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Traditional modality of using public property, the concession has played a significant role in the development of the modern state by capitalizing on those goods that by their legal nature have an inalienable character as well as by entrusting some works or public services to legal entities of private law which can execute them or make them more efficient. The economic development of the last decades of the states of the European Union, the acceleration of the commercial exchanges and the extension of the forms of circulation of the goods and services at community level have determined the reconsideration of the concession contract as a legal instrument for the capitalization of the public property goods, of the works and services that the state owns. The consolidation, at national level, of some legal norms meant to regulate concession and its forms was significantly influenced by the provisions of Directive 2014/23/EU of the European Parliament and of the Council of 26 February 2014 on the award of concession contracts. Thus, Law no. 100/2016 regarding the concession of works and services as well as the recent Government Emergency Ordinance no. 57/2019 on the Administrative Code implement the new European vision. [ABSTRACT FROM AUTHOR]

Anastomotic leaks are the most serious complication of colo-rectal surgery, generating significant morbidity and mortality rates. We performed a 6-year retrospective study in which we included patients who developed anastomotic colo-rectal fistulas after resections for malignant disease. We assessed the risk factors for this complication, its management and results. Twenty-two patients aged between 34 and 82 years were enrolled, with an equal number of males and females (11). Following the surgical procedures, 4 types of anastomotic leaks resulted: ileo-colic (6 cases), colo-colic (8 cases), colo-rectal (5 cases) and low colo-rectal (3 cases). Conservative management was applied for 10 patients while the other 12 required surgical treatment. The overall mortality of this study group was 13.6%. Better optimisation of surgical procedures and preoperative patients' comorbidities might decrease the rate of this complication. Therapeutic management is not standardised but adapted to each patient's condition, but conservatory management should be initiated to all eligible patients. [ABSTRACT FROM AUTHOR]