Dr Agron Dogjani, MD, PhD, FACS - University Hospital of Trauma - Professor Associate of Surgery

Dr Agron Dogjani

MD, PhD, FACS

University Hospital of Trauma

Professor Associate of Surgery

Tirana | Albania

Additional Specialties: General Surgeon

ORCID logohttps://orcid.org/0000-0003-1275-3336

Dr Agron Dogjani, MD, PhD, FACS - University Hospital of Trauma - Professor Associate of Surgery

Dr Agron Dogjani

MD, PhD, FACS

Introduction

Primary Affiliation: University Hospital of Trauma - Tirana , Albania

Additional Specialties:

Research Interests:


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Publications

15Publications

361Reads

5Profile Views

17PubMed Central Citations

Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) Study: a WSES observational study.

Authors:
Massimo Sartelli Fikri M Abu-Zidan Francesco M Labricciosa Yoram Kluger Federico Coccolini Luca Ansaloni Ari Leppäniemi Andrew W Kirkpatrick Matti Tolonen Cristian Tranà Jean-Marc Regimbeau Timothy Hardcastle Renol M Koshy Ashraf Abbas Ulaş Aday A R K Adesunkanmi Adesina Ajibade Lali Akhmeteli Emrah Akın Nezih Akkapulu Alhenouf Alotaibi Fatih Altintoprak Dimitrios Anyfantakis Boyko Atanasov Goran Augustin Constança Azevedo Miklosh Bala Dimitrios Balalis Oussama Baraket Suman Baral Or Barkai Marcelo Beltran Roberto Bini Konstantinos Bouliaris Ana B Caballero Valentin Calu Marco Catani Marco Ceresoli Vasileios Charalampakis Asri Che Jusoh Massimo Chiarugi Nicola Cillara Raquel Cobos Cuesta Luigi Cobuccio Gianfranco Cocorullo Elif Colak Luigi Conti Yunfeng Cui Belinda De Simone Samir Delibegovic Zaza Demetrashvili Demetrios Demetriades Ana Dimova Agron Dogjani Mushira Enani Federica Farina Francesco Ferrara Domitilla Foghetti Tommaso Fontana Gustavo P Fraga Mahir Gachabayov Grelpois Gérard Wagih Ghnnam Teresa Giménez Maurel Georgios Gkiokas Carlos A Gomes Ali Guner Sanjay Gupta Andreas Hecker Elcio S Hirano Adrien Hodonou Martin Hutan Igor Ilaschuk Orestis Ioannidis Arda Isik Georgy Ivakhov Sumita Jain Mantas Jokubauskas Aleksandar Karamarkovic Robin Kaushik Jakub Kenig Vladimir Khokha Denis Khokha Jae Il Kim Victor Kong Dimitris Korkolis Vitor F Kruger Ashok Kshirsagar Romeo Lages Simões Andrea Lanaia Konstantinos Lasithiotakis Pedro Leão Miguel León Arellano Holger Listle Andrey Litvin Aintzane Lizarazu Pérez Eudaldo Lopez-Tomassetti Fernandez Eftychios Lostoridis Davide Luppi Gustavo M Machain V Piotr Major Dimitrios Manatakis Marianne Marchini Reitz Athanasios Marinis Daniele Marrelli Aleix Martínez-Pérez Sanjay Marwah Michael McFarlane Mirza Mesic Cristian Mesina Nickos Michalopoulos Evangelos Misiakos Felipe Gonçalves Moreira Ouadii Mouaqit Ali Muhtaroglu Noel Naidoo Ionut Negoi Zane Nikitina Ioannis Nikolopoulos Gabriela-Elisa Nita Savino Occhionorelli Iyiade Olaoye Carlos A Ordoñez Zeynep Ozkan Ajay Pal Gian M Palini Kyriaki Papageorgiou Dimitris Papagoras Francesco Pata Michał Pędziwiatr Jorge Pereira Gerson A Pereira Junior Gennaro Perrone Tadeja Pintar Magdalena Pisarska Oleksandr Plehutsa Mauro Podda Gaetano Poillucci Martha Quiodettis Tuba Rahim Daniel Rios-Cruz Gabriel Rodrigues Dmytry Rozov Boris Sakakushev Ibrahima Sall Alexander Sazhin Miguel Semião Taanya Sharda Vishal Shelat Giovanni Sinibaldi Dmitrijs Skicko Matej Skrovina Dimitrios Stamatiou Marco Stella Marcin Strzałka Ruslan Sydorchuk Ricardo A Teixeira Gonsaga Joel Noutakdie Tochie Gia Tomadze Lara Ugoletti Jan Ulrych Toomas Ümarik Mustafa Y Uzunoglu Alin Vasilescu Osborne Vaz Andras Vereczkei Nutu Vlad Maciej Walędziak Ali I Yahya Omer Yalkin Tonguç U Yilmaz Ali Ekrem Ünal Kuo-Ching Yuan Sanoop K Zachariah Justas Žilinskas Maurizio Zizzo Vittoria Pattonieri Gian Luca Baiocchi Fausto Catena

World J Emerg Surg 2019 15;14:34. Epub 2019 Jul 15.

153Emergency Surgery Department, Maggiore Parma Hospital, Parma, Italy.

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http://dx.doi.org/10.1186/s13017-019-0253-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6631509PMC
July 2019
3 Reads
1.062 Impact Factor

Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen (IROA).

Injury 2019 Jan 24;50(1):160-166. Epub 2018 Sep 24.

Virginia Commonwealth University, Richmond, Virginia, USA.

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183054
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http://dx.doi.org/10.1016/j.injury.2018.09.040DOI Listing
January 2019
47 Reads
2.140 Impact Factor

Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA).

Authors:
Massimo Sartelli Dieter G Weber Etienne Ruppé Matteo Bassetti Brian J Wright Luca Ansaloni Fausto Catena Federico Coccolini Fikri M Abu-Zidan Raul Coimbra Ernest E Moore Frederick A Moore Ronald V Maier Jan J De Waele Andrew W Kirkpatrick Ewen A Griffiths Christian Eckmann Adrian J Brink John E Mazuski Addison K May Rob G Sawyer Dominik Mertz Philippe Montravers Anand Kumar Jason A Roberts Jean-Louis Vincent Richard R Watkins Warren Lowman Brad Spellberg Iain J Abbott Abdulrashid Kayode Adesunkanmi Sara Al-Dahir Majdi N Al-Hasan Ferdinando Agresta Asma A Althani Shamshul Ansari Rashid Ansumana Goran Augustin Miklosh Bala Zsolt J Balogh Oussama Baraket Aneel Bhangu Marcelo A Beltrán Michael Bernhard Walter L Biffl Marja A Boermeester Stephen M Brecher Jill R Cherry-Bukowiec Otmar R Buyne Miguel A Cainzos Kelly A Cairns Adrian Camacho-Ortiz Sujith J Chandy Asri Che Jusoh Alain Chichom-Mefire Caroline Colijn Francesco Corcione Yunfeng Cui Daniel Curcio Samir Delibegovic Zaza Demetrashvili Belinda De Simone Sameer Dhingra José J Diaz Isidoro Di Carlo Angel Dillip Salomone Di Saverio Michael P Doyle Gereltuya Dorj Agron Dogjani Hervé Dupont Soumitra R Eachempati Mushira Abdulaziz Enani Valery N Egiev Mutasim M Elmangory Paula Ferrada Joseph R Fitchett Gustavo P Fraga Nathalie Guessennd Helen Giamarellou Wagih Ghnnam George Gkiokas Staphanie R Goldberg Carlos Augusto Gomes Harumi Gomi Manuel Guzmán-Blanco Mainul Haque Sonja Hansen Andreas Hecker Wolfgang R Heizmann Torsten Herzog Adrien Montcho Hodonou Suk-Kyung Hong Reinhold Kafka-Ritsch Lewis J Kaplan Garima Kapoor Aleksandar Karamarkovic Martin G Kees Jakub Kenig Ronald Kiguba Peter K Kim Yoram Kluger Vladimir Khokha Kaoru Koike Kenneth Y Y Kok Victory Kong Matthew C Knox Kenji Inaba Arda Isik Katia Iskandar Rao R Ivatury Maurizio Labbate Francesco M Labricciosa Pierre-François Laterre Rifat Latifi Jae Gil Lee Young Ran Lee Marc Leone Ari Leppaniemi Yousheng Li Stephen Y Liang Tonny Loho Marc Maegele Sydney Malama Hany E Marei Ignacio Martin-Loeches Sanjay Marwah Amos Massele Michael McFarlane Renato Bessa Melo Ionut Negoi David P Nicolau Carl Erik Nord Richard Ofori-Asenso AbdelKarim H Omari Carlos A Ordonez Mouaqit Ouadii Gerson Alves Pereira Júnior Diego Piazza Guntars Pupelis Timothy Miles Rawson Miran Rems Sandro Rizoli Claudio Rocha Boris Sakakushev Miguel Sanchez-Garcia Norio Sato Helmut A Segovia Lohse Gabriele Sganga Boonying Siribumrungwong Vishal G Shelat Kjetil Soreide Rodolfo Soto Peep Talving Jonathan V Tilsed Jean-Francois Timsit Gabriel Trueba Ngo Tat Trung Jan Ulrych Harry van Goor Andras Vereczkei Ravinder S Vohra Imtiaz Wani Waldemar Uhl Yonghong Xiao Kuo-Ching Yuan Sanoop K Zachariah Jean-Ralph Zahar Tanya L Zakrison Antonio Corcione Rita M Melotti Claudio Viscoli Perluigi Viale

World J Emerg Surg 2016 15;11:33. Epub 2016 Jul 15.

Infectious Diseases Unit, Department of Medical and Surgical Sciences, Sant' Orsola Hospital, University of Bologna, Bologna, Italy.

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http://dx.doi.org/10.1186/s13017-016-0089-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4946132PMC
May 2018
147 Reads
14 Citations
1.062 Impact Factor

Telemedicine for Neurotrauma in Albania: Initial Results from Case Series of 146 Patients.

World Neurosurg 2018 Apr 2;112:e747-e753. Epub 2018 Feb 2.

Department of Surgery, Westchester Medical Center Health Network and New York Medical College, Valhalla, New York, USA.

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http://dx.doi.org/10.1016/j.wneu.2018.01.146DOI Listing
April 2018
15 Reads
2.420 Impact Factor

Teaching Advanced Trauma Life Support (ATLS): A nationwide retrospective analysis of 8202 lessons taught in Germany.

J Surg Educ 2017 Jan - Feb;74(1):161-166. Epub 2016 Jul 11.

Saint Mary's Hospital Vechta, Teaching Hospital of Hannover University, Vechta, Germany. Electronic address:

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http://dx.doi.org/10.1016/j.jsurg.2016.06.010DOI Listing
November 2017
27 Reads

Access to Specialized Care Through Telemedicine in Limited-Resource Country: Initial 1,065 Teleconsultations in Albania.

Telemed J E Health 2016 12 24;22(12):1024-1031. Epub 2016 May 24.

3 International Virtual e-Hospital Foundation and Integrated Telemedicine and e-Health Program of Albania , Tirana, Albania .

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http://dx.doi.org/10.1089/tmj.2016.0050DOI Listing
December 2016
26 Reads
1 Citation
1.544 Impact Factor

Early Operative Treatment for an Enterocutaneous Fistula after Gunshot Wound

JOURNAL OF CASE REPORTS 2015;5(2):551-555

JOURNAL OF CASE REPORTS 2015;5(2):551-555

Abstract: Introduction: The successful treatment of an enterocutaneous fistula (ECF) is challenging even for experienced surgeons, as it is associated with potential complications such as infection, abdominal sepsis, dys-electrolytemia, septic shock and malnutrition. All of these conditions may congregate and lead to increased mortality in these patients in addition to the original trauma. Case Report: We describe a 27-year old male who was shot in the left thoraco-abdominal region without an exit wound. On laparotomy, multiple injuries to jejunum, ileum and sigmoid were identified. Primary repair of sigmoid, end-to-end jejunostomy and end-to-end ileostomy was performed. On postoperative day 10, an ECF erupted as a low output fistula (100 ml/24h). The patient was put on full parenteral treatment. Following work up including CT scan and fistulogram, the patient was taken back to the operating room for washout and diverting ileostomy with fistula tract resection. He fully recovered uneventfully following this second operation. Conclusion: Early surgical treatment may work out advantageously compared to possible conservative treatment in low output fistulas following a gunshot of the thoraco-abdominal region. Key words: Angiography, Fistula, Ileostomy, Multiple Trauma, Shock.

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January 2016
11 Reads

Meckels Diverticulum´s Injury after Penetrating Abdominal Trauma

JOURNAL OF CASE REPORTS 2015;5(2):479-481

JOURNAL OF CASE REPORTS 2015;5(2):479-481

Abstract: The case report of an injury to the Meckel’s diverticulum after penetrating injury to the abdomen (stab right flank) is presented. While there was no initial proof of intra-abdominal injury, the patient was admitted for observation, and developed peritoneal signs within 6 hours. We report right flank stab wound which resulted in a simultaneous injury of Meckel’s diverticulum and small bowel without any obvious manifestations of internal organ injury. After laparotomy with ileal segmental resection and primary anastomosis, an uneventful recovery followed. Key words: Abdomen, Abdominal Injuries, Laparatomy, Meckel Diverticulum, Stab Wounds.

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October 2015
15 Reads

MANAGEMENT OF THE BLUNT PEDIATRIC CERVICAL TRAUMA – CHALLENGE FOR THE TRAUMA SURGEON AND THE OPTIONS OF SOLVING THEIR EMERGENCY CONDITIONS (A CASE REPORT)

Novosti Khirurgii. Vol 22 (4): 488-491

Novosti Khirurgii. 2014 Jul-Aug; Vol 22 (4): 488-491

Introduction Tracheal injuries are uncommon but potentially fatal, while the incidence of tracheobronchial injury is reported to involve in 4% of all cases of thoracic trauma [1]. Postoperative mortality rate is reported to be up to 59% of cases after tracheobronchial rupture in motor vehicle accidents (MVA), but these patients often have associated with multi-organ trauma [2, 3]. Despite on the rarity, tracheobronchial damages can always be found behind closed chest trauma and can sometimes be detected with a high degree of suspicion. Its treatment should start early, solve airway and respiratory problems and avoid mediastinitis using antibiotic cover [4]. Blunt cervical trauma is not commonly a single organ trauma, and it is generally associated with other injuries to associated surrounding anatomical structures such as bone, muscle or neurovascular bundle, due to the mechanism of injury, force and angle, as well as the status of tissues (age of the patient). Tracheal injury can be found associated to closed blunt thoracic trauma, and can be present as damage to the tracheobronchial tree damages above and below the carina. Such injuries are a challenge in diagnostics and treatment to emergency physician, trauma surgeon or anesthetists. In this article we present one of the rare cases with blunt damage to the pediatric trachea, and describe treatment strategies in the management of blunt injuries of the cervical trachea at its level. We are convinced that this demonstration is as rare as it is interesting to the interested reader and will serve to deal with this type of trauma, and highlight the potential problems it carries with its´ diagnosis.

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July 2014
8 Reads

Biology-based nutritional support of critically ill and injured patients

Eur Surg (2011) 43/1: 7–12

european surgery ACA Acta Chirurgica Austriaca

Background: Critical illness and tissue injury initiate a complex series of rapid homeostatic events in an attempt to prevent ongoing tissue damage and to activate the repair process. Classically, inflammation has been recognized as the hallmark of the homeostatic response. But more recently, attention has been focused on defining the response at the cellular, metabolic, and molecular levelsMethods: Review of current literature on immunomodulating nutrition support of critically ill and injured patients. Results: There is mounting evidence regarding metabolic changes in critically ill and injured patients and their need for key nutrients and special substrates. As we refine and further define nutritional support for critically ill patients, it is imperative that we continue to pursue a deeper understanding of this field. Specifically, in order to provide timely and disease-directed nutritional support, we must elucidate the most crucial changes in acute phase proteins, cytokines, and other biochemical indices. Conclusions: It has become clear that no one formula fits all. Rather, nutritional support must be principally based on each individual patient’s disease and condition. Keywords: Critical illness, amino acids, acute phase proteins, acute phase response, cytokines, C-reactive protein, albumin, prealbumin, retinol-binding protein, interleukin-6 (IL-6), tumor necrosis factor, cholesterol, malnutrition, nutrition monitoring, glucagon, catecholamine, thyroid hormone, growth hormone, cortisol, hyperglycemia, metabolic rate, free fatty acids, negative nitrogen balance, immune-enhancing diets, sepsis, adult respiratory distress syndrome (ARDS).

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February 2011
20 Reads

Treatment of diaphragmatic traumatic hernia

Medicine Journal 2 2007; 101-123

Medicine Journal

The traumatic rupture of the diaphragm is an uncommon, resultant condition of impact, with distortion of the thoracic wall, increase of the intra-abdominal pressure, and consequence diaphragm injury. It occurs approximately in 5% of the patients with severe tóraco-abdominal trauma, and abdominal herniation of viscera for the thorax in 45- 60% of the cases. 75% of the injuries are caused by closed trauma (contusio) and 25% and 25% result of penetrating trauma.The diagnostic pre-operation of the injuries of the diaphragm for closed trauma, although desirable, is difficult. The majority of the injuries is not diagnosised readily, since its signals and symptoms, also radiological, are not specific, being frequently attributed to other more common injuries. Thus, the diafragmática rupture can recognized and not be treated immediately, resulting, after a latent period, that can last months or years, in gradual herniation of the abdominal structures for the interior of the thorax, what it can determine visceral strangulation, with high mortality. Theauthors argue some taken care of illustrative cases in the Service. The traumatic diafragmática hernia constitutes an infrequent problem for the surgeon of the trauma, and needs one high index of suspicion for its diagnosis, especially in the cases of closed trauma. The diagnosis can pass unobserved when the clinical suspicion does not exist. X-ray examination constituen a good one for assisting in the diagnosis. The main ways are argued to arrive at the diagnosis, as well as the basic principles for the repair of these injuries. WORDS KEYS : Traumatic diaphragmatica hernia; surgery; thorax trauma; complications.

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February 2007
7 Reads

Trauma score

Medicine Journal 2 2007; 25-42

Medicine Journal

For more than 35 years various scoring systems have been used as a method to asses the injury severity of multi-system trauma. They have been used as a tool for triage, for emergency-room quality management, for educational reasons or, nowadays, in order to evaluate the cost effectiveness of either a complete hospital or a single department. This review provides the knowledge to score multi-system traumatized patients after their first treatment in the emergency room. It shows advantages, disadvantages, and limitations of various trauma scores which includes knowledge about the used parameters, the type of validation, the medical system in their country of origin, and of course their mathematical background. Relevant examples like physiological trauma scores (GCS, RTS, APACHE), anatomic, injury pattern based scores (ISS, NISS, ICISS), biological aspects, mixed scoring systems (PTS, TRISS, ASCOT). These scores are explained in detail and discussed as to their practicability. Material and method The study has a retrospective character and it has been realized within a period of time January 2006 till June 2006. This study consistsof 50 cases all patients admitting and treating in National Trauma Center, which belongs to University Central Military Hospital. The distribution by sex are M 74%(37), F 26%(13), by age are as following 0-15 years old 12%(6), 15-55 years old 66%(33), over 55 years old 22%(11). The Analysis of data : Value of AIS is variable from 3-27. Value of ISS is variable from 5-57. In this study is evident that value of RTS is variable from 3,274- 7,841 that in general is in indirect relationship with value of ISS, that depending on trauma mechanism, situation of traumatic patient in coming by hospital (BP; RF:GCS) and age of patient is very important. Value of TRISS (Mortality) is variable from 0,4-97%....

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February 2007
14 Reads

Top co-authors

Rifat Latifi
Rifat Latifi

University of Arizona

6
Fatos Olldashi
Fatos Olldashi

London School of Hygiene and Tropical Medicine

4
Zhaneta Shatri
Zhaneta Shatri

University of Arizona

4
Erion Dasho
Erion Dasho

3 International Virtual e-Hospital Foundation and Integrated Telemedicine and e-Health Program of Albania

4
Arian Boci
Arian Boci

3 International Virtual e-Hospital Foundation and Integrated Telemedicine and e-Health Program of Albania

3
Asri Che Jusoh
Asri Che Jusoh

Khuala Krai Hospital

3
Federico Coccolini
Federico Coccolini

Papa Giovanni XXIII Hospital

3
Miklosh Bala
Miklosh Bala

Hadassah-Hebrew University Medical Center

3
Boris Sakakushev
Boris Sakakushev

Macerata Hospital

3