[Therapeutic approach in kidney trauma. Assessments of 49 patients treated at surgical emergencies clinics].

Unlabelled: The aim of this study is to contribute to efficiency of therapeutical interventions, using an optimal stadialisation followed by a maximum preservation of renal function.

Material And Methods: A number of 49 cases with polytrauma, included urinary lesions, were studied between January, 2002 and December, 2009. Demographical, clinical, paraclinical data were collected, as well as those regarding therapeutical measures.

[Urinary tract trauma: anatomo-lesional, etiological and clinical considerations].

Unlabelled: Urinary tract injuries are rare lesions and account for about 3%, of all injuries and 10% of abdominal trauma injuries. The aim of this study is to review retrospectively a series of patients with urinary tract injuries treated in a general surgery clinic.

Material And Methods: A series of 41 consecutive patients with urinary tract trauma who hospitalized in Surgery Clinic of "St.

[Traumatic rupture of the diaphragm: diagnostic considerations, prognostic factors, outcomes].

Unlabelled: Diaphragmatic rupture remains a diagnostic challenge because of the lack of an accurate test demonstrating the injury.

Aim: To analyze our experience with the management of these injuries, diagnosis problems, and to identify predictors of outcomes.

Material And Method: Sixty-one patients were treated for diaphragmatic rupture in our hospital, between January 1992 and August 2003.

[Traumatic injuries to the spleen in adults].

The management of splenic injuries is still controversial, with an increasing trend toward non-operative treatment. The aim of this study was to assess for patients with splenic traumatic injuries, the treatment methods, the factors contributing in selecting appropriate management and the patients outcomes. Between 1994 and 2003, 77 patients were admitted and treated in our hospital for splenic traumatic injuries.

Abdominal wall actinomycosis associated with prolonged use of an intrauterine device: a case report and review of the literature.

The relationship between pelvic actinomycosis and the presence of an intrauterine device is well known. Abdominal wall actinomycosis with no involvement of pelvic organs in the presence of an intrauterine device is extremely rare. We report a case of a 32-year-old woman with a long-standing intrauterine device who developed abdominal wall actinomycosis.

[Actinomycosis of the appendix. Case report].

Abdominal actinomycosis is a chronic granulomatous suppurative disease caused by anaerobic Gram positive germs from Actinomyces species. The vermiform appendix and ileocaecal region have been recognized as the most commonly involved sites. Actinomycosis of the appendix is generally acute in presentation, mimicking a common acute appendicitis.

[Treatment of hepatic trauma by hepatotomy with selective vasculo-biliary control. Technical aspects and outcomes].

Severe hemorrhage from liver parenchyma in hepatic trauma remains a formidable challenge even for the most experienced trauma surgeons. One therapeutic option when dealing with such hemorrhage is hepatotomy with selective vasculo-biliary control. The aim of this study was to evaluate the outcomes of hepatotomy with selective vasculo-biliary control for hepatic trauma.

Acute appendicitis in the elderly patient: diagnostic problems, prognostic factors and outcomes.

Background And Aims: Acute appendicitis (AA) in the elderly (over 60 year-old) continues to pose diagnostic problems and carries a high morbidity and mortality rate. The aim of this article is to present our experience and outcomes and to evaluate influencing factors.

Methods: During a period of 5 years 63 patients with a definitive pathological diagnosis of AA were retrospectively analyzed.

[Cystic lymphangioma of the adrenal gland].

Cystic lymphangioma of the adrenal gland is a rare tumor, which is often sub-clinical. Preoperative diagnosis is difficult. We present a case of a 47 year-old female in whom an incidental left cystic mass of 12 cm by 10 cm with no features of malignancy was discovered by ultrasound scan.

Chronic acalculous gallbladder disease: outcomes of treatment by laparoscopic cholecystectomy.

Background And Aims: The diagnosis and treatment of chronic acalculous gallbladder disease (CAGD) remains controversial. Laparoscopic cholecystectomy (LC) is increasingly accepted as the treatment of choice for this condition. The purpose of this study was to analyse the outcomes from LC for CAGD and to identify potential prognostic factors.