[The value of preoperative intracavitary radiation in uterine carcinoma]. / Vrednost preoperativnog intrakavitarnog zracenja kod karcinoma materice.

The analysis comprised 240 uterine carcinomas: 145 carcinomas of the cervix and 95 carcinomas of the corpus uteri. Preoperatively 100 patients--57 with the carcinoma of the cervix and 43 with the carcinoma of the uterine body--were radiated with Co60 intracavitary. In the first stage of the carcinoma of the cervix a five-year survival in primarily operated patients amounted to 74.30% and in the group of preoperatively intracavitary radiated patients to 83%. In patients with the stage I carcinoma of the corpus uteri a five-year survival proved to be 69.57% if primarily operated and 93.75% if preoperatively radiated. Local relapses were recorded in 33 patients surgically treated for carcinoma of the uterine cervix and in 9 patients surgically treated for the carcinoma of the uterine body. In both these localizations the relapses were more frequent in the group primarily operated patients: in patients with the primarily operated carcinoma of the cervix the relapses occurred in 20.69% and in preoperatively radiated patients in 3.4% of cases. The same observations were recorded in the carcinoma of the corpus uteri (11.51% : 6.97%). This means that the relapses were six times as frequent in patients with the primarily operated carcinoma of the uterine cervix and about 1.65 times as frequent in those with the primarily operated carcinoma of the corpus uteri as in intracavitary radiated patients.

[Experience from uterine cervix sarcoma (author's transl)]. / Unsere Erfahrungen mit den Zervix-Sarkomen.

The genital sarcomas of three in 56 Patients (5,36 per cent) were located in the uterine cervix. Treatment gave unsatisfactory results, with survival rates of nine, 13, and 32 months. Suggested are steps by which to improve both the diagnosis and therapy of genital sarcomas in women.

[Surgical interventions in the digestive tract during gynecological and obstetric operations]. / Hirurske intervencije na organima digestivnog trakta u toku ginekoloskih i opstetrickih operacija

At the University Hospital Department of Gynecology and Obstetrics in Novi Sad, from 1945 to 1975, there were 17,362 major gynecological (laparotomies and vaginal) operations and cesarean sections. During these operations 0.11% of patients (19 women) had accidental injuries of the digestive organs (small or large intestines, or the mesenterium). All these injuries were treated during one and the same surgical act (sutures or resections of the small or large intestines). In 39 (0.22%) women, owing to a wrong preoperative diagnosis, laparotomy revealed inflammatory changes or tumours of the digestive tract which required primary surgical treatment: resection of the small or large intestines or the treatment of the perforated or gangrenous appendix, etc. Among the operations performed there were also 944 appendectomies and 65 hernitomies (in the course of gynecological operations or, less frequently, as separate interventions), 13 intestinal injuries during legal and illegal abortions, as well as 9 other surgical interventions (splenectomies, surgical treatment of the ileus, etc). In a total of 1079 pelvic operations also operations of the digestive tract were jointly made, which makes 6.46% of all major gynecological operations and cesarean sections. Obviously, it is not rare that the gynecologist-obstetrician faces situations requiring surgical interventions in the abdominal organs along with those in the genital tract. This raises the question of how much the gynecologist-obstetrician should be qualified also for abdominal surgery and urology, which is particularly important from the point of view of postgraduate education of gynecologists-obstetricians. In this country there are still certain dilemmas concerning this question.