Sinisa Stojić - Academia.edu (original) (raw)
Papers by Sinisa Stojić
Jugoslavenska ginekologija i perinatologija
In the period from 1946-1989, at the Department of Gynecology and Obstetrics University of Novi S... more In the period from 1946-1989, at the Department of Gynecology and Obstetrics University of Novi Sad, 79 ovarian tumors in children and adolescents were registered. There were 10 (12.6%) malignant tumours. The most common were dysgerminoma and carcinoma (total 6-7.6%). The treatment depended on the extent of the disease at the time of diagnosis (surgery, irradiation, chemotherapy or combination).
Ultrasound in Obstetrics & Gynecology, 2014
European Urology Supplements, 2004
Medicinski pregled
Skeletal anomalies are in the group of anomalies most difficult to be diagnosed antenatally. But,... more Skeletal anomalies are in the group of anomalies most difficult to be diagnosed antenatally. But, because of high lethality and morbidity rate as well as high possibility to be found again in the next pregnancy, they need to be systematically and actively looked for during every scan. A pregnant woman, aged 18, primigravida, was admitted to the Dept. of Obstetrics and Gynaecology because of polyhydramnios and suspected multiple fetal malformations. Fetal biparietal diameter and abdominal circumference were adequate for 33 weeks gestation, whereas all the long bones were short for the gestational age. A detailed ultrasound morphology check was impossible because of the excessive amount of amniotic fluid, but the skull, brain, lungs, spine and abdomen appeared normal. There was an impression of frontal bossing and left-sided cleft lip. A thoraco-abdominal disproportion was evident. All the extremities were short, feet were normal, and hands were not extended during the whole scan. The...
Archives of gynecology and obstetrics, Jan 5, 2015
During pregnancy, many women experience vaginal infections due to a weakened immune system and ch... more During pregnancy, many women experience vaginal infections due to a weakened immune system and changes in hormonal status. Treating these infections is of crucial importance, because women are at high risk for serious complications such as preterm birth and late miscarriage. For this reason, the present study was conducted to investigate the effectiveness of octenidine dihydrochloride/phenoxyethanol (OHP) in comparison to antimicrobial therapies in pregnant women in hospital suffering from different types of vaginitis. A total of 1,000 patients were divided into 4 different groups according to their type of vaginal infection after smear analyses. Each group was again divided into two subgroups receiving treatment with OHP or antimicrobial therapies with neomycin/polymyxin B/nystatin, metronidazole or miconazole vaginal tablets. The most frequent causes of vaginitis were unspecific bacterial infections (42.4 %) and vaginal candidiasis (44.8 %). The average time needed to obtain negat...
Medicinski pregled
Amniotic fluid volume reduction can have serious consequences: prior to 24 gestational weeks hypo... more Amniotic fluid volume reduction can have serious consequences: prior to 24 gestational weeks hypoplasia of fetal lungs and later in pregnancy cord compression and fetal hypoxia as well as contractions of extremities. Diagnosis of oligohydramnios is made either after a subjective estimation of amniotic fluid reduction or if the biggest amniotic fluid pocket is less than 1 cm. Amnioinfusion is a procedure during which a crystalloid solution, most often saline, is instilled into the amniotic cavity substituting amniotic fluid. To estimate the efficacy and safety of amnioinsfusion using our results and literature review. Up to 800 ml of sterile saline solution was instilled intraamniotically (10-15 ml/min) in cases where the amniotic fluid index was less than 10 and intraamniotic infection was excluded. After that, 1 g of Longaceph was given intraamniotically. Infusion was stopped immediately when 800 ml was instilled, if a subjective estimation showed that there was enough fluid or if ...
Medicinski pregled
Ultrasound has a number of valuable functions in obstetrics including dating, confirming viabilit... more Ultrasound has a number of valuable functions in obstetrics including dating, confirming viability, counting the number of fetuses and the exclusion of gross fetal anomalies. During two routine obstetric ultrasound scans, between 11 and 14 gestational weeks and around 20 weeks, the fetus should be carefully examined after which the existence of anomalies can be confirmed or, with a limited certainty that ultrasound enables, excluded. In order to obtain high standards of ultrasound screening, a uniformed protocol is needed, which would enable standardized examination. In this paper the Novi Sad University Department of Obstetrics and Gynaecology presents a new protocol for ultrasound examination which would ensure standardized ultrasound scanning and adequate record keeping. The protocol is based on contemporary recommendations of the Royal College of Obstetricians and Gynaecologists of Great Britain, the Royal College of Radiologists of Great Britain, the American College of Obstetr...
Srpski arhiv za celokupno lekarstvo, 2012
Ultrasound in Obstetrics and Gynecology, 2007
Results: TFLV correlated best with FBV, according to the following cubic fit: TFLV = 2E − 09 × FB... more Results: TFLV correlated best with FBV, according to the following cubic fit: TFLV = 2E − 09 × FBV 3 − 1E − 05 × FBV 2 + 0.0508 × FBV − 1.7934 (r 2 = 0.85, P < 0.001). The normal median O/E TFLV based on gestational age in eutrophic fetuses (n = 174) was 99.1% (range, 31.2-158.0%) being higher than that in fetuses ≤ 5 th percentile (n = 11; 46.2%; range, 15.7-87.3%, P < 0.01) and lower than in fetuses ≥ 95 th percentile (n = 15; 146.8%; range, 87.2-204.2%, P < 0.01). However, the normal median O/E TFLV based on FBV was independent of biometric indices irrespective of the percentile of fetal weight. Conclusion: FBV correlated best with TFLV, irrespective of its biometry. In fetuses suspected of pulmonary hypoplasia, the benefit of FBV in prediction of postnatal survival remains to be determined.
Ultrasound in Obstetrics and Gynecology, 2010
Poster abstracts bladder. Severe dilatation of the left renal pelvis was noted with significant c... more Poster abstracts bladder. Severe dilatation of the left renal pelvis was noted with significant caliectasis, thinning of the renal cortex, and hydroureter. Case 2 was an 18 year old G4 P1021 who presented for assessment of fetal growth in the third trimester and was found to have a mass containing echogenic debris in the midline of the lower fetal abdomen. Follow up ultrasounds demonstrated persistence of the mass with progressive bilateral renal and ureteral dilatation. In both cases, postnatal evaluation confirmed the prenatal findings and revealed a diagnosis of imperforate hymen. Both fetuses underwent hymenostomy with subsequent resolution of the mass and improvement in hydronephrosis. Conclusion: Imperforate hymen should be considered as the etiology of renal obstructive disease in female fetuses presenting with a pelvic mass. Postnatal management and hymenostomy resulted in resolution of hydronephrosis.
Ultrasound in Obstetrics and Gynecology, 2010
Multigravida A.P., 37 years old, was referred at 32 weeks of gestation to tertiary ultrasound uni... more Multigravida A.P., 37 years old, was referred at 32 weeks of gestation to tertiary ultrasound unit because of BPD adequate for 38 gestational weeks. At the detailed scan absence of the right lens was diagnosed (images a, b), borderline ventriculomegaly and macrocephaly. The rest of morphology was normal. Normal male karyotype was found and TORCH screening was negative. MRI confirmed aphakia of the right eye (images c, d), as well as borderline ventriculomegaly, with no additional brain anomalies. A male infant was delivered by elective Caesarean section, 4370 gr/56 cm, AS 9/9, HC 39 cm. On the scan of the neonatal brain a diagnosis of incipient hydrocephalus was made. Ophthalmologist confirmed aphakia of the right eye, with a congenital glaucoma on the same eye. The child was closely monitored and at 20 days of age a spontaneous perforation of the right cornea developed, subsequent evisceration of the bulbus was performed. At the same time a congenital glaucoma of the left eye was diagnosed and trepanotrabeculectomia was performed. Conclusion: Ocular examination should be a part of a routine fetal scan. US and/or MRI visualisation of fetal eyes structures may be used to detect different orbital and ocular pathology. The morphological eye anomalies identified prenatally have to raise a high index of clinical suspicion of the associated functional disturbances, which can be postnatally corrected.
Jugoslavenska ginekologija i perinatologija
In the period from 1946-1989, at the Department of Gynecology and Obstetrics University of Novi S... more In the period from 1946-1989, at the Department of Gynecology and Obstetrics University of Novi Sad, 79 ovarian tumors in children and adolescents were registered. There were 10 (12.6%) malignant tumours. The most common were dysgerminoma and carcinoma (total 6-7.6%). The treatment depended on the extent of the disease at the time of diagnosis (surgery, irradiation, chemotherapy or combination).
Ultrasound in Obstetrics & Gynecology, 2014
European Urology Supplements, 2004
Medicinski pregled
Skeletal anomalies are in the group of anomalies most difficult to be diagnosed antenatally. But,... more Skeletal anomalies are in the group of anomalies most difficult to be diagnosed antenatally. But, because of high lethality and morbidity rate as well as high possibility to be found again in the next pregnancy, they need to be systematically and actively looked for during every scan. A pregnant woman, aged 18, primigravida, was admitted to the Dept. of Obstetrics and Gynaecology because of polyhydramnios and suspected multiple fetal malformations. Fetal biparietal diameter and abdominal circumference were adequate for 33 weeks gestation, whereas all the long bones were short for the gestational age. A detailed ultrasound morphology check was impossible because of the excessive amount of amniotic fluid, but the skull, brain, lungs, spine and abdomen appeared normal. There was an impression of frontal bossing and left-sided cleft lip. A thoraco-abdominal disproportion was evident. All the extremities were short, feet were normal, and hands were not extended during the whole scan. The...
Archives of gynecology and obstetrics, Jan 5, 2015
During pregnancy, many women experience vaginal infections due to a weakened immune system and ch... more During pregnancy, many women experience vaginal infections due to a weakened immune system and changes in hormonal status. Treating these infections is of crucial importance, because women are at high risk for serious complications such as preterm birth and late miscarriage. For this reason, the present study was conducted to investigate the effectiveness of octenidine dihydrochloride/phenoxyethanol (OHP) in comparison to antimicrobial therapies in pregnant women in hospital suffering from different types of vaginitis. A total of 1,000 patients were divided into 4 different groups according to their type of vaginal infection after smear analyses. Each group was again divided into two subgroups receiving treatment with OHP or antimicrobial therapies with neomycin/polymyxin B/nystatin, metronidazole or miconazole vaginal tablets. The most frequent causes of vaginitis were unspecific bacterial infections (42.4 %) and vaginal candidiasis (44.8 %). The average time needed to obtain negat...
Medicinski pregled
Amniotic fluid volume reduction can have serious consequences: prior to 24 gestational weeks hypo... more Amniotic fluid volume reduction can have serious consequences: prior to 24 gestational weeks hypoplasia of fetal lungs and later in pregnancy cord compression and fetal hypoxia as well as contractions of extremities. Diagnosis of oligohydramnios is made either after a subjective estimation of amniotic fluid reduction or if the biggest amniotic fluid pocket is less than 1 cm. Amnioinfusion is a procedure during which a crystalloid solution, most often saline, is instilled into the amniotic cavity substituting amniotic fluid. To estimate the efficacy and safety of amnioinsfusion using our results and literature review. Up to 800 ml of sterile saline solution was instilled intraamniotically (10-15 ml/min) in cases where the amniotic fluid index was less than 10 and intraamniotic infection was excluded. After that, 1 g of Longaceph was given intraamniotically. Infusion was stopped immediately when 800 ml was instilled, if a subjective estimation showed that there was enough fluid or if ...
Medicinski pregled
Ultrasound has a number of valuable functions in obstetrics including dating, confirming viabilit... more Ultrasound has a number of valuable functions in obstetrics including dating, confirming viability, counting the number of fetuses and the exclusion of gross fetal anomalies. During two routine obstetric ultrasound scans, between 11 and 14 gestational weeks and around 20 weeks, the fetus should be carefully examined after which the existence of anomalies can be confirmed or, with a limited certainty that ultrasound enables, excluded. In order to obtain high standards of ultrasound screening, a uniformed protocol is needed, which would enable standardized examination. In this paper the Novi Sad University Department of Obstetrics and Gynaecology presents a new protocol for ultrasound examination which would ensure standardized ultrasound scanning and adequate record keeping. The protocol is based on contemporary recommendations of the Royal College of Obstetricians and Gynaecologists of Great Britain, the Royal College of Radiologists of Great Britain, the American College of Obstetr...
Srpski arhiv za celokupno lekarstvo, 2012
Ultrasound in Obstetrics and Gynecology, 2007
Results: TFLV correlated best with FBV, according to the following cubic fit: TFLV = 2E − 09 × FB... more Results: TFLV correlated best with FBV, according to the following cubic fit: TFLV = 2E − 09 × FBV 3 − 1E − 05 × FBV 2 + 0.0508 × FBV − 1.7934 (r 2 = 0.85, P < 0.001). The normal median O/E TFLV based on gestational age in eutrophic fetuses (n = 174) was 99.1% (range, 31.2-158.0%) being higher than that in fetuses ≤ 5 th percentile (n = 11; 46.2%; range, 15.7-87.3%, P < 0.01) and lower than in fetuses ≥ 95 th percentile (n = 15; 146.8%; range, 87.2-204.2%, P < 0.01). However, the normal median O/E TFLV based on FBV was independent of biometric indices irrespective of the percentile of fetal weight. Conclusion: FBV correlated best with TFLV, irrespective of its biometry. In fetuses suspected of pulmonary hypoplasia, the benefit of FBV in prediction of postnatal survival remains to be determined.
Ultrasound in Obstetrics and Gynecology, 2010
Poster abstracts bladder. Severe dilatation of the left renal pelvis was noted with significant c... more Poster abstracts bladder. Severe dilatation of the left renal pelvis was noted with significant caliectasis, thinning of the renal cortex, and hydroureter. Case 2 was an 18 year old G4 P1021 who presented for assessment of fetal growth in the third trimester and was found to have a mass containing echogenic debris in the midline of the lower fetal abdomen. Follow up ultrasounds demonstrated persistence of the mass with progressive bilateral renal and ureteral dilatation. In both cases, postnatal evaluation confirmed the prenatal findings and revealed a diagnosis of imperforate hymen. Both fetuses underwent hymenostomy with subsequent resolution of the mass and improvement in hydronephrosis. Conclusion: Imperforate hymen should be considered as the etiology of renal obstructive disease in female fetuses presenting with a pelvic mass. Postnatal management and hymenostomy resulted in resolution of hydronephrosis.
Ultrasound in Obstetrics and Gynecology, 2010
Multigravida A.P., 37 years old, was referred at 32 weeks of gestation to tertiary ultrasound uni... more Multigravida A.P., 37 years old, was referred at 32 weeks of gestation to tertiary ultrasound unit because of BPD adequate for 38 gestational weeks. At the detailed scan absence of the right lens was diagnosed (images a, b), borderline ventriculomegaly and macrocephaly. The rest of morphology was normal. Normal male karyotype was found and TORCH screening was negative. MRI confirmed aphakia of the right eye (images c, d), as well as borderline ventriculomegaly, with no additional brain anomalies. A male infant was delivered by elective Caesarean section, 4370 gr/56 cm, AS 9/9, HC 39 cm. On the scan of the neonatal brain a diagnosis of incipient hydrocephalus was made. Ophthalmologist confirmed aphakia of the right eye, with a congenital glaucoma on the same eye. The child was closely monitored and at 20 days of age a spontaneous perforation of the right cornea developed, subsequent evisceration of the bulbus was performed. At the same time a congenital glaucoma of the left eye was diagnosed and trepanotrabeculectomia was performed. Conclusion: Ocular examination should be a part of a routine fetal scan. US and/or MRI visualisation of fetal eyes structures may be used to detect different orbital and ocular pathology. The morphological eye anomalies identified prenatally have to raise a high index of clinical suspicion of the associated functional disturbances, which can be postnatally corrected.