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Unlabelled: Urinary tract injuries are rare lesions and account for about 3%, of all injuries and 10% of abdominal trauma injuries. The aim of this study is to review retrospectively a series of patients with urinary tract injuries treated in a general surgery clinic., Material and Methods: A series of 41 consecutive patients with urinary tract trauma who hospitalized in Surgery Clinic of "St. John" Hospital of Iaşi during a 7 years period (January 2002 - December 2008). The main analyzed variable was age, mechanism of injury, anatomical site of injury, associated injuries, and methods of treatment, morbidity and mortality., Results: Urinary tract injuries accounted for 3.2% of all abdominal trauma injuries. Adults males were more affected with 90.2% of cases. Traffic road accident and falls represented over 50% of cases. Renal trauma were present in 73.7% of cases, and associated lesions were present in all cases. Conservative treatment was applied for 24 patients (58.5%), nephrectomy (total or partial) was performed in 9 cases, suture of the urethra 1 case, suture of the urinary bladder 5 cases and cystostomy in 3 cases. Conservative treatment failed in 24 cases (58.5%), urinary complications were present in 8 patients (19.5%) and one patient died due to associated lesions., Conclusions: Urinary tract injuries are rarely encountered in trauma settings, to a high index of suspicion is necessary to establish the diagnosis. Renal trauma is the most fervently lesions and conservative treatment represent feasible solution for these.

Unlabelled: Polytraumatisms have always been a concern in human history, their number increasing especially during wars. Their forecast depends on many factors, starting from means of transportation, first aid's promptitude, technical endowment which evolved a lot within the years. Amongst the thoracal-abdominal, the cranial-cerebral and vertebral-medullary injuries, the cranial-cerebral and the abdominal injuries are the most severe ones. We hereby present the evaluation scales according to various criteria (seriousness, prognosis, clinical valutation). In the case of abdominal and neurosurgical injuries the symptomatology can be modified by addition or defalcation, which may cause diagnostic errors with consequences upon morbidity and mortality., Material and Method: We hereby present a study accomplished within three departments: Piatra Neamţ Emergency Hospital, Piatra Neamţ Coronary Office and Iaşi Neurosurgery Clinic, and we find the injury associations in polytrauma cases., Results: We notice a prevalence of the male sex, of the country people, of traffic accidents, of the active age 20-60 years old. The association within abdominal trauma and neurological injuries is of 16.97% in Iaşi Neurosurgery Clinic. After being solved, the neurological injuries are sent to surgery departments, for solution or surveillance., Conclusion: In order to optimize the medical assistance for traumatized persons we hereby recommend a polytrauma centre establishment.

The authors present the case of a 21-years-old patient who was admitted in the hospital with a severe abdominal gunshot wound and hemorrhagic shock. Because of the gravity of the external bleeding and the severity of his general status he was admitted directly to the surgery room. The decision of surgical treatment was taken from the first look, so all the diagnostic maneuvers were taken in the surgery room at the same time with the preparations for general anesthesia and surgery, except for the clinical exam and preservation of blood and urine. The duration of the surgical operation was relatively short, almost 2 hours, compared with the visceral lesions identified and treated. The recovery was amazingly rapid, with no significant complications, the patient being discharged from the hospital after 17 days. This case has some particularities which can be discussed: immediate surgery is the only way to give a chance of survival in these kinds of situations; never loose time with other investigations; single gunshot wound of the abdomen determined 4 visceral lesions, every one of them being very severe; the patient had a very short period of recovery.

It is presented the experience of Department of ENT&HNS from "Santa Maria Hospital" Bucharest in treating 85 patients with laryngo-tracheal trauma during a period of 10 years. The author presents the causes of these kind of trauma and insists on endoscopic and iatrogenic laryngotracheal trauma with an increasing number in the last years. Presenting the lot of patients the author insists on the therapeutic approach which is divided in 4 types of maneuvers depending on the etiology, the localisation and the extension of the lesions. An ancient controversy is debated--that of prolonged orotracheal intubation vs tracheostomy followed by tracheal intubation. The conclusion is that such types of laryngotracheal trauma require a team management (ENT, pneumology and thoracic surgeon) in order to prevent the stenotic and fibrous sequelae which are difficult to treat.

The case which we present is the most recent of a personal statistics on 10 cardiopericardiac plagues and the decision to be related separately was requested by some particularities with special points of view: a) anatomo-lesional, transfixiant plague with the lost of the top of the heart and the section of the left coronary artery, left diaphragmatic penetrating plague, left hepatic transfixiant plague, penetrating gastric plague. b) some aspects of surgery techniques. c) the evolution of acute septic complications (mediastinopleuroparietal suppuration) which has requested special care and 97 days of hospitalisation. d) healing, good evolution after 14 months from the accident.

The lesions of the anus and the rectum are not very really found in children, representing even a appreciable percentage; in the Pediatric Surgery Clinic of the University Hospital no. 1 of Craiova were admitted and operated 12 patients with lesions of the rectum between 1986 and 1998. The causes of these lesions were: polytraumatism--3, falls in different sharp things--7, rectal perforations on the septic base from the peritoneal cavity--1, iatrogenic cause--1. The surgical treatment were consisted in: the suture of wounds on the perineal way, lavage, drainage, antibiotherapy--6 cases, the iliac left anus with the re-establishing of the continuity--3 cases, the suture of wounds on the perineal and abdominal ways--2 cases. The conditions were good in 9 cases--cured, and 3 deceases (2 polytraumatism, 1 case malformed new-born with perforation produced by using haegar).