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Open access

B. Ivanov, I.V. Iordache, I.C. Bratu, I. Bordeianu and B.M. Caraban

Abstract

The authors present a retrospective study over a period of 18 years on electrocutions that were included electrocutions through direct contact (as the clinical presentation) or that were produced by high voltage or low voltage, which aims at extracting conclusions prognostic and therapeutic nature and especially the final therapeutic results, the study concluded that even electrocutions is decreases incidence, mortality of electrocutions with high voltage remains strong.

Open access

Sebe Ioana Teona, I. Lascar, M. Valcu, B. Caraban and Colcigeanu Anca

Abstract

Dupuytren’s contracture is a fibroproliferative disease whose etiology and pathophysiology are unclear and controversial. It is a connective tissue disorder, which takes part in the palmar’s fibromatosis category and has common characteristics with the healing process. Dupuytren’s disease is characterized by the flexion contracture of the hand due to palmar and digital aponevrosis. It generally affects the 4th digital radius, followed by the 5th one. Without surgery, it leads to functional impotence of those digital rays and/or hand. It is associated with other diseases and situational conditions like Peyronie’s disease, the Lederhose disease (plantar fibromatosis), Garrod’s digital knuckle-pads, diabetes, epilepsy, alcoholism, micro traumatisms, stenosing tenosynovitis and not the least with carpal tunnel syndrome. The carpal tunnel syndrome is a peripheral neuropathy with the incarceration of the median nerve at the ARC level, expressed clinically by sensory and motor disturbances in the distribution territory of the median nerve, which cause functional limitations of daily activities of the patient. After the failure of the nonsurgical treatment or the appearance of the motor deficit, is established the open or endoscopic surgical treatment with the release of the median nerve. Postoperative recovery in both diseases is crucial to the functionality of the affected upper limb and to the quality of the patient’s life. The patient, a 61 years old man, admitted to the clinic for the functional impotence of the right hand, for the permanent flexion contracture of the metacarpophalangeal joint (MCP) and proximal interphalangeal joint (PIP) of the 4th finger with extension deficit, for the damage of the thumb pulp clamp of the 4th finger, for nocturnal paresthesia of fingers I-III and pain that radiates into the fingertips. After clinical, paraclinical, imagistic and electrical investigations, surgery is practiced partial aponevrectomy, carpal ligament section, external neurolysis of the median nerve, flexor tendon tenolisys. The particularity of this case is the coexistence of two pathologies: Dupuytren’s disease and carpal tunnel syndrome, the decision to solve in the same operator time and the problem of immobilization. Reportation of this case supports previous reports in literature, such as Dupuytren’s disease and carpal tunnel syndrome are observed at the same patient, at the same time or one after another.

Open access

S. Cortan, I. Lascar, M. Valcu, Ioana Teona Sebe, B. Caraban and D. Iliescu

Abstract

The cutaneous and subcutaneous defects resulting from surgical excisions are a problem and, at the same time, a challenge for surgeons. The breast is an expression of feminine beauty.

Materials and methods: Dissection on a fresh female cadaver, aged 57, in order to harvest the musculocutaneous flap based on the tensor fasciae latae muscle, from the lateral region of the thigh, using microsurgical loupes. For rendering the stages of the harvesting of the musculocutaneous flap based on the tensor fasciae latae muscle, a high-definition camera was used.

The result: the harvesting of the musculocutaneous flap based on the tensor fasciae latae muscle, and the closure of the donor area.

Conclusions: guidelines, advantages and disadvantages of using the musculocutaneous flap based on the tensor fasciae latae muscle

Open access

Theodora Dimitropoulou, I.V Iordache, T. Poalelungi, B.M. Caraban and I. Bordeianu

Abstract

The authors present a retrospective study - 2011-1014 on value of reconstructive nonmicrosurgicals procedures after excisions of facial basocellular carcinomas.

The study group included 426 cases of basocellular carcinomas of the face (primary diagnosed or recurrent) that required reconstructive procedure after excision in oncology margin (according to the criteria of the clinic). The choice is eclectically considering reconstructive process (evaluating) a number of factors: patient age, location of carcinoma, post excisional defect size and pathological status (recurrence, radiation) and the frequency of the primary outcome was using plastic reconstruction of full-thickness free skin.

All cases included in the study received a performant dermatoscopic exam and excisions were performed at 5-10 mm from the edges of the apparent surface and in deepness in fascial plane.

Open access

B.M. Caraban, Aurelia Romila, L.T. Hangan and Mihaela Lungu

Abstract

Arterial aneurysm ruptures of the circle of Willis determine subarachnoid hemorrhage, which evolving due to the irritating effect of the blood in the subarachnoid space may lead to complications such as large arterial vasospasm in the origin of the large cerebral arteries, from the base of the brain.

Cerebral vasospasm causes a downstream cerebral ischemia, that may lead to the establishment of an ischemic stroke which is life threatening.

Early treatment against the vasospasm with calcium channels blockers should prevent occurrence of ischemia. However, the effectiveness of this treatment is not fully confirmed, fact that was mentioned even in the presentation of our case.

Open access

Mihaela Lungu, Aurelia Romila, L.T. Hangan and B.M. Caraban

Abstract

The article presents the case of a 61-year old female patient, with no history of neurological illness, who presents a rapid onset of two convulsive seizures, triggered by a psychological trauma. The first convulsive seizure is repeated within 24 hours.

The general, as well as the neurological clinical examination have not found any pathological signs. MRI scanning of the brain pointed to right-parietal schizencephaly, associated with polymicrogyria, the believed causes of the epileptic seizures.

Open access

V.I. Popa, I. Lascar, M. Valcu, Ioana Teona Sebe, B. Caraban and Arina Cristiana Margina

Abstract

Animal experiments are used on a large scale worldwide in order to develop or to refine new medicines, medicinal products or surgical procedures. It is morally wrong to cause animals to suffer, this is why animal experimentation causes serious moral problems.

We must realize that we have moral and legal obligations when dealing with animals in our care, and this should become our high priority before any experiment. We have to take responsibility for the life of the animals and we have to act honorably regarding this issue because we have been given a trust by society in general which is not to be taken lightly.

There is an ongoing societal debate about ethical issues of animal use in science. This paper is addressed to current and future researchers and is an appeal for them to (re)consider their personal views concerning the issue under scrutiny and their responsibility in ensuring that results would make the sacrifice worthwhile.

Open access

I. Bordeianu, Gabriela Izabela Baltatescu, I.V. Iordache, I.C. Bratu, B.M. Caraban, Nida Bosnac, B. Ivanov and C. Podac

Abstract

The authors present a retrospective clinical study on a total of 39 patients of both sexes aged between 38 and 76 years with idiopathic carpal tunnel compressive syndrome that surgically excised the anterior carpal ligament by a process custom classic which they examined histologically.

Histopathological examination of objectified as a percentage of 71.79% previously carpal ligament structure is invaded by striated muscle fibers.

Based on histopathological findings as the similarities between functional and embryological origin carpal ligament and anterior aponeurosis palm authors propose introducing embriogenetics etiopathology in compression carpal tunnel syndrome or inclusion in this category suffering from Dupuytren diathesis.