Abstracte Surgical Sciences 2

8/3/2019 Abstracte Surgical Sciences 2

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ABSTRACT EVALUATION CRITERIA

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INTRODUCTION

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MATERIALS AND METHODS Suitable design for achieving the stated objective /5

Techniques and materials concisely mentioned /5

RESULTS

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CONCLUSIONS

The question posed has been answered /5

Conclusions consistent with the results /5

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ACCEPTED/REJECTED


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FOREIGN BODIES OF GLOBAL EYE AND OCULAR FIXTURE

Ocular trauma remains a major cause of blindness, particularly in the

working-age population . Intraocular foreign body represents an ophthalmic

emergency. Both management and prognosis depend on the composition and

location of the foreign body. Metallic and glass objects are most common,

organic foreign organism can also lead to inflammatory reaction and severe

complication.

BACKGROUND/AIM:

The purpose of this study was to evaluate the clinic features and also to

locate prognosis factors after removing the foreign body.

Methods:

The clinic retrospective observational study has been accomplished on a

sample of 190 subjects at Ophthalmology Clinic in Cluj-Napoca between

2006-2010. There have been correlated facts regarding age,background

source,occupation,type of affectation, type of foreign bodies, AV pre/post

operatory,diagnosis.

Results :

Almost all patients (96.8 %) were male with a mean age of 32.29 years, 13.38

SD (SD = standard deviation ). Hammering and chiselling were the most

common activities at the time of injury. 93.5% of patients had single IOFB.

Metallic foreign body comprised 85.5% of all cases. 83.9% of IOFBs were

located inside the globe, among them: 46.1% in the anterior segment; 44.2%

in the vitreous and the rest in the posterior part of globe. The most frequent

entrance wound site was cornea (59.7%). Initial visual acuity was worse or

equal 5/50 in 50% of the cases. Patients with greater size of IOFB had worse

initial visual acuity. The most common clinical features, presenting at the

time of injury, were corneal wound (64.5%), lens lesion (33.9%),

endophthalmitis (29%) and vitreous hemorrhage (25.8%).

Conclusion:


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A reliable classification of ocular injuries may provide significant information

about the prognosis of injuries with intraocular foreign body . Improved safety

features equipment eye protection , may reduce the incidence of severe

ocular injuries .

Key Words : eye , intraocular foreign body , visual acuity


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Not evident Insufficient Borderline Good Very good Excellent0 1 2 3 4 5

INTRODUCTION

Well described background /5 Clear objective /5

MATERIALS AND METHODS

Suitable design for achieving the stated objective /5


RESULTS


CONCLUSIONS



ORIGINALITY /5

TOTAL /40

ACCEPTED/REJECTED


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A NOVEL SCHEME FOR OSTEOGENESIS DIVERSION

Objectives:

The aim of this study is to show Vertical alveolar bone growth using diversion

apparatus, without settle a disagreement by making mutual concessions

aesthetics.

Materials and methods:

Osteogenesis distraction using integrated implants associated with a

distractor apparatus in the format of dental prosthesis. Patient with severe

aesthetics deficiency, with an osseointegrated implant in an unfavorable

position in the region of upper Left Central incisor. It has produced a

distractor apparatus in the format of dental prosthesis, wit support in the left

upper lateral Incisor teeth and right incisors. Osteotomy was performed

around the implant, covering the interest area. Installation distractor

apparatus was in the dental format. The bone has distracted for 35 days and

Six days latency and containment about 80 days.

Results:

Getting vertical growth of alveolar bone about 100 mm in 35 days.

Conclusion:

Significant vertical bone growth has obtained applying osteogenesis

distraction with an osseointegrated implant distractor with a prosthetic

aesthetic apparatus, without compromising social life during treatment.

Keywords: Osteogenesis, Prosthetic aesthetic apparatus, alveolar bone,

central incisor.


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RESULTS


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ORIGINALITY /5

TOTAL /40ACCEPTED/REJECTED


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SPONDYLODISCITIS AND DISC ABSCESS COMPLICATED WITHSEPSIS IN A POST-SURGICAL 70-YEAR-OLD PATIENT WITH A

RECURRENT LUMBAR DISC HERNIA

Introduction:

Chronic back pain is one of the most frequent motives for which patients

address the doctor. One of its commonest causes is disc hernia, which

treated surgically can have several complications, amongst which, on short

term as well as on long term, surgical site infections. We present a case

report of a patient who developed spondylodiscitis complicated with a disc

abscess upon recurrent surgical treatment for a lumbar disc hernia.

Materials and methods:

The patient is a 70-year-old male who presented with febrile syndrome,

lumbar pain irradiated downwards on both legs and decreased motility inboth legs. He had 5 weeks earlier suffered a surgical intervention for the

correction of a recurrent L4-L5 disc hernia. Clinical examination of the

surgical wound showed no signs of inflammation/infection. The MRI

examination revealed an image suggestive of L5-S1 osteodiscitis and a small

disc abscess in the L4-L5 intervertebral space. MRI- guided puncture of the

vertebral mass was performed for the use of the obtained material in

cultures. However, the results were inconclusive. On admission, he also

presented with a documented leukopenia and was diagnosed with a right

paracardiac pneumonia. The general evolution was significantly altered by

acute renal failure and pancytopenia. In addition, the patient also developed

diarrhea and an urinary tract infection.

Results:

The patient has had a long and slow recovery associated with an anxiety-

depression syndrome. The remission of the vertebral infectious process was

documented by means of several MRI scans. The laboratory findings were


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conclusive for inflammatory syndrome and alterations of various organ

functions, which led to the diagnosis of sepsis.

Conclusion:

In this case, the recent surgical intervention and the immune depression

aggravated by the stress of surgery facilitated the spread of the infection and

its complication with sepsis.

Key Words: spondylodiscitis, disc hernia, sepsis


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ROUTINE ULTRASONOGRAPHIC SCREENING OFDEVELOPMENTAL DYSPLASIA OF HIP: IS IT RELEVANT IN A

DEVELOPING COUNTRY LIKE OURS

Objective:

To assess the burden of different Graf subtypes of developmental dyplasia of

hip (DDH) in high risk babies and to determine the feasibility of routine

ultrasonographic screening of infants for DDH.

Materials and Methods:

The present study was conducted on 174 infants who were born with the risk

factors of DDH (n=142) or those who presented to the orthopedic OPD with

the clinical suspicion of DDH or with limb anomalies like CTEV/arthrogryposis

(n=32). Ultrasonography of bilateral hips was performed using Toshiba i-style

aplio XG Color Doppler machines with the help of linear array high frequencyprobe of 6-12 MHz. Mid- coronal images of bilateral hips of all the infants

were taken and Alpha and Beta angles were measured as proposed by Graf

et al. Diagnosed cases were classified in different Graf subtypes.

Results:

On initial screening, angles were out of range in 58 hips out of 348 hips

scanned, including 2 cases in which angles were not measurable technically.

Before labeling cases as DDH, repeat scans were performed in all the infants

after 3 months, which showed deranged angles only in 19 hips implying that

a significant number of cases (~67%) get spontaneously corrected. Amongthe affected cases, left hip was involved in 14 cases including 2 cases with

bilateral disease, and 12 were girls. 15 cases fell in Graf class IIb, IIc or III and

needed conservative management (Pavliks harness) only. 4 cases had to be

managed operatively.

Conclusion:


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Rarity of the disease makes it impractical to screen every child for DDH in

India.A large proportion of cases have physiologically altered Grafs angles

due to immaturity. The disease is more common in girls and on left side.

Clinical Relevance:

Since clinical examination is highly insensitive to detect the subtle cases of

DDH, ultrasonography is a low cost radiation free diagnostic test that allows.

3D evaluation making the diagnosis possible at the earliest,thus preventing

surgical intervation.


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INTRODUCTION


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THE VALUE OF ACHILLES ULTRASONOGRAPHY IN PATIENTSWITH SERONEGATIVE SPONDYLARTHROPHATIES (SASN)

Objective:

To assess the relation between Achilles enthesiopathy demonstrated by

ultrasonography (US) with the characteristics of the disease in patients with

SASN.

Materials and Methods:

We performed a descriptive transversal study of a cohort of patients

diagnosed with SASN at Cluj- Napoca Rheumatology Outpatient department

in 2010. The including criteria in this study were: patients with inflammatorylow back pain for more that 3 months, with insidious onset, with radiographic

sacroiliitis grade 1 or 2.The patients had been divided into two groups

depending on the presence or absence of Achilles enthesitis at US.The

statistical analysis of the two groups was performed with SPSS.

Results:

26 patients fulfilled the inclusion criteria: 14 men (53.8%) and 12 women

(46.2%) with median age 37.35-10.63 years and disease evolution 8.54-9.043

years. Out of the patients, 65% (17 patients) presented Achilles enthesitis at

clinical examination and the rest of 35% (9 patients) didnt. All USexaminations were performed by two rheumatologists and they observed

that only 11 patients (42.3%) had enthesopathy. We found that between the

two groups there were no differences in the frequency of peripheral arthritis,

anterior uveitis, dactylitis, response to treatment, coxitis. Furthermore we did

not find significant differences between disease activity measured by BASDAI

and BASFI. Hight significant statistical differences were obtained in time of


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disease evolution (patients with enthesitis 8.73 years versus 11.17

years,p=0.006) and in the disease duration (patients with enthesitis 4.45

years versus 9.5 years, p=0.001).

Conclusion:

Achilles enthesiopathy in patients with SASN is useful in the early diagnosis of

the disease, reducing the number of false positive at clinical examination.

There is no correlation between clinical signs of the disease and the level of

activity or or functionality in patients with or without Achilles enthesitis.

Key words: SASN,achilles ultrasonography,enthesiopathy



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THE MANAGEMENT OF POSTMATURITY PREGNANCY

Postmaturity pregnancy still remains an actual problem in obstetrics, having

an immense scientific and practical interest. The actuality of postmaturity

pregnancy is due to the increased perinatal indicators and to a huge number

of complications during the delivery process. The study aimed to analyze

clinical particularities, the development of postmaturity pregnancies and

births.

Material and methods

Our study was based on 174 births(26.1%)at 41-42 weeks of gestation,

during the years 2005-2008 in the perinatology center SCMN1, Chisinau,

Rep.of Moldova. Anamnestic facts,c linical and paraclinical evolution of

gestation and birth methods were determined.

Results

Postmaturity pregnancy at 41 weeks was assessed in 126 cases(72.4%),at 42

weeks-48 cases(27.6%). Postmaturity pregnancy is frequently manifested

among primiparous (73.3%).The decrease in the incidence of postmaturity

pregnancy was determined in the patients aged 30 years old and


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more(23.71%).The group was characterized by an increased level of

complicated obstetric history(miscarriage and pregnancy induced

hypertension)which constituted 29.3% and extragenital pathology(mainly

cardiovascular and renal)-27.6% cases.

In 409 cases(79.5%)children were born vaginally and 142 cases(20.5%) - bycaesarean section. The most common indications were: acute fetal

hypoxia(45.1%),labor dystocia(37.3%). In the second group the deliveries

were mainly per vias naturalis(96.4%). An important indication regarding only

postmaturity pregnancy was inefficient labor induction after misoprostol

administration in 9.2% cases. There were recorded 6 cases of perinatal

mortality,2 of which-intranatal and 4 cases-antenatal. The infants were

evaluated with 7-8 points of Apgar Score(53.6%)and less than 7 points in

26.7% cases.

Conclusion

Postmaturity pregnancy is an important chapter in the obstetric practice,

which evolves on the pathological background and influence perinatal

indicators.

Key words: postmaturity,pregnancy,misoprostol


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0 1 2 3 4 5

INTRODUCTION


Clear objective /5MATERIALS AND METHODS



RESULTS


CONCLUSIONS

The question posed has been answered/5


ORIGINALITY /5

TOTAL /40

ACCEPTED/REJECTED


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INTRAORBITAL TUMORS-WHEN IS SURGERY AN OPTION?

Introduction:

The intraorbital space can be affected by a diverse number of

expansive processes that have a compressive effect on the structures

contained by it. Tumors hold a leading place inside this type of

pathology. Tumors that affect the orbit are diverse in etiology and

treatment. They can be primary, secondaryor metastatic tumors.

Choosing the correct treatment, conservative or surgical, the moment

to initiate one or another are still largely debated subjects.

Material and methods:

A study on 200 cases of patients with intraorbital tumors treated and

monitored in The Neurosurgical Department of Cluj County Emergency

Hospital between January 2006 and December 2010. Aspects regarding

sex, age, tumor type, chosen treatment, and post treatment evolution

were analyzed.

Results:

Patients were admitted for proptosis, pain, diplopia, tearing, visualloss. The highest incidence according to age was in the 6th decade

(30%), followed by patients from the 7th decade (15%), then decades 1

and 8 (each 12%). There were no incidence differences by sex. The

most frequent types of tumors were meningioma (16%), basal-cell

carcinoma (13%) and hemangioma (12%). Surgery was the primary

indication of treatment for 52% of our cases, oncological treatment for

10 %, while conservative treatment with regular observation was

chosen for the rest. 12% of patients suffered a tumor relapse, with an

average relapse time of one year.

Conclusions:

The risk of intraorbital tumors is highest at an old age. Sex is not an

influencing factor. Meningiomas, hemangiomas and basal-cell

carcinomas are the most frequent. Surgical treatment is the first option


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Abstracte Surgical Sciences 2