type, accident type and presence of driving permit. Results: The injured in traffic accidents who have sought emergency medical assistance in the Emergency Center from January 2008 until December 2010. In the period January to December 2007 was 44 111, from which 2 235 or 5.06% were the injured in the road traffic accidents. In the period January to December 2008 the total number of sick, injured and poisoned persons who have sought emergency medical assistance in the Emergency Center was 43 610, with a total number of 2 148 or 5.00% injured in the road traffic accidents. In the period January to December 2009 the total number of sick, injured and poisoned persons who have sought emergency medical assistance in the Emergency Center was 44 228, and the total number of injured in the road traffic accidents was 2 774, or 6.27%. In the period January to December 2010 the total number of sick, injured and poisoned who have sought emergency medical assistance in the Emergency Center was 41 614, and injured from road traffic accidents were 2 384, or 5.72%. Conclusions: Young age, high speed, and alcohol are predictors of fatal road traffic accidents in Pristine district