http://repository.usmf.md:80/handle/20.500.12710/10838 The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016 2026-04-14T06:38:53Z http://repository.usmf.md:80/handle/20.500.12710/20382 Title: MedEspera: The 6th International Medical Congress for Students and Young Doctors: abstract book, 2016 2016-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/12516 Title: Nondismembered pyeloplasty Authors: Piterschi, Alexandru Abstract: Introduction: Despite of wide spread of dismembered pyeloplasty, in some cases like lengthy ureteral stricture and a poorly accessible intrarenal pelvis this type of pyeloplasty are not favorable. Nondismembered techniques like Foley Y-V and Fenger, being technically less demanding and intuitively less traumatic to the ureter’s nerves and vasculature in selected cases may have some advantages over dismembered techniques. This study was undertaken to document our experience with nondismemberedpyeloplasty in adults; the primary aims were to determine the indications and overall success rate. Materials and methods: This study included 10 patients (6 male and 4 female, mean age 36,1 years, range 21 -62) who underwent nondismembered pyeloplasty in the Department of Urology from Clinical Republican Hospital between January 2009 and November 2014. Preoperatively, all patients were evaluated with intravenous urography and isotope scans. The uretero-pelvic junction obstruction (UPJO) was corrected by either Fengerplasty (4) or Foley Y-V plasty (6). Results: In all cases nondismembered pyeloplasty were performed in patients with small symptomatic hydronephrosis. When the etiology of UPJO was a high ureteral insertion we performed more often Fenger (75%) then Foley Y-V pyeloplasty (16,7%). In the presence of congenital stenosis the first choice was Foley Y-V pyeloplasty (83,3%). The mean operative time was 93,7 minutes. No intraoperative complications were seen. Mean postoperative hospitalization 13,3 days. The only postoperative complication was a case of pyelonephritis that occurred in a patient with UPJO and concomitant urolithiasis. After 12 months of follow-up there has been no evidence of obstruction, complete resolution of clinical symptoms was achieved in all patients. Conclusions: In selected cases nondismembered pyeloplasty could be a good treatment option for patients with UPJO. Being simpler from technical point of view they allow us to achieve same high result as dismembered techniques. Description: Department of Urology and Surgical Nephrology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016 2016-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/12515 Title: Acromioclavicular disjunctions: surgical treatment options Authors: Pasc, Denis; Sabina, Hadari; Fori, Noemi Julia; Stanca, Mihai Abstract: Introduction: Acromioclavicular disjunctions occur most commonly in active or athletic young adults and it is one of the most common shoulder problem, accounting 9% of all shoulder injuries. The aim of our paper is to present several surgical techniques. Material and methods: We conducted a retrospective analysis of the cases of acromioclvicular disjunction from the orthopedic department. It was found that from a total of 42 cases, 15 had surgical indication and the rest were either treated conservatively or refused treatment. Discussion: The two most used surgical techniques were Weaver - Dunn and Dewar – Barrington. Weaver - Dunn is a technique whereby the coracoid tip is fixed to the collarbone with a screw. Dewar - Barrington is a technique that consists in transferring the end coracoacromial external ligament of clavicle. Conclusion: Treatment of acromioclavicular disjunctions has been a subject of debate. In general, surgical management should be offered acutely only to those who require high-level upper extremity function and late to those with significant shoulder pain and/or dysfunction refractory to nonoperative treatment. The orthopedic surgeon has the freedom to choose from a variety of tehniques. Description: University of Medicine and Pharmacy, Targu Mures, Romania, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016 2016-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/12514 Title: The use of amniotic membrane as temporar biological dressing in surgical treatment of severe burn injuries Authors: Panciuc, A.; Cirimpei, O.; Furtuna, C. Abstract: Introduction: Burn injuries represent a major problem of public health due to high incidence of letal cases, and due to severe medical and social consequences, causing long term hospitalization, patient’s mutilations and invalidity. Deep burns cause dermo-epidermic defects, which don’t heal per prima intention, requiring specialized medical care. Promotion of wound regeneration, structure’s restoration and function’s recovery using temporal biological substituents represents a true challenge for clinicians. Aim: determination of clinical effectiveness of use of amniotic human membrane (AHM) as biologic dressing in patients with severe burns; of influence on pathology’s evolution; of regeneration’s time of the wounds and patients hospitalization. Material and methods: It was performed a descriptive retrospective study in a group of 11 patients with 3rd and 4th degree burns treated with AHM as temporal biologic dressing. At the same time was studied a control group with severe burns, treated with standard methods. Results: The study group was formed by 4 men and 7 women. In 7 cases AHM was applied on skin’s donor sites, in 4 cases – on post burn wounds after tangential surgical debridement. Results were compared with those obtained in use of standard treatment methods in patients with similar diagnostics. Conclusions: Using AHM on debrided wound diminishes pain, electrolytic and protein losses, stimulates production of granular tissue and promotes epithelization reducing regeneration’s time. Using it as biologic dressing of donor site, promotes wound’s epithelization with formation of a new, thin and gentle epithelium. Description: Department of Orthopaedics and Traumatology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016 2016-01-01T00:00:00Z