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Abstract book - ESPRAS

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P 37. Digital photography and patohystological analysis ex tempore<br />

Burgić M.<br />

Plastic and Reconstructive susrgery, UKC “Tuzla”,<br />

Tuzla, Bosnia and Herzegovina<br />

Tumors of perorbital region always require histological analysis of resection<br />

borders because we would like to be sure that borders are clean of tumor. If<br />

the tumor are infiltrated deeper structures surgical treatment must be in 2-3<br />

acts ( if is retrobulbar tissue or bone are infiltrated ). In this cases surgeon<br />

can not to interpreted analysis. Because we took a pictures interoperate with<br />

digital camera . We took a pictures of excision zones and layers. On pictures<br />

we put the sings on excision zones and adequate landmark and than we send<br />

pictures to histological analysis. On this way surgeon has adequate<br />

interpretation of analysis and reliable and most quality situation for patient<br />

prognosis and good possibility to continue therapy.<br />

P 38. Endoscopically assisted suctioning of lipomas<br />

Gverić T., Huljev D., Zdilar B., Simon S., Skok I.<br />

General Hospital “Sveti Duh”, Zagreb, Croatia<br />

Within the group of 32 patiens with citologically verified lipoma, 16 had<br />

been operated in the classical way, and 16 with endoscopiclly assisted<br />

suctioning. After 12 month of monitoring, there was not established any<br />

difference as far as recidivism is concerned. Endoscopically assisted<br />

suctioning was approved as safe and effective method in removing lipoma on<br />

visible locations, which resulted also with minimale scarnes and cosmeticaly<br />

great result, shorterpostoperative recovery and shorter absence.<br />

P 39. Necrotizing fasciitis of abdominal wall, V.A.C. As a<br />

support method<br />

Huljev D., Gverić T., Kučišec-Tepeš N.<br />

General Hospital «Sveti Duh» Zagreb, Croatia<br />

Necrotizing fasciitis is an acute surgical condition which demands a prompt<br />

andcombined treatment. Early recognition and aggressive surgical<br />

debridement, along with a target antibiotic treatment,significantly affect the<br />

overall course of treatment and, ultimately, survival. A case of a femal<br />

patient with necrotizing fasciitis of the abdominal wall, the course and<br />

methods used in the treatment, particulary the microbiological aspect and the<br />

use of V.A.C. ( vacum assisted closure) as an auxiliarymethod, are presented<br />

in this work.

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