Surgery, Gastroenterology and Oncology

Introduction: In Bulgaria, the incidence of invasive cervical cancer is one of the highest

in Europe. The underlying issue is the lack of well-organized and functioning screening in general, but especially the lack of primary HPV screening.

Objective: To determine an adequate screening approach for the selection of patients with high-grade cervical lesions (HSIL/CIN 2-3) and the potential of colposcopic examination for the diagnosis of HSIL/CIN 2-3

Materials and Methods: From September 2022 to June 2023, 55 patients underwent screening ....[more]

Introduction: Endometrial cancer (EC) is the most common malignancy in female genital tract. The prognostic factors that influence the evolution of endometrial cancer are: age, histological type, depth of myometrial invasion, degree of differentiation, lymphovascular and lymphogenic involvement. Although the prognosis is relatively good for patients with low grade morphology and early stages of the disease small percentage of patients develop recurrence, which cannot be predicted at moment of diagnosis. Aim: This study purposed to estimate Ck19 and CD44 expression....[more]

Background: To compare the effectiveness of patent blue dye and technetium-99m colloid for sentinel lymph node biopsy (SLNB) in breast cancer patients regarding detection rate, aesthetic outcomes, and complications.

Material and Methods: This cross-sectional study was conducted at Baghdad and Warth hospitals from November 2020 till April 2023. Eighty female patients with breast cancer who underwent breast conservation surgery and SLNB using either patent blue dye or technetium-99m colloid were included. The outcomes of interest were detect....[more]

Background: Laparoscopic cholecystectomy (LC) is a common operation in abdominal surgery. Injury to bile duct during LC is still relatively high. The emerging fluorescence-based intraoperative near-infrared cholangiography by Indocyanine green (ICG) and intraoperative cholangiogram (IOC) are mainly two intraoperative imaging techniques to delineate extra-hepatic biliary tree during LC.

Material and Methods: This prospective non randomized clinical study included 50 consecutive patients underwent elective laparoscopic cholecystectomy with n....[more]