Browsing by Author "Zatriqi, Skender"

Now showing 1 - 4 of 4

Choledochal Cyst – Presentation and Treatment in an Adult
(AAB College, 2025-07-16) Zatriqi, Skender
Choledochal cyst is a congenital cystic dilation of a part of bile duct that occurs most commonly in the main part of common bile duct. Diagnosis of choledochal cyst is concluded upon disproportionate expansion of extrahepatic bile duct. Symptom trias are: abdominal pain, jaundice and abdominal mass represent clinical guideline signs of diagnosis. Furthermore, hepato-biliary diseases in adults can conceal the primary condition. In addition to this, ultrasound, CT, MRI, cholangiopancreatography (ERCP), transhepatic percutane cholangiography (PTC) guide us for a detailed examination in order to verify the diagnosis. Active endoscopic cholangiography represents an important technique that provides needed anatomic solution and details in diagnosis of choledochal cyst.
Paradoxi i kontrollit të cilësisë në kujdesin kirurgjik: Strategjitë për të kapërcyer variabilitetin dhe përmirësuar rezultatet e pacientëve.
(AAB College, 2025-07-16) Zatriqi, Skender; Beqiri, Lirije; Zatriqi, Violeta
Introduction: The quality control paradox in surgical care arises from the tension between the need for standardized practices and the inherent variability in surgical procedures and patient outcomes. This study explores potential strategies to address this paradox, including quality improvement initiatives, clinical audits, and the integration of palliative care into surgical practices.Results and Review of Presence in Practice Across Countries: In the United States, initiatives such as the National Surgical Quality Improvement Program (NSQIP) and the Surgical Care Improvement Project (SCIP) have been central in improving quality and reducing variability in surgical care. In Australia, regular audits like the Victorian Audit of Surgical Mortality have led to significant improvements in surgical practices. Several countries are also beginning to integrate palliative care into surgical settings to better address the needs of seriously ill patients, which improves patient satisfaction and overall care. Discussion: Quality improvement programs and clinical audits have proven effective in reducing surgical errors and variability. However, challenges remain in terms of resource availability and training, especially in low-resource settings. Additionally, integrating palliative care into surgical practices can be difficult due to limited resources and lack of standardization across different countries. Conclusion: Addressing the quality control paradox in surgical care requires a coordinated, international effort that includes the implementation of structured quality improvement initiatives, regular clinical audits, and the integration of palliative care. These strategies collectively contribute to improving patient outcomes and providing high-quality care. Adoption of these initiatives globally is crucial for reducing variability and improving the overall patient experience in surgical care.
Presenting Colorectal Carcinoma Cases in Our Department
(AAB College, 2025-07-16) Zatriqi, Skender
Colorectal carcinoma is second commonest cancer causing death in Kosova. Methodology: In our study we present diagnostic methods, treatment, localization and laboratory findings in 155 patients, during 4 year period in patients with colorectal carcinomas treated in our clinic. Results: Ninety four 94 (61.4%) of patients were male gender and 59 (38.6%) were female. Eritrosedimentation was elevated in 103 (67.3%) of patients, number of white blood cells was increased in 21 (7.2%) of patients and high level of glycemia is present in 11 (7.2%) of patients. The most involved age is from 41-50 years. The most common site of involvement was the rectum in 79 (51.6%), localization in sigma was in 37 (23.5 %), the transverse colon in 21 (13.7 %) of cases and the ascendant colon in 18 (11.1%) patients. Adenocarcinoma (98%) was the most common histiotype. Conclusion: We concluded, that all patients, especially with positive familial history must begin screening in age 40, during which colorectal carcinoma can be diagnosed in an early stage.
Tissue expansion in reconstructive surgery: A 10‑year experience in Kosovo. International Journal of Biomedicine
(AAB College, 2025-07-16) Zatriqi, Skender; Zatriqi, Violeta
Background: Tissue expansion (TE) is one of the major developments in reconstructive surgery. The objective of this research was a retrospective analysis of our 10-year experience in correcting burn sequelae, traumas, and scars by the method of TE. Methods and Results: A retrospective study was conducted at the Clinic of Plastic and Reconstructive Surgery at the University Clinical Center of Kosovo (UCCK, Prishtina) from January 2009 to December 2019. The sample included 67 patients (43[64.2%] females and 24[35.8%] males) treated with tissue expanders for reconstructive purposes. The most common indication for TE was burn sequelae, trauma, and scars from previous surgery. One hundred and thirty-five expanders were placed on 67 patients, and 128 operative interventions were performed. Burn sequelae (55.2%) were the main reason for TE. The age of patients was in the range of 0-50 years (mean age of 20.5 years). The predominant age groups were 11-20 years (49.2%) and 21-30 (40.3%). The most common anatomical region for TE was the head, including the face and neck (47.8%), followed by the trunk (22.4%), the lower extremities (16.4%), and the upper extremities (13.4%). Most patients underwent only one (61.2%) or two surgical interventions (31.3%); three surgical interventions were performed in 7.5% of cases. One expander was placed in the vast majority of our patients (83.6%), two expanders in 13.4% of cases, and three expanders in 3.0% Patients with expanders on the head and neck experienced more major complications (12.5%), which ended with the removal of the expander, than those with expanders on the trunk (6.7%) and lower extremities (9.1%). Minor complications most often (18.2%) occurred on the lower extremities. These complications were evidenced by pain and transient ischemia, which did not preclude the attainment of reconstructive goals. Patients of 0 to 10 years of age had only minor complications. Occurrences of major complications were the most frequent in the age groups of 11-20 (9.1%), 21-30 (11.1%), and 31-40 (33.3%) years. Conclusion: The results of our retrospective study on the efficacy of cutaneous expansion procedures are broadly in line with other research reported in the literature. Attention to different aspects of TE, including careful patient selection and meticulous attention to intervention detail, are the main conditions for the success of this reconstructive surgery.