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Introduction: Hepatic hydatid cyst is a zoonosis that can affect humans in its cycle of development. Being worldwidely known, it is more common in endemic areas, Romania being one of the countries where this condition is relatively common. The surgical management of this pathology can be a challenge due to the number of cysts, the location and the structures involved. Materials and methods: We conducted a review of the recent literature in which the cases with this type of pathology, the surgical therapeutic modalities and their results were analysed. Results: There was a tendency towards a laparoscopic surgical approach, which has undeniable advantages over open surgery. Conclusion: The laparoscopic surgical approach remains the standard surgical therapy for this condition. [ABSTRACT FROM AUTHOR]

Hydatic cyst is a parasitic disease with a history that dates back to antiquity, this zoonosis being first described in Ebers papyrus in 1534 BC. It is a disease that, although with less frequency than in the past centuries and decades, its wide spread in Asia, Africa, South America, Mediterranean and Eastern Europe. In Romania, large areas are Dobrogea, Moldova, and the surroundings of Sibiu. (1). [ABSTRACT FROM AUTHOR]

The beginning of surgery predates the earliest written records. Initial healing strategies involved a mix of surgery, pharmacy and magic. During antiquity, surgical theory was based on the humoralist view, while practice was largely empiric. In the dark and middle ages, surgery regressed under the dogmatization of ancient texts, which ended when the renaissance started a new wave of empiricism. Surgery was seen as inherently painful and high-risky until the advent of anesthesia and antisepsis. These breakthroughs led to an age of increasing invasiveness of surgical procedures, the time of “great surgeon - great incision”. Since the second half of the XXth century, the focus has shifted to minimally invasive and fast-track surgery. Current developments suggest that this approach will endure, with a constantly improving pharmacological and technical support. [ABSTRACT FROM AUTHOR]

Copyright of Acta Medica Transilvanica is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Medica Transilvanica is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Medica Transilvanica is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Medica Transilvanica is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Damage control surgery represents an option in treating severely polytraumatized patients, who cannot undergo extensive definitive surgical treatment, due to severe metabolic imbalances and hemodynamic instability. Although the term concerned initially only the abdominal trauma, now it can be used in all aspects of major posttraumatic injuries. We present a short history and systematisation of this concept, with emphasis on aspects related to visceral surgery. The principles of care, indications, procedures and current recommendations are also discussed. [ABSTRACT FROM AUTHOR]

Introducere. Examenul ecografic antenatal este cel mai rapid şi uşor mod de a urmări o sarcină în vederea unei consilieri prenatale cât mai corecte. Deşi investigaţiile de laborator pot aduce noi informaţii despre făt, examenul ecografic poate infirma rezultatele anormale ale acestora atunci când se încadrează în parametrii normalităţii. Materiale şi metodă. Prezentăm cazul unei gravide secundipare, în vârstă de 37 de ani, la care s-au efectuat ecografii în dinamică, precum şi explorări de laborator (dublu test, amniocenteză). Din cauza vârstei pacientei, se efectuează dublu test la 11 săptămâni gestaţionale, care nu se încadrează în limite normale, motiv pentru care se efectuează amniocenteză. În ciuda rezultatelor contradictorii ale explorărilor de laborator, în contrast cu examinările ecografice seriate, sarcina prezintă evoluţie normală până la termen, consilierea antenatală bazându-se strict pe ecografii. Rezultate. Dublul test efectuat la 11 săptămâni gestaţionale evidenţiază risc crescut atât de vârstă (1:140), cât şi biocimic (1:173) pentru trisomie 21, astfel încât se recomandă efectuarea amniocentezei în scop diagnostic. La 17 săptămâni gestaţionale se efectuează amniocenteză, iar rezultatul a evidenţiat un mozaic diploid/tetraploid considerat mozaicism adevărat, deoarece analiza a fost efectuată din două culturi independente prin flaskuri. Testul FISH din lichidul amniotic nu confirmă anomalia din cele două culturi, motiv pentru care se efectuează consult genetic, care recomandă monitorizare ecografică periodică. Se efectuează examene ecografice în dinamică, ce arată aspect normal al fătului la fiecare dintre acestea. Având în vedere aspectele ecografice normale în dinamică, gravida este consiliată să menţină cursul sarcinii, în ciuda rezultatelor anormale ale dublului test şi ale amniocentezei. Sarcina evoluează până la termen, iar gravida naşte prin operaţie cezariană segmento-transversală un făt cu aspect normal, cu următoarele caracteristici morfofuncţionale: G=3180 g, L=55 cm, PC=36 cm, IA=10. Concluzii. Subliniem importanţa diagnosticului ecografic prenatal în consilierea antenatală a gravidelor, în ciuda unor explorări anormale de laborator. [ABSTRACT FROM AUTHOR]