Current therapeutic options for mixed cholecysto-choledochal lithiasis in patients with gastric resection
In: International journal of academic research, Band 6, Heft 1, S. 137-142
ISSN: 2075-7107
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In: International journal of academic research, Band 6, Heft 1, S. 137-142
ISSN: 2075-7107
In: International journal of academic research, Band 6, Heft 1, S. 100-109
ISSN: 2075-7107
In: Romanian Journal of Military Medicine, Band 125, Heft 4, S. 552-560
ISSN: 2501-2312
" Background and Aim: Abdominal compartment syndrome is a life-threatening complication that can occur in trauma patients and greatly increase their mortality. Although there is a better scientific understanding of the general phenomena involved in the pathogenesis of this complication, the particular risk factors and their implications in the trauma patient population are yet to be deciphered. Methods: The authors conducted research through 3 electronic databases (PubMed, Scopus, and ScienceDirect) using the following search formula: "(ACS OR abdominal compartment syndrome) AND (*trauma*) AND (risk factor)". Subsequently, additional search formulas were used, including the risk factors taken into consideration (i.e. "shock", "hypotension", "acidosis", "base deficit", "coagulopathy", "retroperitoneal hematoma", "HOB elevation", "fluid resuscitation", "damage control laparotomy"). Results: Throughout the 41 articles analyzed in this paper, 7 risk factors transcended and were further discussed: head of bed elevation/patient positioning, fluid resuscitation, the "lethal triad" of acidosis hypothermia and coagulopathy, Damage Control Laparotomy, shock/hypotension, retroperitoneal hematoma and demographics (age, gender, and race). Conclusions: To summarize, many potential risk factors were evaluated for the envisagement of the present paper, but the ones that prevailed the most were excessive fluid resuscitation, shock/hypotension, retroperitoneal hematomas, and the lethal triad. Consistent with other studies, no connection was found between age, gender, or race and the development of ACS. Further studies should focus more on the likely involvement of damage control laparotomy and patient positioning, as well as hypocalcemia, in the unfolding of ACS in trauma patients"
In: Romanian Journal of Military Medicine, Band 127, Heft 3, S. 228-236
ISSN: 2501-2312
Breast cancer remains a significant health concern, with predictions indicating a rise in global incidence. While the
primary focus is on oncological radicality, the aesthetic and psychological impacts of surgical interventions, such as radical
mastectomy, cannot be ignored. This study, conducted over 8 years, aimed to identify factors that can prevent unnecessary
lymphadenectomy. The research analyzed various parameters, including age, BMI, tumor size, and immunohistochemistry, to
determine their correlation with axillary lymph node invasion. The results highlighted the importance of tumor size and estrogen
receptor status in predicting axillary lymph node metastasis. The study underscores the value of sentinel lymph node biopsy in
early breast cancer treatment, emphasizing its benefits over complete axillary lymph node dissection.
In: Romanian Journal of Military Medicine, Band 125, Heft 2, S. 202-205
ISSN: 2501-2312
The interparietoperitoneal (IPP) space, by a broad definition, is the space between the musculo-fascial walls of the abdomen and the parietal peritoneum. A review of the literature on this subject has been performed through a search in the databases according to the following keywords: Bogros space, Retzius space, preperitoneal approach, and urogenital fascia. We have also analyzed the video recordings of the dissections of the inguinopreperitoneal region during TAPP, conducted by a single team, evaluating the dissection planes in the two compartments (medial and lateral) of the IPPS. Based on the latest data from the literature, as well as on our own experience in laparo-endoscopic herniation surgery, we aim to provide answers to several questions. IPPS from the inguinal region is an area as complex as it is narrow, but of great current surgical interest (approaches of hernias, vessels, prostate). The fascial distribution has its origin in the embryological development of the urogenital apparatus. The basic fascial structure in understanding IPPS compartmentalization is the UGF, along with its extensions.