Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i
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Rev Med Chir Soc Med Nat Iasi · Jul 2005
Case Reports[Bleeding control in stab wounds to the great vessels at the neck base].
Stab wounds of the neck are a great challenge for every surgeon. Approximately 25% of penetrating neck injuries results in a vascular lesion. ⋯ After this small experience we think that in patients with wounds situated in zone 1 of the neck, who reach the hospital hemodynamically unstable or with active bleeding, urgent midline sternotomy combined with cervicotomy, or section of the clavicle, is the best way to control the hemorrhages. Using blunt digital dissection we can avoid unpleasant situations that can appear using instrumental dissection into the mediastinal hematoma.
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We present the ultrasonographic diagnosis at the 19th gestational week in a case of Prune-belly syndrome which consists in abdominal wall distension with deficiency of the abdominal wall musculature, urinary tract abnormalities (specially mega bladder), and in males, cryptorchidism. The pathologic examination found the patient devoid of striated muscles anterior abdominal wall, hypertrophy of the urinary bladder, and urethral atresia. The Prune-belly is accessible to antenatal diagnosis and the variable prognosis does not always justify abortion.
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Rev Med Chir Soc Med Nat Iasi · Apr 2005
[Mortality in a district hospital--an indicator for efficiency].
The paper presents mortality in surgical units of a second referral hospital from Galati. During 2003 year there have been recorded 190 deaths, most of them being reported by neurosurgery department (132). ⋯ The surgical procedure with the highest number of deaths has been craniotomy (133). The death risk during operation was very low for most of surgical procedures, medium in the first 24 hours and high after 48 hours.
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Rev Med Chir Soc Med Nat Iasi · Apr 2005
[Clinical aspects of cardiac stab wounds: report of 20 cases].
Penetrating cardiac wounds are the most dramatic injuries which need a rapid diagnosis and surgical intervention. This clinical pathology has a high increasing incidence in the whole world. We aimed to present our personal experience in such cases. ⋯ The postoperative complication was pneumonia in 2 cases. In the present study, the survival rate was significantly high (80%). In conclusion, these promising results suggest that a wound with a severe prognosis may be turned into a relative trauma, harmless for the patients who will survive until surgical admission.
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Incisional hernia is an important complication of abdominal surgery. Procedures for the repair of these hernias with sutures and with mesh have been reported, but there is no consensus about which type of procedure is best. We have performed a retrospective analysis on 1014 patients operated on in our unit between 1994 and 2003 for simple or recurrent incisional hernias. ⋯ We note 5 recurrent incisional hernias after a period of up to 24 months. The recurrence rates after open mesh repair are less then after primary closure. The intraperitoneal use of polypropylene mesh with omental coverage is a good procedure with less complications.