T R Minchev

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OBJECTIVE To evaluate the various tactics and approaches in the surgical treatment of bilateral pulmonary hydatidosis (BPH). MATERIALS AND METHODS Between 1969 and 2000, a total of 127 BPH patients underwent surgery. The operative techniques of choice were parenchyma-preserved methods. Up to 1988, two-stage operations via thoracotomies were performed on(More)
AIM To reveal the role of Video Assisted Thoracoscopic Surgery (VATS) in the treatment of different stages of pleural empyema in children. CLINICAL MATERIAL Between 2004 and 2006, 87 children aged from 11 months to 18 years were treated at the Department of Thoracic pediatric surgery for parapneumonic pleural complications (pleural empyema). The children(More)
Between Jan 1991 and Dec 2000 a total of 67 patients were operated on for chronic primary pulmonary abscesses. They were 57 men and 10 women with mean age of 46.2 (range, 12 to 72) years. The indications for surgery was mainly "delayed closure" following medical therapy and percutaneous tube drainage (3), as well as a massive hemoptysis in 4 cases. CT(More)
During a 7 years period a total of 112 patients with chronic pleural empyema were operated on. There were 92 male and 20 female with mean age of 48.4 years. The mean duration of empyema clinical manifestation up to the operation was 59 days. Pleurectomy and decortication were carried out in 99 patients and in the other 5 cases they were associated with(More)
Between 1990 and 2001 in Thoracic Surgery Department at SHATPD "Saint Sophia"--Sofia a total of 821 patients with pulmonary hydatidosis were operated on. In 5 (0.6%) of them the cysts were situated in the both lungs, lever and spleen. For the first time in the surgical practice a sterno-laparotomy were carried out for one-stage cysts' removal in this(More)
A case of 23-year-old man with Pectus Excavatum (grade II) is reported on. The functional cardiorespiratory impairment was a leading symptom. The technique of sternal turnover with preservation of a vascular supply based on the internal mammary pedicle is introduced for the first time in Bulgaria. All procedure steps are described. Nine months after the(More)
Methods We reviewed our VATS decortication results in 26 patients with MPE over a 6 year period, compare with 40 patient treated with talk pleurodesis and drainage only. Major symptoms were chest pain, cough and dyspnea, and radiographic findings of pleural fluid. Trapped lung was demonstrated after MPE evacuation in all patients preoperatively. Patient(More)
A method of treating postpulmonectomy pleural empyema, practically implemented in this country for the first time, is described. Three patients are subjected to operation. Right pulmonectomy for lung cancer and chronic inflammatory process is done twice, and left pleuropulmonectomy for tuberculosis--once. Postpulmonectomy empyema persists in all three cases(More)
From January 2003 to April 2006, a total of 6 patients (mean age of 16.7 years) underwent single-stage bilateral VATS for primary spontaneous pneumothorax (PSP). All 6 patients had at least one episode of pneumothorax, requiring tube thoracostomy. Two patients had 2 previous ipsilateral episodes and 2 patients were with one episode in both sides each. One(More)