Comparison of the Standard vs. Thoracoscopic Extrapleural Modification of the Nuss Procedure-Two Centers' Experiences.

Pectus excavatum is the most common congenital anterior chest wall deformity, with an incidence of 1:400 to 1:1000. Surgical strategy has evolved with the revolutionary idea of Donald Nuss, who was a pioneer in the operative correction of this deformity using minimally invasive surgery. The aim of this paper is to compare the preliminary results of pectus excavatum repair in two University Centers with a moderate number of patients using the standard Nuss procedure and its modification, the extrapleural thoracoscopic approach.

Single stage surgical treatment of amniotic band syndrome – Case report.

Introduction: Amniotic band syndrome is a rare congenital disorder with clinical presentation of constricting bands in different parts of extremities or whole extremities. Conservative or surgical treatment is provided depending on the type and severity of the anomaly.

Case Outline: The paper presents the case of a neonate patient with constriction bands localized on the left leg.

Burns treatment in ancient times.

Discovery of fire at the dawn of prehistoric time brought not only the benefits to human beings offering the light and heat, but also misfortune due to burns; and that was the beginning of burns treatment. Egyptian doctors made medicines from plants, animal products and minerals, which they combined with magic and religious procedures. The earliest records described burns dressings with milk from mothers of male babies.

[Role and importance of fungal infections in intensive care units].

Introduction: The incidence of fungal infections is constantly increasing, especially in Intensive Care Units (ICU). On the one hand ICU are places for treatment of most difficult, often immunodeficient patients, and on the other hand their treatment often requires invasive procedures, support of vital organs and adequate monitoring.

Epidemiology: In approximately 78% of patients the cause of infection are Candida species with mortality rate of 57%.

[Septic arthritis in neonates and infants].

Introduction: Septic arthritis represents an intra-articular infection caused by pyogenic bacteria. During the earliest childhood it is considered to be a systemic septic condition and demands early diagnosis and prompt surgical treatment.

Material And Methods: This is a retrospective analysis of patients with septic arthritis treated at the Department of Orthopedics of the Pediatric Surgery Clinic in Novi Sad, over a 10-year period.

[The premature infant as an anesthesiology problem--case report].

Introduction: In pediatric anesthesia, neonatal anesthesia takes a special place because of its specific problems connected to physiological properties of newborns and their adaptation after birth. Adaptation itself, represents a line of changes in organ function and organ systems for new circumstances of life.

Discussion: Preoperative evaluation means identification of any present disease that might need preoperative treatment or specific course of anesthesia and surgery, in order to determine the most proper anesthesia regimen for the child.

[Scoring systems for evaluating injury severity].

Introduction: Various trauma scoring systems were developed in order to assess injury severity and aid in decision making regarding further therapy and probable outcome.

Anatomic Injury Severity Scales: AIS--Abbreviated Injury Scale is a summary of all the values (from 1-9) for each organ or body part that is injured. ISS--Injury Severity Scale scores three dominant injuries from AIS scale.

[New views on the physiology of wound healing].

Introduction: A great deal of progress has been made in the last few decades in understanding the cellular and biochemical interplay that comprises the normal wound healing response. This response is a complex process involving intricate interactions among a variety of different cell types, structural proteins, growth factors and proteinases.

Phases Of Wound Healing: Acute wounds maturate through phases of coagulation, inflammation, matrix synthesis and deposition, angiogenesis, fibroplasia, epithelialization, contraction and remodelling, but three classic phases of wound healing are inflammation, fibroplasia and maturation.

[The modern approach to wound treatment].

Introduction: Wound healing is a complex process involving interactions among a variety of different cell types. The normal wound repair process consists of three phases--inflammation, proliferation, and remodeling that occur in a predictable series of cellular and biochemical events. Wounds are classified according to various criteria: etiology, lasting, morphological characteristics, communications with solid or hollow organs, the degree of contamination.