- Tirana, Tirane, Albania
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Background: Duodenal injuries are rare in children and classically present following a fall over the handle bar. Retroperitoneal location of the duodenum may lead to delay in diagnosis, and missed injuries are associated with increased... more
Background: Duodenal injuries are rare in children and classically present following a fall over the handle bar. Retroperitoneal location of the duodenum may lead to delay in diagnosis, and missed injuries are associated with increased morbidity and mortality. Case report: A 5-year-old child was admitted to the National Trauma Center, in Tirana (Albania), 28 hours after a Motor Vehicle Crash (MVC), complaining of mild abdominal pain. He was febrile (39°C) and had a white blood cells count of 18,000 mm³. On physical exam he had mild tenderness. Plain abdominal X-rays and Focused Abdominal Sonography for Trauma (FAST) were negative for free air or free fluid. The CT scan of the abdomen demonstrated free air and fluid in the retroperitoneal space. At laparatomy, a perforation of the second portion of the duodenum was found. A single layer suture repair of the duodenum with wide drainage was performed. The patient was discharged from the hospital tolerating oral feeding 8 days later. Conclusion: Duodenal injuries in children are rare. Most duodenal hematomas are managed non-operatively. This is a case of MCV with delayed presentation that was treated surgically for perforation successfully.
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The Advanced Trauma Life Support (ATLS) course has become an indispensable tool in preparing health care professionals to provide optimal trauma care. This article highlights the impact of the ATLS course on empowering healthcare... more
The Advanced Trauma Life Support (ATLS) course has become an indispensable tool in preparing health care professionals to provide optimal trauma care. This article highlights the impact of the ATLS course on empowering healthcare professionals for excellence in trauma care. By providing a standardized framework, enhancing critical decision-making skills, and promoting interdisciplinary collaboration, the ATLS course equips practitioners with the knowledge and skills necessary to effectively respond to trauma emergencies. Additionally, the course prepares healthcare professionals for the unpredictable nature of trauma care through simulation-based training and fosters a culture of continuous professional growth. Through its emphasis on standardization, critical thinking, and continuing education, the ATLS course plays a vital role in improving patient outcomes and establishing a foundation for excellence in trauma care. Conclusion: The ATLS course stands as a testament to the commitm...
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Echinococcosis is a life-threatening neglected zoonotic disease. Cystic echinococcosis (CE) due to Echinococcus (E.) granulosus usually involves livestock and dogs; alveolar echinococcosis (AE) due to E. multilocularis involves rodents... more
Echinococcosis is a life-threatening neglected zoonotic disease. Cystic echinococcosis (CE) due to Echinococcus (E.) granulosus usually involves livestock and dogs; alveolar echinococcosis (AE) due to E. multilocularis involves rodents and canines such as foxes and dogs. Human hosts are infected accidentally via hand to mouth and/or foodborne/waterborne pathways. Albania is deemed to be endemic for cystic echinococcosis (CE), but there is a scarcity of data to confirm this. A systematic literature search was performed in PubMed, Google Scholar, and in other medical sources. Because of the scarcity of existing information, data confirming CE cases were reviewed from the medical hospital records of Albania’s largest Hospital, the Mother Teresa University Hospital (UHCMT) Tirana, and from a large private laboratory in Tirana (Pegasus laboratory). A total of eight eligible publications on 540 CE patients were found. Three hundred forty seven additional cases hospitalized in UHCMT from 2...
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Obiettivi : stimare la prevalenza delle infezioni ospedaliere (IO) e la frequenza di esposizione a interventi chirurgici e procedure invasive, quantificare l’utilizzo di antibiotici e identificarne le motivazioni, dimensionare il ricorso... more
Obiettivi : stimare la prevalenza delle infezioni ospedaliere (IO) e la frequenza di esposizione a interventi chirurgici e procedure invasive, quantificare l’utilizzo di antibiotici e identificarne le motivazioni, dimensionare il ricorso ai servizi diagnostici, migliorare l’expertise locale nella diagnosi microbiologica delle infezioni e nella sorveglianza delle IO. Metodi : si tratta di un’indagine di prevalenza puntuale, preceduta da uno studio pilota, che coinvolge quasi tutti i reparti del QSUT; si adottano le definizioni di caso di IO dei Centers for Disease Control and Prevention, USA. Per la rilevazione e prevista una scheda ad hoc e come principali fonti informative si useranno la cartella clinica e il registro operatorio. Per l’input e l’analisi dei dati si utilizzera il software EPI INFO 2002. La partnership italiana assicura la supervisione tecnica; a livello locale si sono identificati una figura di coordinamento/verifica e team di rilevazione, validazione delle IO e per...
Research Interests: Humanities and Medicine
BackgroundThe Esophagectomy Complications Consensus Group (ECCG) and the Dutch Upper Gastrointestinal Cancer Audit (DUCA) have set standards in reporting outcomes after oesophagectomy. Reporting outcomes from selected high-volume centres... more
BackgroundThe Esophagectomy Complications Consensus Group (ECCG) and the Dutch Upper Gastrointestinal Cancer Audit (DUCA) have set standards in reporting outcomes after oesophagectomy. Reporting outcomes from selected high-volume centres or centralized national cancer programmes may not, however, be reflective of the true global prevalence of complications. This study aimed to compare complication rates after oesophagectomy from these existing sources with those of an unselected international cohort from the Oesophago-Gastric Anastomosis Audit (OGAA).MethodsThe OGAA was a prospective multicentre cohort study coordinated by the West Midlands Research Collaborative, and included patients undergoing oesophagectomy for oesophageal cancer between April and December 2018, with 90 days of follow-up.ResultsThe OGAA study included 2247 oesophagectomies across 137 hospitals in 41 countries. Comparisons with the ECCG and DUCA found differences in baseline demographics between the three cohorts...
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SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to... more
SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri‐operative or prior SARS‐CoV‐2 were at further increased risk of venous thromboembolism. We conducted a planned sub‐study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 days of surgery. SARS‐CoV‐2 diagnosis was defined as peri‐operative (7 days before to 30 days after surgery); recent (1–6 weeks before surgery); previous (≥7 weeks before surgery); or none. Information on prophylaxis regimens or pre‐operative anti‐coagulation for baseline comorbidities was no...
Research Interests: Surgery, Neurosurgery, Vascular Surgery, Medicine, General Surgery, and 15 moreAnaesthesia, Pulmonary Embolism, Thromboembolism, Clinical Sciences, Cirugia, DVT Prevention, Odds ratio, Venous thromboembolism, Chirurgia, Neurosciences, Cirugía, Deep Venous Thrombosis, Chirurgie, Prospective Cohort Study, and CoVid
Background The complexity of oesophageal surgery and the significant risk of morbidity necessitates that oesophagectomy is predominantly performed by a consultant surgeon, or a senior trainee under their supervision. The aim of this study... more
Background The complexity of oesophageal surgery and the significant risk of morbidity necessitates that oesophagectomy is predominantly performed by a consultant surgeon, or a senior trainee under their supervision. The aim of this study was to determine the impact of trainee involvement in oesophagectomy on postoperative outcomes in an international multicentre setting. Methods Data from the multicentre Oesophago-Gastric Anastomosis Study Group (OGAA) cohort study were analysed, which comprised prospectively collected data from patients undergoing oesophagectomy for oesophageal cancer between April 2018 and December 2018. Procedures were grouped by the level of trainee involvement, and univariable and multivariable analyses were performed to compare patient outcomes across groups. Results Of 2232 oesophagectomies from 137 centres in 41 countries, trainees were involved in 29.1 per cent of them (n = 650), performing only the abdominal phase in 230, only the chest and/or neck phases...
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After a three-year quarantine from the deadliest global pandemic of the last century, ASTES is organizing to gather all health professionals in Tirana, The 6th Albanian Congress of Trauma and Emergency Surgery(ACTES 2022) on 11-12... more
After a three-year quarantine from the deadliest global pandemic of the last century, ASTES is organizing to gather all health professionals in Tirana, The 6th Albanian Congress of Trauma and Emergency Surgery(ACTES 2022) on 11-12 November 2022, with the topic Trauma & Emergency Surgery and not only...with the aim of providing high quality, the best standards, and the best results, for our patients ...ACTES 2022 is the largest event that ASTES (Albanian Society for Trauma and Emergency Surgery) has organized so far with 230 presentations, and 67 foreign lecturers with enviable geography, making it the largest national and wider scientific event.The scientific program is as strong as ever, thanks to the inclusiveness, where all the participants with a mix of foreign and local lecturers, select the best of the moment in medical science, innovation, and observation.The scientific committee has selected all the presentations so that the participants of each medical discipline will have ...
SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS‐CoV‐2 infection. This international,... more
SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS‐CoV‐2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre‐operative SARS‐CoV‐2 infection were compared with those without previous SARS‐CoV‐2 infection. The primary outcome measure was 30‐day postoperative mortality. Logistic regression models were used to calculate adjusted 30‐day mortality rates stratified by time from diagnosis of SARS‐CoV‐2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre‐operative SARS‐CoV‐2 diagnosis. Adjusted 30‐day mortality in patients without SARS‐CoV‐2 infection was 1.5% (95%CI 1.4–1.5). In patients with a pre‐operative SARS‐CoV‐2 diagnosis, mortality was increased in patients having surgery wi...
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Research Interests: Surgery, Medicine, Cardiac and Thoracic Surgery, Cardiac Surgery, General Surgery, and 15 moreDisease, Cohort, Clinical Sciences, Cirugia, Chirurgia, Outbreak, Cirugía, Coronavirus, Thoracic and cardiovascular surgery, Chirurgie, Coronavirus COVID-19, COVID-19 PANDEMIC, coronavirus outbreak, Coronavirus Disease 2019 (COVID-19), and Cardiovascular medicine and haematology
To support the global restart of elective surgery, data from an international prospective cohort study of 8492 patients (69 countries) was analysed using artificial intelligence (machine learning techniques) to develop a predictive score... more
To support the global restart of elective surgery, data from an international prospective cohort study of 8492 patients (69 countries) was analysed using artificial intelligence (machine learning techniques) to develop a predictive score for mortality in surgical patients with SARS-CoV-2. We found that patient rather than operation factors were the best predictors and used these to create the COVIDsurg Mortality Score (https://covidsurgrisk.app). Our data demonstrates that it is safe to restart a wide range of surgical services for selected patients.
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ASTES has organized an attractive scientific program, in partnership with the Surgical and Medical Societies of our country. In addition, we have prepared several special lectures by national and international speakers.The “Frederic... more
ASTES has organized an attractive scientific program, in partnership with the Surgical and Medical Societies of our country. In addition, we have prepared several special lectures by national and international speakers.The “Frederic Shiroka” lecture will be given by Professor Flamur Tartari, a distinguished surgeon who hasbeen the chief of general surgery service over the years as the father of Albanian modern surgery. He willdeliver his lecture titled “A lifetime with surgical patients”.The pre-conference course for medical personnel (BLS & D) will be available a day before the conference.Finally, we would like to thank all members of the organizing and scientific committees for their hard work in the past few months to ensure that every aspect of the conference is smooth and with the highest standards.Without their hard work and dedication, this conference would not have been possible. Let us express specialthanks to all speakers, particularly to our distinguished international fa...
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Introduction; The University Hospital of Trauma, Tirana, Albania, is the only National referent center for trauma in Albania. As the primary care center for trauma, often operating over capacity of trauma patient, limiting access to... more
Introduction; The University Hospital of Trauma, Tirana, Albania, is the only National referent center for trauma in Albania. As the primary care center for trauma, often operating over capacity of trauma patient, limiting access to Emergency surgical care for non-trauma patients. For non-traumatic surgical emergencies are instructions to inform the patient selection for transfer to another institution such as a University Hospital Center “Mother Theresa” in Tirana, Albania. Such decisions can be particularly difficult for severely ill patients when transferring benefits are uncertain. Material and Methods: To point out the role of surgeons in different hospital levels, for transfer, we took a qualitative analysis of cases that are transferred from a regional or municipal hospital to the University Hospital of Trauma... Results: Surgeons in the regional or municipal hospitals require transfer when the ability to care for the traumatized patient is limited by the lack of necessary st...
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Introduction: Blunt abdominal trauma (BAT) is one of the most common traumatic emergencies and is associated with significant morbidity and mortality, which is associated with a number of causes despite improvements in their management.... more
Introduction: Blunt abdominal trauma (BAT) is one of the most common traumatic emergencies and is associated with significant morbidity and mortality, which is associated with a number of causes despite improvements in their management. This study aims to assess 308 cases of BAT and their management depending on the number of Injured organs. Material and Methods: The study has a retrospective character and it has been realized within the period of time from January 20016 to December 2018. In our study are included 308 trauma cases admitted at the University Hospital of Trauma in Tirana Albania. All recorded data were grouped as follows; Demographic data, trauma mechanism, admission time in hospital, the mode of management… Results: The sample of the population was chosen by chance which means that this study is included all trauma cases presented at the emergency department and hadn’t any study limitation. In our study, based on the mechanism of trauma, motor vehicle accident [191(6...
[This corrects the article DOI: 10.1016/j.radcr.2021.07.064.].
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The spread of the Corona virus, first identified in China in December 2019, spread to Europe and was recognized as a pandemic by the World Health Organization (WHO) on March 11th.Measures to achieve social distancing have been implemented... more
The spread of the Corona virus, first identified in China in December 2019, spread to Europe and was recognized as a pandemic by the World Health Organization (WHO) on March 11th.Measures to achieve social distancing have been implemented in different periods and rates of time around the World.The traumatic and non-traumatic emergency patient needs timely and competent care throughout the treatment chain, relying on broad-based competence, multidisciplinary teamwork and communication. In a medical field that is moving towards increasing subspecialization, it is easy to see how the quality of care of these groups of patients can be improvedACTES throughout its topic focuses on these important groups of patients, patients with critical illness and surgical impairment, during the development of ACTES as an online event will try to bring together groups of health professionals to improve, optimize, inspire, and to provide the opportunity for networking and learning from each other.While...
Aim: Acute upper gastrointestinal bleeding (AUGB) could pose numerous threats to patient s health and life. Blood transfusion strategy is still controversial whereas its effectiveness draws considerable scientific interest. Our aim was to... more
Aim: Acute upper gastrointestinal bleeding (AUGB) could pose numerous threats to patient s health and life. Blood transfusion strategy is still controversial whereas its effectiveness draws considerable scientific interest. Our aim was to evaluate the effectiveness of blood transfusion in AUGB patients in Albania. Methods: This cross-sectional study was carried out in Tirana during January 2014December 2014 among 92 patients experiencing AUGB (66% males, average age 51 years old). Laboratory (number of erythrocytes, haemoglobin (Hb) and haematocrit (Hct) level) and clinical parameters (cardiac frequency, respiratory frequency and arterial pressure) were measured before and 12 hours after blood transfusion. Patients were divided into three groups based on number of blood units being transfused. Results: After the transfusion, mean values of clinical parameters across study groups were significantly different. Mean number of erythrocytes and mean values of Hb and Hct increased signifi...
Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to... more
Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18–49, 50–69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst ...
Research Interests: Surgery, Neurosurgery, Surgical Oncology, Medicine, General Surgery, and 15 moreVaccination, Cirugia, Oxford university, Carotid Endarterectomy, Chirurgia, Chronic Venous Disease, Aortic Surgery, Endovascular Surgery, Peripheral Arterial Disease, Cirugía, Chirurgie, Vascular and Endovascular Surgery, CoVid, Medical and Health Sciences, and Open varicose vein surgery
Introduction: although the term “polytrauma” has been in use for decades, no generally accepted definition exists. Our definition has been until 2010: a combination of injuries where one, or the combination where one, or the combination... more
Introduction: although the term “polytrauma” has been in use for decades, no generally accepted definition exists. Our definition has been until 2010: a combination of injuries where one, or the combination where one, or the combination of injuries himself is directly life threatening, in detail is meant: injury to two body cavities, or injury to one cavity committed by two long bone fractures, where spine and unstable pelvis has counted similarly as an injury to a cavity organ. Since 2013 a new definition has been established, the so-called Berlin definition. "A polytrauma means significant injuries of three or more points (AIS) in two or more different anatomic AIS regions in conjunction with one or more additional variables from 5 physiologic parameters: Hypotension (SBP - Systolic Blood Pressure <= 90 mm Hg); Level of consciousness (GCS - Glasgow Coma Scale) ≤ 8; Acidosis (BE - Base Excess ≤ - 5.0); Coagulopathy (INR - International Normalized Ratio ≥ 1.4; PTT - Partial ...
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Hospital acquired infections are not only an important cause of morbidity and mortality but also increase economic burden. Risk of these infections is further increased when patients are exposed to invasive procedures.The aim of this... more
Hospital acquired infections are not only an important cause of morbidity and mortality but also increase economic burden. Risk of these infections is further increased when patients are exposed to invasive procedures.The aim of this study was to determine incidence rates of hospital acquired infections (HAI) in a general surgical ward and to develop preventive measures to reduce the risk of hospital‐acquired infections. This is a prospective study conducted at III-rd Surgical Clinic of the University Hospital Centre “Mother Theresa” a tertiary care hospital in Tirana during the period 2010-2013. Data were collected on a questionnaire for all the patients who underwent surgery. Proctologic and laparoscopic interventions were excluded from the study. Patients were followed for up to 30 days for development of (HAI). In total, in the study participated 1211 patients with a mean age of 52.7 (± 14.5) years and range from 17 to 86 years. 66% of patients are males and 43.6% females. In ou...
Hospital acquired infections are not only an important cause of morbidity and mortality but also increase economic burden. Risk of these infections is further increased when patients are exposed to invasive procedures.The aim of this... more
Hospital acquired infections are not only an important cause of morbidity and mortality but also increase economic burden. Risk of these infections is further increased when patients are exposed to invasive procedures.The aim of this study was to determine incidence rates of hospital acquired infections (HAI) in a general surgical ward and to develop preventive measures to reduce the risk of hospital‐acquired infections. This is a prospective study conducted at III-rd Surgical Clinic of the University Hospital Centre “Mother Theresa” a tertiary care hospital in Tirana during the period 2010-2013. Data were collected on a questionnaire for all the patients who underwent surgery. Proctologic and laparoscopic interventions were excluded from the study. Patients were followed for up to 30 days for development of (HAI). In total, in the study participated 1211 patients with a mean age of 52.7 (± 14.5) years and range from 17 to 86 years. 66% of patients are males and 43.6% females. In ou...
Blunt abdominal trauma following gunshot wound. Case report and literature review Introduction: Similarly to blast weapons, every firearm produces explosion at the moment of shooting, which can cause injuries in every region of the body.... more
Blunt abdominal trauma following gunshot wound. Case report and literature review Introduction: Similarly to blast weapons, every firearm produces explosion at the moment of shooting, which can cause injuries in every region of the body. The aim of this paper is to present the mechanism of blunt abdominal injury following gunshot wounds, bringing this uncommon disease to the clinicians' attention and to review the literature available. CASE REPORT A patient developed a delayed bowel perforation following a gunshot injury of the abdomen without breaking of the peritoneum. It was clinically suspected eight hours later and confirmed with contrast-enhanced computed tomography scan. The patient underwent immediate laparotomy. Resection, end-to-end anastomosis, and large lavage of the peritoneal cavity was performed. The patient was discharged ten days after operation in good condition. CONCLUSION Failure to recognize blunt trauma mechanism following firearm wounds increases the risk ...
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Aim: The alteration of the Milligan-Morgan (MM) technique in order to reduce the number of postoperative complications and enhance rehabilitation of patients continues to attract attention. We aimed to compare the classic and altered MM... more
Aim: The alteration of the Milligan-Morgan (MM) technique in order to reduce the number of postoperative complications and enhance rehabilitation of patients continues to attract attention. We aimed to compare the classic and altered MM techniques in a group of patients in Albania. Methods: This cross-sectional study included 152 patients suffering from anal fissure requiring surgical treatment in Tirana during September 2009-October 2013. Patient suffering from any pathology of anal canal, colon and other disease affecting the intervention outcome were excluded. 92 patients (group A) were intervened with the classic MM technique and 60 patients (group B) were intervened with MM accompanied by left lateral sphincterotomy. Chi-square test and student s t-test were used to compare study groups regarding dependent variables. Results: Average post-operative and first defecation pain level were significantly higher in group A patients. A significantly higher proportion of group A patient...
... 6 Department of Nuclear Medicine, UHC 'MOTHER TERESA' Tirana, Albania; 7 Department of Oncology, UHC 'MOTHER TERESA' Tirana, Albania. ... Pre surgical diagnosis were: multinodular goitre 93 (51.9%); cold nodule 69... more
... 6 Department of Nuclear Medicine, UHC 'MOTHER TERESA' Tirana, Albania; 7 Department of Oncology, UHC 'MOTHER TERESA' Tirana, Albania. ... Pre surgical diagnosis were: multinodular goitre 93 (51.9%); cold nodule 69 (38.8%); hot nodule 6 (3.5%); Graves disease 2 (1.1 ...
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Aim: Surgical site infections (SSI) are among the most common complications in hospitalized patients and have serious consequences for treatment outcomes and costs. The aim of this study was to investigate the frequency of SSI in patients... more
Aim: Surgical site infections (SSI) are among the most common complications in hospitalized patients and have serious consequences for treatment outcomes and costs. The aim of this study was to investigate the frequency of SSI in patients admitted at the general surgery ward of a tertiary hospital in Tirana, Albania. Methods: This was a cross-sectional study carried out at the general surgery ward of the University Hospital Centre Mother Theresa , a tertiary care hospital in Tirana during the period 2012-2013. Patients were followed for up to 30 days for development of surgical site infections. Socio-demographic data and information about SSI was collected for all the hospitalized patients undergoing surgery during the time period of the survey. Binary logistic regression was used to assess the association of SSI with several independent factors. Results: Of the 678 patients, 41 (6%) developed surgical site infection. The mean age of the patients was 52.7±14.5 years. The most common...
INTRODUCTION Despite technological advancement, high grade pancreatic injuries following blunt abdominal trauma continues to remain a disease that is associated with high morbidity and mortality rates, particularly in cases of delayed... more
INTRODUCTION Despite technological advancement, high grade pancreatic injuries following blunt abdominal trauma continues to remain a disease that is associated with high morbidity and mortality rates, particularly in cases of delayed diagnosis. The aim of this paper was the presentation of delayed diagnosis and treatment peculiarities of high grade pancreatic trauma and a review of literature. CASE REPORT A 55-years old man, involved in motor vehicle crashes, was referred to our level I trauma center. Hemodynamically stable. Abdominal physical exam, laboratory and focused abdominal sonography for trauma were normal. First total body multidetector CT scan, performed only after 24 hours, showed almost complete left pneumothorax, left third to fifth rib fractures and subcutaneous emphysema. Left chest tube was applied. On the eighth post-traumatic day, the general condition of the patient started to deteriorate. The patient showed abdominal pain, fever, nausea, vomiting, and bilateral...
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Background: Acute pancreatitis is fortunately usually a mild and self-limiting disease. About 20-25 % of patients may have severe form with mortality going to 5 30%. The microcirculation disorder is the main cause of the pancreatic... more
Background: Acute pancreatitis is fortunately usually a mild and self-limiting disease. About 20-25 % of patients may have severe form with mortality going to 5 30%. The microcirculation disorder is the main cause of the pancreatic necrosis. There’s higher vassal permeability inside the pancreatic tissue, which leads to a higher blood viscosity and its stasis in the microcirculation. Early identification of the risk factors in the severe acute pancreatitis development has potential advantages of aggressive treatment at intensive care unit or transfer to higher centre, by preventing or minimizing the possible complications. Haematocrit has been used as a predictor of severity of acute pancreatitis. Objectives: To study the significance of haematocrit in prediction of severity of acute pancreatitis.Methods: Patients admitted with first episode of acute pancreatitis from February 2011 to December 2014 were included. Haematocrit at admission and 24 hours of admission were compared with ...
Clinic of visceral surgery “Mother Theresa Hospital”,Tirana, Albania *Corresponding Author’s E-mail: drbelalla@gmail.com Protective ileostomy is used to prevent anastomose leaking in low anterior resection, but its value is still... more
Clinic of visceral surgery “Mother Theresa Hospital”,Tirana, Albania *Corresponding Author’s E-mail: drbelalla@gmail.com Protective ileostomy is used to prevent anastomose leaking in low anterior resection, but its value is still controversial. This study aims to evaluate the role of protective ileostomy in preventing anastomose leaking and the need of reoperation. This is a retrospective study of 217 cases anterior resection of middle and lower rectum. All the data was collected in the III d Clinic of Surgery at Mother Theresa Hospital, from January 2005 to October 2015. Clinical decision, for the need of protective jejunostomy, included: tumor localization, operatory hemorrhage, lymph node removement, simultaneous resection of other organs and the level of anastomose, previous chemoradiotherapy, etc. Anastomotic leaks were found in 21 patients, or 9.7%. It was found a mortality rate of about 1.8% or 4 patients. Protective ileostomy was realized in 76 patients, of whom 9 had anasto...
Background: Abdominal incision hernia is a common complication of abdominal surgery. Despite significant improvements in medical technology and healthcare, an increasing number of patients are also benefiting from complex surgical... more
Background: Abdominal incision hernia is a common complication of abdominal surgery. Despite significant improvements in medical technology and healthcare, an increasing number of patients are also benefiting from complex surgical procedures. The objective of this study was to analyze the risk factors for incisional abdominal hernias and to identify measures that could reduce the incidence of this complication. Material and methods: All patients included in the study are from the University Hospital of Trauma for a period of 3 years, from January 1, 2015, to December 31, 2017. Eighty-seven adult patients who underwent surgical repair of incisional abdominal wall hernia were enrolled. Variables that are compared in this study include the type of suture material, type of suture technique and concomitant diseases .etc. Results: According to our study the risk factors for incisional hernia are related to patients and the abdominal surgery used, the size of the abdominal wall defects. Co...
Ectopic thyroid tissue is a rare developmental abnormality arising from an aberration in the normal migration of the thyroid gland, from the floor of the primitive foregut to its final position. It is usually asymptomatic, often being... more
Ectopic thyroid tissue is a rare developmental abnormality arising from an aberration in the normal migration of the thyroid gland, from the floor of the primitive foregut to its final position. It is usually asymptomatic, often being diagnosed as an incidental finding. However, it can present with symptoms of compression such as chest pain, cough, stridor, dysphagia, dyspnea and superior vena cava syndrome. Herein, we present the case of a 42-year-old male patient, presenting with dyspnea, chest pain and fatigue. Laboratory tests showed low serum levels of thyroid-stimulating hormone (TSH) and a thoracic computed tomography revealed a heterogeneous mass in the anterior mediastinum. The patient underwent a full surgical resection. The postoperative histopathological examination of the mass demonstrated the presence of benign ectopic thyroid tissue with no evidence of malignancy. This case report emphasizes the importance of taking Ectopic thyroid tissue into account when considering the differential diagnosis of a mediastinal mass, as other common diagnoses including lymphomas, dermoid cysts and thymic tumors, require an entirely distinct treatment approach.
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Despite the continuing decline in incidence, stomach cancer remains one of the most common and deadly neoplasms in the world [1]. According to the literature, stomach cancer is the third leading cause of cancer deaths worldwide, ranking... more
Despite the continuing decline in incidence, stomach cancer remains one of the most common and deadly neoplasms in the world [1]. According to the literature, stomach cancer is the third leading cause of cancer deaths worldwide, ranking third after lung cancer and colorectal in global cancer mortality. About 1 in 12 neoplasm deaths can be attributed to stomach cancer, which has 5 times the highest incidence among all cancers, and over one million new cases of stomach cancer are diagnosed each year worldwide.[2] Our objectives were: Evidence and detailed statistical description of demographic, diagnostic, clinical, pathological data of stomach cancer patients are included in this study were hospitalized in two clinical surgery medical centers in the period from January 2009 to January 2019, in University Clinical Center in Prishtina-Department of Surgery, Regional Hospital in Ferizaj-Department of Surgery. Material and methods; The study included 115 patients who met the criteria, an...
Background: Inguinal hernia repair remains the most common surgery performed by general surgeons worldwide. There is a lot of published data on the surgical management of inguinal hernias in our country. This study aims to describe our... more
Background: Inguinal hernia repair remains the most common surgery performed by general surgeons worldwide. There is a lot of published data on the surgical management of inguinal hernias in our country. This study aims to describe our experiences in the surgical management of inguinal hernias and compare our results with those reported in the literature. Material and Method: A descriptive retrospective study was conducted at the University Hospital of Trauma in Albania. From April 2016 - March 2018 were recorded all the data for patients who presented to our hospital and underwent inguinal hernia repair in our hospital, under the conditions of elective surgery. Statistical data analysis was done using SPSS software version 17.0. Results: In this period had a total of 542 patients with inguinal hernias were enrolled in the study. The median age of patients was 46,12 years (range 14 to 92 years old). Males outnumbered females by a ratio of 18.3:1. This gender difference was statistic...
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To support the global restart of elective surgery, data from an international prospective cohort study of 8492 patients (69 countries) was analysed using artificial intelligence (machine learning techniques) to develop a predictive score... more
To support the global restart of elective surgery, data from an international prospective cohort study of 8492 patients (69 countries) was analysed using artificial intelligence (machine learning techniques) to develop a predictive score for mortality in surgical patients with SARS-CoV-2. We found that patient rather than operation factors were the best predictors and used these to create the COVIDsurg Mortality Score (https://covidsurgrisk.app). Our data demonstrates that it is safe to restart a wide range of surgical services for selected patients.
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Research Interests:
Background; “Acute Appendicitis” is one of the most usual causes of emergency hospital admissions and appendectomy is one of the most common emergency procedures performed in the contemporary medicine. This study aims to identify the... more
Background; “Acute Appendicitis” is one of the most usual causes of emergency hospital admissions and appendectomy is one of the most common emergency procedures performed in the contemporary medicine. This study aims to identify the Alvarado Score System as a simplified tool for the emergency doctor in the abdominal emergency in general and for the Acute Appendicitis in particular. Materials and methods; The study is of retrospective character and includes 130 cases presented with abdominal Pain in University Hospital Centre” Mother Theresa” Tirana, Albania, in the period 1 April 2019 - 30 May 2019 from which 100 allegedly suspected with “Appendicitis Acute”. Results; Gender distribution has a slight male predominance. The predominant age group was 14-21 years old. The most frequent clinical data has been the tenderness in right iliac fossa. In our study 3% of cases belonged to the group 1-4 Alvarado points, 17% of the cases belonged to the group 5-6 Alvarado points and 80% of the ...