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Supliment 2 2019 1100 C 4'2006 A.Qxd CHIRURCHIRURGGIAIA Vol. 114 • Supplement 2 • 2019 NATIONAL CONFERENCE OF SURGERY Craiova • May 8 - 11 • 2019 ABSTRACTS EDITURA CELSIUS NATIONAL CONFERENCE OF SURGERY Craiova • May 8 - 11 • 2019 CHIRURCHIRURGGIAIA Volume 114, Supplement 2, 2019 EDITOR IN CHIEF: Silviu Constantinoiu (Bucharest) ASSOCIATE EDITORS: Eugen Brãtucu (Bucharest) Eugen Târcoveanu (Iaæi) Cãtãlin Vasilescu (Bucharest) SECRETARY EDITOR: Traian Pãtraæcu (Bucharest) ASSOCIATE SECRETARY EDITORS: Vasile Sârbu (Constanåa) Adrian Maghiar (Oradea) Dan Mircea Venter (Bucharest) ASSISTANT EDITOR: Ioan Nicolae Mateæ (Bucharest) EDITORIAL MEMBERS: Patriciu Achimaæ-Cadariu (Cluj-Napoca) René Adam (Paris, France) Sorin Barbu (Cluj-Napoca) Ferdinand Bauer (Munich, Germany) Hans-Günther Beger (Ulm, Germany) Mircea Beuran (Bucharest) Henri Bismuth (Paris, France) Alexandru Blidaru (Bucharest) Karim Boudjema (Rennes, France) Iulian Brezean (Bucharest) Cristoph Broelsch (Essen, Germany) Traean Burcoæ (Bucharest) George A. Calin (Houston, TX, USA) Carlo Castoro (Padova, Italy) Constantin Ciuce (Cluj-Napoca) J. Calvin Coffey (Limerick, Ireland) Nicolae Mircea Constantinescu (Bucharest) Cãtãlin Copãescu (Bucharest) Constantin Copotoiu (Tg Mureæ) Ioan Cordoæ (Bucharest) Florin Coroæ (Tg Mureæ) Damyan Damyanov (Sofia, Bulgaria) Mihai Radu Diaconescu (Iaæi) Horia Doran (Bucharest) Ciprian Duåã (Timiæoara) Eric Fréchette (Québec, Canada) Karl-Hermann Fuchs (Frankfurt, Germany) Ion Georgescu (Craiova) Ætefan Georgescu (Iaæi) Gheorghe Ghidirim (Chiæinãu, Moldova) Valentin Grigorean (Bucharest) Lazar György (Szeged, Hungary) Naoki Hiki (Japan) Arnulf Hölscher (Frankfurt um Main, Germany) Teodor Horvat (Bucharest) Vladimir Hotineanu (Chiæinãu, Moldova) Michel Huguier (Paris, France) Cornel Iancu (Cluj-Napoca) Mihai Ionac (Timiæoara) Alexandru Irimie (Cluj-Napoca) Hitoshi Katai (Tokyo, Japan) Zoran Krivokapic (Belgrad, Serbia) Ioan Lascãr (Bucharest) Bernard Launois (Rennes, France) Fulger Lazãr (Timiæoara) Woong-Kwang Lee (Seoul, Korea) Adrian Lobonåiu (San Jose, CA, USA) Nicola Di Lorenzo (Rome, Italy) Rossen Madjov (Varna, Bulgaria) Masatoshi Makuuchi (Tokyo, Japan) Jacques Maréscaux (Strasbourg, France) Keiichi Maruyama (Tokyo, Japan) Ronald Merrell (Richmond, VA, USA) Miroslav Milicevic (Belgrad, Serbia) Dan Mischianu (Bucharest) Cãlin Molnar (Tg Mureæ) Ætefan Neagu (Bucharest) Ionuå Negoi (Bucharest) Attila Olah (Gyor, Hungary) Sorin Olariu (Timiæoara) Radu Palade (Bucharest) Gheorghe Peltecu (Bucharest) Andy Petroianu (Belo Horizonte, Brazil) Florian Popa (Bucharest) Irinel Popescu (Bucharest) Riccardo Rosati (Milano, Italy) Franco Roviello (Siena, Italy) Dan Sabãu (Sibiu) Viorel Scripcariu (Iaæi) Ioanel Sinescu (Bucharest) Dan Nicolae Straja (Bucharest) Victor Eugen Strâmbu (Bucharest) Yaman Tokat (Istanbul, Turkey) Marcel Tanåãu (Cluj-Napoca) Octavian Unc (Constanåa) Selman Uranues (Graz, Austria) Dãnuå Vasile (Bucharest) Nikola Vladov (Sofia, Bulgaria) Giovanni Zaninotto (London, UK) ENGLISH LANGUAGE EDITORS: Mihnea I Ionescu (Birmingham, UK) Alexandra Bolocan (Bucharest) BIOSTATISTICAL CONSULTANT: Raluca Purnichescu-Purtan (Bucharest) OFFICIAL JOURNAL OF THE ROMANIAN SOCIETY OF SURGERY ROMANIAN ASSOCIATION OF ENDOSCOPIC SURGERY AND OTHER INTERVENTIONAL TECHNIQUES (ARCE) ROMANIAN SOCIETY OF THORACIC SURGERY - 1994 ROMANIAN SOCIETY OF EMERGENCY AND TRAUMATOLOGY SURGERY Indexing: Chirurgia journal is indexed, by MEDLINE / PubMed / Index Medicus, EBSCO, Scopus, SCImago, Emerging Sources Citation Index (ESCI) from 2018 Chirurgia journal, was indexed by the Web of Science (Journal Citation Index Expanded and Journal Citation Report), a Thomson Reuters Database, starting from 2008 until 2013 (volume 108, issue 6, November - December) CME Credits: 10 (Romanian College of Physicians) CrossRef: http://dx.doi.org/10.21614/chirurgia S4 www.revistachirurgia.ro Chirurgia, 114 (Supplement 2), 2019 ABSTRACTS Chirurgia (2019) 114: S5-258 Supplement 2, May 8 - 11 Copyright© Celsius http://dx.doi.org/10.21614/chirurgia.114.Supplement 2.S5 ORAL PRESENTATIONS (OP) OP-01 AUTODERMOPLASTIA ÎN ULCERUL TROFIC DE GAMBÃ T. Ababii, I. Isac Catedra de chirurgie nr .3 a U.S.M.F. ”N. Testemiåanu” Ulcer trofic - este defectul pielii sau mucoasei, caracterizat de evoluåia îndelungatã, fãrã tendinåã spre vindecare spontanã sau recidive periodice. Datele statistice aratã, cã în secåiile specializate ulcerul de gambã ocupã peste 20% din paturi æi consumã peste 30% din zilele de spitalizare. Pentru lichidarea ulcerului venos se recomandã aplicarea metodei Shave-therapy cu autodermoplasie ulterioarã cu lambou de piele despicatã Materiale æi metode: Noi am examinat prin cercetarea retrospectivã descriptivã æi prospectivã 163 pacienåi cu ulcere trofice în stadiul clinic C6 CEAP. Pacienåi au fost internaåi în Secåia Chirurgia Septicã Spitalului Clinic Municipal Nr.I, în perioada - Ianuarie 2011 - Iulie 2015. în cercetarea clinicã a participat 6 grupe de vârstã de la 30 pânã la 85 ani. Dupã durata apariåiei ulceraåiilor trofice la 94% de bolnavi ulcer era de un 1 an æi mai mult; la 6% pânã la un an. Rezultate: Din 163 pacienåi cu ulcere trofice autodermoplastie cu ajutorul dermatomului electric a fost efectuatã la 90 (55,21%). Prelucrare chirurgicalã, debridare, æi aplicarea peliculei de COLOST, cu autodermoplastie ulterioarã – în 44,79%. Rezultat pozitiv, cu închiderea totalã a ulcerului, am obåinut în 91,20% cazuri. Rejet tegumentar, închidere paråialã – în 8,80%. Concluzii: Metoda de elecåie de autodermoplastie în ulcerul trofic este cea cu lambou dermal despicat, ce s-a soldat cu 91,20% de rezultate pozitive æi paråial pozitive æi negative – an 8,80%. Epitelizare definitivã s-a obåinut în mediu peste 10-25 zile. Cuvinte cheie: ulcer trofic, gamba, tratament, autodermoplastie AUTODERMOPLASTY TROPHIC ULCERS LEG Trophic ulcer - is the defect of the skin or mucosa, characterized by a long evolution without a tendency to spontaneous healing or periodic relapse. Statistical data show that in the specialized sections, the ulcer of the throat occupies over 20% of the beds and consumes over 30% of the days of hospitalization. For the treatment of venous ulcer, it is recommended to apply the Shave- therapy method with subsequent autodermoplasia with split leather flap Materials and methods: We examined through descriptive and prospective retrospective research 163 patients with trophic ulcers in clinical stage C6 CEAP. Patients were hospitalized in the Septic Surgery Section of the Municipal Clinical Hospital No. 1 between January 2011 and July 2015. Six groups aged 30 to 85 years participated in the clinical research. After the occurrence of trophic ulceration, 94% of ulcer patients were 1 year and older; to 6% to one year. Results: Of the 163 patients with auto-dermoplasty ulcers with the help of dermatome was performed at 90 (55.21%). Surgical treatment, debridement, and application of COLOST film, with subsequent autodermoplasty - in 44.79%. A positive result, with total ulcer closure, we obtained in 91.20% cases. Tegumentary rejet, partial closure - at 8.80%. Conclusions: The method of choice of autodermoplasty in the trophic ulcer is that of dermal flap, which resulted in 91,20% of positive and partially positive and negative results - 8,80%. Final epithelization was obtained in the medium over 10-25 days. Key words: trophic ulcer, gamma, treatment, autodermoplasty Chirurgia, 114 (Supplement 2), 2019 www.revistachirurgia.ro S5 OP-02 BLEFAROPLASTIA – O OPERAÅIE CURATIVÃ ÆI NU DOAR COSMETICÃ T. Ababii, I. Isac Catedra de chirurgie nr.3 a U.S.M.F. ”N. Testemiåanu” Introducere: Blefarohaleazisul provoacã atât dereglãri funcåionale cât æi cosmetice. Unica metodã de rezolvare a acestei probleme este Blefaroplastia - în prezent definitã ca excizia pielii excesive a pleoapelor, cu sau fãrã grãsimea periorbitalã. Material æi metode: Pe parcursul anilor 2014 – 2018 noi am efectuat 47 de blefaroplastii, dintre care 30 au fost pentru pleoapele superioare æi 17 pentru ambele pleoape superioare æi inferioare. Pe lotul studiat au fost 42 femei æi 5 bãrbaåi. Vârsta bolnavilor varia de la 21 la 69 ani. Blefaroplastia tradiåionalã s-a efectuat cu o incizie externã în creuzetul superior al pleoapelor. Preoperator, am marcat reperele chirurgicale æi exciziile de piele planificate pe pacient. Pentru închiderea plãgii postoperatorii, am utilizat douã feluri de suturi: suturã prin puncte separate æi suturã de tip surjet intradermal. Materialul de suturã a fost nailon neresorbabil 6.0. Rezultate: Rezultatele de cãtre pacienåi au fost apreciate ca bune în 43 cazuri, satisfãcãtoare – în 12 æi doi pacienåi au rãmas nesatisfãcuåi. Aceæti pacienåi au avut indicaåii relative, doar cu intenåii cosmetice, ce æi a impus o apreciere subiectivã a rezultatelor. Complicaåii pe lotul studiat nu s-au înregistrat. La distanåã recidive nu am observat. Concluzii: 1. Blefaroplastia poate fi efectuatã prin multe abordãri operative, cu sau fãrã excizie de grãsime. 2. Rezultate pozitive post- operatorii se obåin atunci când indicaåia pentru blefaroplastie nu este doar cosmeticã. Cuvinte cheie: blepharoholeazis, blepharoplastie, pleoape, chirurgie BLEPHAROPLASTY - CURATIVE AND NOT ONLY COSMETICS Introduction: Blepharohalease causes both functional and cosmetic disorders. The only way to solve this problem is Blepharoplasty - now defined as the excitement of excessive eyelid skin, with or without periorbital fat. Material and methods: During 2014-2018, we performed 47 blepharoplasts, 30 of which were for upper eyelids and 17 for both upper and lower eyelids.
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