Care of patients with ST-elevation myocardial infarction: an international analysis of quality indicators in the acute coronary syndrome STEMI Registry of the EURObservational Research Programme and ACVC and EAPCI Associations of the European Society of Cardiology in 11 462 patients.

Aims: To use quality indicators to study the management of ST-segment elevation myocardial infarction (STEMI) in different regions.

Methods And Results: Prospective cohort study of STEMI within 24 h of symptom onset (11 462 patients, 196 centres, 26 European Society of Cardiology members, and 3 affiliated countries). The median delay between arrival at a percutaneous cardiovascular intervention (PCI) centre and primary PCI was 40 min (interquartile range 20-74) with 65.

Reperfusion therapies and in-hospital outcomes for ST-elevation myocardial infarction in Europe: the ACVC-EAPCI EORP STEMI Registry of the European Society of Cardiology.

Aims: The aim of this study was to determine the contemporary use of reperfusion therapy in the European Society of Cardiology (ESC) member and affiliated countries and adherence to ESC clinical practice guidelines in patients with ST-elevation myocardial infarction (STEMI).

Methods And Results: Prospective cohort (EURObservational Research Programme STEMI Registry) of hospitalized STEMI patients with symptom onset <24 h in 196 centres across 29 countries. A total of 11 462 patients were enrolled, for whom primary percutaneous coronary intervention (PCI) (total cohort frequency: 72.

First-trimester screening-biomarkers and cell-free DNA.

Background: The introduction of cell-free DNA into clinical practice has changed the screening approach. Healthcare professionals and future parents tend to overestimate NIPT (noninvasive prenatal testing) capabilities despite its relatively high cost and limited information.

Objective: In this review, our aim was to survey how various countries have introduced contingent screening models and to discuss the advantages and disadvantages of the combined screening test and the use of NIPT.

[The role of multimodal analgesia in the decrease of postoperative surgical stress response in major neoplastic thoraco-abdominal surgery].

A major issue of the surgical anesthetic team is the surgical stress response, with its organ disfunctions, and the postoperative pain with consequences regarding the physiopathologic and socio-economical impact associated with its inadequate therapy. According to the "fast-track" approach, multimodal analgesia has a central place, together with minimal invasive procedures. Opioid-local anesthetic association via thoracic epidural catheter, has become the "anesthetic golden standard", in major thoraco-abdominal surgery.

[Laparoscopic approach in gallbladder agenesis--an intraoperative surprise].

Introduction: The congenital absence of the gallbladder in the absence of biliary atresia is extremely rare, world literature recognizing only 413 cases. The aim of this study is to clarify the diagnostic and therapeutic approach of this rare condition.

Method: There were retrospectively analyzed the first 2 cases of gallbladder agenesis admitted and surgically approached in the Emergency Hospital, Bucharest.

[Selective nonoperative management of solid abdominal visceral lesions].

Selective nonoperative management of abdominal visceral lesions is one of the most important and challenging changes that occurred in the traumatized patient care over the last 20 years. The main advantage of this type of management is the avoidance of unnecessary/nontherapeutic laparotomies. The trauma surgeons who deal with this type of treatment are worried of missed abdominal injuries.

[Esophageal stenting: techniques and effectiveness].

Objective: The purpose of this study is a prospective evaluation of the ease of implantation, long-term patency, indication of good oesophageal stent placement and related complications in patients due to obstructive malignant diseases. The clinical efficacy of these techniques is also examined.

Materials And Methods: A total of 123 patients with severe oesophageal obstruction diagnosed between 1999 and 2008 were selected for stent placement.

[Multimodal analgesia in elective laparoscopic cholecystectomy. A double-blind randomized controlled trial].

Background: The aim of this study was to test the effects of preincisional parietal and intraperitoneal infiltration with ropivacaine (R) on postoperative pain after elective laparoscopic cholecystectomy.

Methods: 60 patients scheduled for laparoscopic cholecystectomy performed by the same surgeon were enrolled in a randomized, controlled double-blind trial. All patients received the same general anesthesia protocol and Ig i.

[Demetrius Cantemir in the history of surgery: the first account of transabdominal approach to repair groin hernias].

The first description of the transabdominal approach for hernia repair was written by Demetrius Cantemir, Prince of Moldavia and encyclopedic scholar, in his 1716 Latin manuscript "Incrementa et Decrementa Aulae Othmanicae". This manuscript was one of the most important of Eastern Europe at the time. It was first translated in English in 1734, and all subsequent translations into various other languages were based on this English version.

[Non-surgical management of patients with blunt abdominal injury: the role of angiography].

Objective: We evaluated the efficacy of nonsurgical management of patients with blunt hepatic or renal injury using detailed angiographic examinations and transcatheter arterial embolization.

Methods: The study comprises 5 patients: 3 patients with blunt hepatic injury and 2 patients with blunt renal injury. All patients had CT evidence of hepatic injury, respectively renal injury.

[Progress of surgical treatment in the last 10 years. Comparative study of surgical interventions performed between 1993-1995 versus between 2003-2005].

In the last decade of the past century, as laparoscopy was introduced in our clinic in 1993, minimal access therapy (MAT--endoscopy, angiography, interventional imagery) had a positive and constant evolution. Our paper retrospectively evaluates the interventions performed between 2003-2005 (group A) compared to those performed between 1993-1995 (group B). We observed a 17.

Accelerated streptokinase in ST-elevation myocardial infarction--a Romanian (ASK-ROMANIA) multicenter registry.

Background: The classical streptokinase regimen (1.5 M.U.

[Small bowel perforation caused by compound pelvic fracture found in diagnostic laparoscopy].

Small bowel perforations in blunt abdominal trauma (BAT), especially in multiply injured patients, are difficult to diagnose in the first hours after the accident, either clinically or by imagistic studies. A less encountered diagnostic modality is diagnostic laparoscopy (DL), selectively indicated. We present the case of a patient with BAT and complex pelvic fracture, hemodynamically stable, with TS= 15, who clinically had abdominal tenderness and on ultrasound (US) and CT scan, had free intra-abdominal fluid (FIAF), without any injuries of a solid viscus, which led us to suspect a hollow viscus injury.

[Needle catheter jejunostomy versus "Witzel" tube jejunostomy for early postoperative enteral nutrition in surgical patients. Prospective randomized study].

Malnutrition in surgical patients can be present since their admission into hospital or can appear in the postoperative period. Early postoperative enteral nutrition (EPEN) is recommended to these patients as often as possible. In cases where the patients are severely malnourished with major digestive surgical interventions which we estimate that will be unable to feed orally efficient minimum 7-10 days postoperatively, we recommend EPEN on jejunostomy.

[Laparoscopy in abdominal trauma. Preliminary report in 37 cases].

The role of diagnostic laparoscopy (DL) and therapeutic laparoscopy (TL) in abdominal trauma is not clear. Even after diagnostic punction lavage (DPL), ultrasonography (US), and CT scan (CT), in some cases is difficult to decide between laparotomy and observation. In 37 cases of abdominal trauma, a laparoscopic evaluation was done; 28 abdominal blunt trauma (22 associated with multiple trauma), and 9 abdominal wounds (8 stab wounds).