[Laparoscopic gastrostomy in critical polytrauma patients].

Introduction: In critical ill patients, a hypermetabolic state develops in response to the aggression received, which leads to a rapid process of malnutrition, and has been associated with increased morbidity and mortality. The preferred enteral feeding way is through an endoscopic gastrostomy, an alternative procedure is the laparoscopic approach.

Methods: Data was collected Between January 2016 and March 2019, of patients admitted to the Intensive Care Unit of the Hospital de Urgencias de Córdoba.

[Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma].

Background: nonoperative treatment (TNO) is suggested in blunt abdominal trauma in stable patients without necessarily addressing surgical trauma injuries. Among the tools used, it has highlighted the angioembolization as a method of stopping bleeding or potentially bleeding lesions. The existence of more than one lesion may be possible to treat this way.

[Utility of digital thoracotomy in chest trauma].

Background: toracostomy in thoracic trauma is a good opportunity for the digital exploration of pleural cavity.

Objectives: To evaluate the utility of digital exploration during chest tube insertion in thoracic trauma.

Setting: Hospital de Urgencias.

[Diagnostic and therapeutic options for traumatic sternal fractures].

Background: Sternal fractures are uncommon injuries observed in the direct impact of the sternum against the steering wheel in car accidents with the likelihood of associated thoracic injuries.

Objectives: To present our experience in the management of blunt sternal fractures.

Location: Hospital de Urgencias de Córdoba.

[Abdominal wall endometriosis: case report].

Endometriosis is defined as the presence of endometrial glands and stroma outside uterus. This ectopic finding occur in the abdominal wall among 0,03% to 1% of women with prior gynecologic surgery, particularly after cesarean section. Most frequently, endometriosis is present as a palpable mass, painfull during menstrual period, near surgical scar.

Peritoneal abscess formation four years after laparoscopic cholecystectomy.

Peritoneal gallstone spillage occurs frequently during laparoscopic cholecystectomy when the gallbladder is accidentally opened. Many authors have reported peritoneal abscess formation as a complication of this surgical situation. We describe a case of late peritoneal abscess formation, developing 4 years after laparoscopic cholecystectomy, and the surgical management thereof.