Prof dr Marinko L Žuvela

Prof dr Žuvela operiše sve vrste kila prednje-bočnog trbušnog zida kroz otvoren pristup. Hirurški rešava sve preoperativne komplikacije kila (ukleštena – strangulirana kila) ili postoperativne komplikacije operacije kila (ponovna kila – recidivantna kila; infekcija mrežice nakon operacije kile; hronični bol nakon operacije kile – ingvinodinia).

Preponske kile (ingvinalne i femoralne) rešava na različite načine u zavisnosti od kliničkog nalaza. Male i srednje ingvinalne i ingvinoskrotalne kile rešava Lichtenstein tehnikom, a femoralne kile plug + Lichtenstein tehnikom u lokalnoj anesteziji po principima ambulantne hirurgije, a pacijent napušta kliniku 2 sata nakon operacije. 

*Žuvela M. The modified Lichtenstein technique for complex inguinal hernia repair – How I do it. Acta Chir Iugosl 2011; 58(1):15-28. 

*Žuvela M. Ambulatory surgery of abdominal wall hernias – Ten years of experience. 36th International Congress of the EHS, Edinburgh, Scotland 2014

Velike ingvinoskrotalne kile rešava svojom originalnom metodom – „Rives tehnika izvedena kroz direktan ingvinalni pristup“ u lokalnoj anesteziji, a u zavisnosti od lokalnog nalaza pacijent napušta kliniku 2 sata nakon operacije ili provodi 1 dan na klinici.

*Žuvela M, et al. Rivesova tehnika Direktan ingvinalni pristup u rešavanju velikih ingvinoskrotalnih i recidivantnih kila. Acta Chir Iugosl 2003;50(2):37-48. 

*Žuvela M, et al. Modifikovana Rivesova tehnika u tretmanu recidivantnih ingvinalnih kila. Acta Chir Iugosl 2003;50(4):53-6.

Male i srednje ventralne kile (umbilikalna, epigastrična, spigelova, inciziona) rešava svojom originalnom metodom – „otvorena preperitonealna flat mesh tehnika“ sa ugradnjom male mrežice u lokalnoj anesteziji po principima ambulantne hirurgije, a pacijent napušta kliniku 2 sata nakon operacije.

*Žuvela M, et al. Spigelian hernia repair as a day-case procedure. Hernia 2013;17(4):483-6.

*Žuvela M, et al. Management of epigastric, umbilical, spigelian and small incisional hernia as a day case procedure: results of long‑term follow‑up after open preperitoneal flat mesh technique. Hernia 2021;25(4):1095-1101. 

*Žuvela M, et al. Day case surgery of umbilical, epigastric and small incisional hernias – open preperitoneal flat mesh repair under local anesthesia. 29th International Congress of the EHS, Athens, Greece 2007 

*Žuvela M, et al. Incisional hernia surgery as a day case procedure. 30th International Congress of the EHS, Sevilla, Spain 2008

*Žuvela M. Groin, umbilical, epigastric and spigelian hernias as a day case surgery. 30th International Congress of the EHS, Sevilla, Spain 2008 

*Žuvela M, et al. Spigelian hernia repair as a day case procedure. 4th Joint Hernia Meeting of the AHS and EHS, Berlin 2009

 *Žuvela M, et al. Ambulatory surgery of ventral and incisional hernias. 32nd International Congress of the EHS, Istanbul, Turkey 2010 

*Žuvela M, et al. Lowcost technique for the management of all types of ventral hernias in ambulatory settings – safe and reliable procedure. 39th International Congress of the EHS, Wiena, Austria 2017 

*Žuvela M, et al. Management of epigastric, umbilical, spigelian and small incisional hernia as a day case procedure: results of long term follow up after open preperitoneal flat mesh technique. 44th EHS Annual Meeting. Manchester, UK 2022

Velike incizione kile srednje linije rešava Rives sublay tehnikom sa ugradnjom velike mrežice u opštoj anesteziji.

*Žuvela M, et al.. Rives technique (sublay) in the management of major incisional hernias. 2th International Congress of the EHS, Turin, Italy 2005

*Žuvela M,et al. Is the sublay repair a technique of choice for major incisional hernias on any location? 29th International Congress of the EHS, Athens, Greece 2007

Džinovske  kile srednje linije – eventracije rešava nekom od tehnika komponentne separacije + mesh herniopalstika u opštoj anesteziji.

*Žuvela M, et al. Possible solution for complex abdominal wall defects – various components separation techniques with or without nonresorbable mesh hernia repairs. 32nd International Congress of the EHS, Istanbul, Turkey 2010

*Žuvela M, et al. Eventration – complex abdominal wall defect. 35th International Congress of the EHS, Gdansk, Poland 2013.

*Žuvela M, et al. How to prevent intraabdominal hypertension and postoperative compartment syndrome following incisional or ventral repair and acute wound bursting – Various techniques of components separation with mesh augmentation. 36th International Congress of the EHS, Edinburgh, Scotland 2014

*Žuvela M, et al. Individual approach for patient with ventral eventration: various components separation technique with mesh augmentation. 38th International Congress of the EHS, Rotterdam, The Netherlands 2016 

*Žuvela M, et al.. Individual approach for a patients with abdominal wall eventration – various componenets separation technique with mesh augmentation. 41st International Congress of the EHS, Hamburg Messe, Germany 2019

*Žuvela M, et al. Individual strategy for patients with abdominal wall eventration – different componenets separation technique with mesh augmentation. 42nd Annual Congress of the EHS, Barcelona 2020

*Žuvela M, et al. Individual strategy for patients with abdominal wall eventration -different components separation technique with mesh augmentation. 44th EHS Annual Meeting. Manchester, UK 2022

Velike subkostalne kile – eventracije bez znakova infekcije rešava svojom originalnom metodom – „modifikavana sublay tehnika za velike subkostalne kile“ u opštoj anesteziji.  

*Žuvela M, et al. The modified sublay technique for the management of major subcostal incisional hernia – long term follow-up results of 37 consecutive patients. Ann Plast Surg 2022; 1;88(2):212-218. 

*Žuvela M, Galun D. Complex subcostal abdominal wall defect – Three variations of components separation technique combined in one procedure. 36th International Congress of the EHS, Edinburgh, Scotland 2014

*Žuvela M, Galun D. Combination of the three techniques in one procedure for management of complex subcostal abdominal wall defects. 1st World Conference on Abdominal Wall Hernia Surgery, Milan, Italy 2015

*Žuvela M, et al. The modified sublay technique for management major subcostal incisional hernia: Rives sublay technique with components separation technique. 39th International Congress of the EHS, Wiena, Austria 2017

*Žuvela M, et al.. The modified sublay technique for the management of major subcostal incisinal hernia. 41t International Congress of the EHS, Hamburg Messe, Germany 2019

*Žuvela M, et al The modified sublay technique for the management of major subcostal incision eventration. 42nd Annual Congress of the EHS, Barcelona, Spain 2020 

*Žuvela M, et al. The modified sublay technique for the management of major subcostal incisional hernia: long-term follow-up results of 41 consecutive patients. 44th EHS Annual Meeting. Mancheste, UK 2022.

Velike subkostalne kile i eventracije sa znacima infekcije rešava svojom originalnom metodom – „kombinacija tri tehnike komponentne separacije“ u opštoj anesteziji.

*Žuvela M, et l. The combination of the three modifications of the component’s separation technique in the management of complex subcostal abdominal defects. Hernia 2022. May 16. doi: 10.1007/s10029-022-02622 

*Žuvela M, et al.. Complex subcostal abdominal wall defect – three models of components separation technique fussed in one procedure. 41thInternational Congress of the EHS, Hamburg Messe, Germany 2019

*Žuvela M, et al. Three models of components separation technique fussed in one procedure with mesh augmentation: management of complex subcostal hernia. 42nd Annual Congress of the EHS, Barcelona 2020

*Žuvela M, et al.. The combination of the three modifications of the component separation technique in the management of complex subcostal wall defect. 44th EHS Annual Meeting. Manchester, UK 2022

Istovremeno postojanje 2 velike ventralne kile  (kila srednje linije i lateralna kila bilo koje veličine) rešava kombinacijom sublay tehnike i tehnike komponentne separacije + mesh herniopalstika sa velikom mrežicom u opštoj ansteziji.

*Žuvela M, et al. The modified components separation technique – one stage solution for contaminated major midline and transrectal abdominal wall defects. 30th International Congress of the EHS, Sevilla, Spain 2008

*Žuvela M, et al. How to repair a lateral incisional abdominal wall hernia? 44th EHS Annual Meeting. Manchester, UK 2022

Parastomalne kile rešava tehnikom komponentne separacije + „kyhole“ ili Sugarbacker mesh herniopalstikom sa velikom mrežicom u OEA.

*Žuvela M, et al. Parastomal hernia repair: Modified Sugarbaker procedure with components separation technique vs modified Rives sublay with components separation technique. 38th International Congress of the EHS, Rotterdam, The Netherland, 2016

*Žuvela M, et al. Open parastomal hernia repair- different approaches using components separation technique. 42nd Annual Congress of the EHS, Barcelona, Spain 2020

*Žuvela M, et al. Open parastomal hernia repair: stoma relocation with CST, modified Rives sublay mesh technique with CST or modified Sugarbaker intraperitoneal mesh technique with CST. 44th EHS Annual Meeting. Manchester, UK 2022

Džinovske ingvinoskrotalne kile – eventracije sa gubitkom primarne abdominalne duplje rešava „Rives tehnikom izvedenom kroz direktan ingvinalni pristup“ + različite tehnike komponentne separacije sa ili bez mesh hernioplastike za uvećavanje primarne abdominalne duplje i prevenciju postoperativnog kompartment sindroma

*Žuvela M, et al. Inguinal eventration – Rives technique performed throught direct inguinal approach with or without components separation technique. 36th International Congress of the EHS, Edinburgh, Scotland 2014

*Žuvela M, et al. How to manage monster groin hernia. 39th International Congress of the EHS, Wiena, Austria 2017 

*Žuvela M, et al.. How to solve monster groin eventration – Rives technique performed throught direct inguinal approach with or withouth components separation technique. 41st International Congress of the EHS, Hamburg Messe, Germany 2019

*Žuvela M, et al..  How to manage giant groin eventration – Rives technique performed throught direct inguinal approach with or withouth components separation technique. 42nd Annual Congress of the EHS, Barcelona, Spain 2020 

Žuvela M, et al. Strategy for surgical treatment of giant inguinoscrotal hernia – series of 21 consecutive patient during 15 years. The 44th EHS Annual Meeting. Manchester, UK 2022

Postoperativnu  infekciju mrežice sa ili bez prisustva recidiva kile rešava vadjenjem  mrežice, tenzionom herniorafijom ili nekom od tehnika komponentne separacije + resorptivna mesh hernioplastika u opštoj anesteziji.

*Žuvela M, et al.  Infekcija u hirurgiji kila. Acta Chir Iugosl 2005;52(1):9-26.

*Žuvela M, et al.. Diagnosis of mesh infection after abdominal wall hernia surgery – role of radionuclide methods. Hepatogastroenetrology 2011; 58:1-6. 

*Žuvela M, et al. Rare late mesh complications following inguinal prolene hernia system hernioplasty: report of three cases. Surg Today 2012;Dec 42(12):1253-8. 

*Žuvela M et al. Central rupture and bulging of low-weight polypropylene mesh following recurrent incisional sublay hernioplasty. Hernia 2014 Feb;18(1);138-40. 

*Žuvela M, et al.. Rare late mesh complications following Prolene Hernia System inguinal hernia repair. 3nd International Congress of the EHS, Istanbul, Turkey 2010

*Žuvela M, et al. Delayed and late mesh infections after inguinal hernia repair. 33nd International Congress of the EHS, Ghent, Belgium 2011 

*Žuvela M, et al. Mesh infectio following complex abdominal wall defect repair – VAC therapy. 1st World Conference on Abdominal Wall Hernia Surgery, Milan, Italy 2015 

*Žuvela M, et al. How to manage resistant mesh infection: hydrofiber dressing with silver, NaEDTA and BeCl. 38th International Congress of the EHS, Rotterdam, The Netherlands 2016

*Žuvela M, et al. The role of hydrofiber dressing with silver, natrium ethylenediaminetetraacetic acid and benzetoniumchloride in the treatment of mesh infection. 39th International Congress of the EHS, Wiena, Austria 2017

Hronicni bol nakon operacije preponske kile / ingvinodinija nakon tenzione ili mesh hernioplastike rešava trostrukom neurektomijom preponskih živaca, vadjenjem cele stare mrežice ako je ugradjena i novom  tenzionom herniorafijom ili Lichtenstein herniopalstikom sa lakom makroporusnom mrežicom.

*Žuvela M, et al. Surgical treatment of inguinodynia – Triple neurectomy. 32nd International Congress of the EHS, Istanbul, Turkey 2010

Bolnu preponu sportisata (“atletic groin“),  rešava beztenzioom rekonstrukcijom zadnjeg zida ingvinalnog kanala, trostrukom neurektomijom i Lichtenstein hernioplastikom sa extralakom mrežicom.

*Žuvela M. Tretman sportske hernije, Hirurško lečenje sindroma bolne prepone u sportista / Master class 2018, 5.Kongres sekcije za fizilkalnu medicinu i rehabilitaciju SLD i srpskog udruženja za terapiju bola, Serbian Pain Society, Beograd 2018 

*Žuvela M. Sportsman hernia – surgical treatent. I Medjunarodni simpozijum Udruženja zdravstvenih profesionalaca Srbije : Bol kao medicinski, biološki, psihološki, sociološki i kulturološki fenomen. Banja Koviljača 201. 

*Žuvela M. Bol nakon hirurškog lečenja preponske kile. Drugi kongres Endoskopskih Hirurga Srbije sa medjunarodnim učešćem, Begrad 2019

Slike različitih kila trbušnog zida

(pacijenti koje je operisao dr Žuvela)

HERNIA CENTAR ŽUVELA

Filmovi dr Žuvele

Operacija pacijenta sa ingvinoskrotalnom kilom Lichtenstein tehnikom u lokalnoj anesteziji po principima ambulantne hirurgije

Operacija 2 pacijenta sa ingvinoskrotalnm kilom Lichtenstein tehnikom u lokalnoj anesteziji po principima ambulantne hirurgije: hirurg operiše hirurga, a potom operisani hirurg operiše svog pacijenta

Operacija pacijenta sa umbilikalnom kilom „Otvorenom preperitonealnom flat mesh tehnikom“ u lokalnoj anesteziji po principima ambulantne hirurgije

Operacija pacijenta sa ingvinoskrotalnom kilom „Modifikovanom Rives tehnikom izvedenom kroz direktan ingvinalni pristup“

 

Adresa

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