Aleksandar D. Lyubenov

Medical University Pleven

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Trends

Author Order

Document Type

Co-Authors

G Gorchev

Medical University Pleven

СТ

С Томов

Medical University Pleven

Desislava K. Kiprova

Medical University Pleven

Sarfraz Ahmad

Florida Hospital Cancer Institute

N Hinkova

Medical University Pleven

Vesela D. Tomova

Medical University Pleven

Zornitsa Gorcheva

University Medical Center

Polina Damyanova

National Heart Hospital

Atanas Aleksandrov

National Heart Hospital

КT

Кameliya Tsvetanova

Medical University Pleven

Cooperative Institutions

Medical University Pleven

University Hospital St. Marina

National Heart Hospital

University Hospital Dr. Georgi Stranski

Medical University of Sofia

Sofia University "St. Kliment Ohridski"

Florida Hospital Cancer Institute

United Lincolnshire Hospitals NHS Trust

Kurdistan Regional Government

Dubai Hospital

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

Peri-operative and survival outcomes analysis of patients with endometrial cancer managed by three surgical approaches: a long-term Bulgarian experience

Journal of Robotic Surgery (2022)

С Томов G Gorchev Desislava K. Kiprova Aleksandar D. Lyubenov N Hinkova

10.1007/s11701-022-01374-0

Cite

Citations (4)

Comparative analysis of patients with endometrial cancer managed by three surgical approaches: A long-term Bulgarian experience for peri-operative and survival outcomes (1167)

Gynecologic Oncology (2023)

Sarfraz Ahmad С Томов G Gorchev Aleksandar D. Lyubenov Aleksandar D. Lyubenov

Abdominal hysterectomy

10.1016/j.ygyno.2023.06.087

Cite

Citations (0)

Analysis of abdominal vs. robotic radical hysterectomies for patients with cervical cancer: a Bulgarian experience

Journal of Robotic Surgery (2021)

G Gorchev С Томов Desislava K. Kiprova Aleksandar D. Lyubenov N Hinkova

10.1007/s11701-021-01244-1

Cite

Citations (0)

Intravascular leiomyomatosis with cardiac and pelvic involvement in a postmenopausal woman: A case report of multidisciplinary team management

Case Reports in Women s Health (2023)

Atanas Aleksandrov Aleksandar D. Lyubenov Polina Damyanova

Intravascular leiomyomatosis (IVL) is a rare benign condition in which a leiomyoma, originating from the uterus, propagates through the pelvic venous system and occasionally extends into the inferior vena cava (IVC), occasionally reaching the heart. Despite its low incidence and benign nature, IVL can lead to life-threatening obstructions in the right heart's outflow tract, potentially resulting in sudden death. In this article, we present a case of a 72-year-old postmenopausal patient with IVL, who initially presented with palpitations. The diagnosis was made through echocardiography and a computerized tomography (CT) scan, revealing a tumor that extended from the uterus through the IVC and into the right ventricle. The patient was managed by a multidisciplinary team of gynecologists and cardiothoracic surgeons, who performed a single-stage surgical removal of a tumor 25 cm long. The pathological report confirmed the diagnosis of IVL. Postoperative follow-up is crucial, as IVL recurs in up to 30% of cases. This article's objective is to provide a clinical illustration of this exceedingly rare condition, with fewer than 300 reported cases, and to offer a comprehensive overview of IVL, including its clinical presentation, diagnosis, treatment, and outcomes.

Palpitations

Leiomyomatosis

Presentation (obstetrics)

Uterine Leiomyoma

Ventricular outflow tract

10.1016/j.crwh.2023.e00557

Cite

Citations (1)

A Comparative Study of Hysteroscopic Morcellation or Resection of Uterine Polyps

Journal of Biomedical and Clinical Research (2019)

Aleksandar D. Lyubenov С Томов Desislava K. Kiprova G Gorchev Кameliya Tsvetanova

Summary The aim of the study was to analyse the intraoperative parameters of hysteroscopic morcellation (HM) and conventional resectoscopy in the treatment of uterine polyps (UP). A total of 177 patients with ultrasound imaging of UP were included in a prospective study from February 2015 to February 2017. Out of them, 98 (55.4%) underwent HM and 79 (44.6%) had hysteroscopic resection (HR). We analyzed the following intraoperative parameters: total duration of the procedure, total operating time, time for dilation, actual operating time for HM/HR, the total amount of fluid distension media and fluid deficit. The mean operating time, measured as a total duration of the procedure, total operating time and actual operating time, was significantly shorter in the HM group, as compared to HR group, 8.27 and 19.48 minutes (min) – p<0.001, 6.15 and 16.33 min (p<0.001), 3.28 and 11.70 min (p<0.001), respectively. The total amount of fluid distension media was trustworthy lower in the HM group compared to HR, 446.02 ml and 2225.57 millilitres (ml) – p<0.001, respectively, as well as for the fluid deficit parameter – respectively 83.78 ml and 413.48 ml (p<0.001). This warrants the assumption that HM is an effective alternative to conventional resectoscopy for removal of UP with a favorable perioperative outcome.

Cervical dilation

10.2478/jbcr-2019-0004

Cite

Citations (1)