[Postoperative complete abdominal dehiscence: risk factors and clinical correlations]. / Evisceratiile postoperatorii: factori de rise ssi corelattii clinice.

UNLABELLED: The purpose of this study is to review our clinical experience with abdominal wound dehiscence in the Surgical Department of City Hospital Timisoara. PATIENTS AND METHODS: 19.116 abdominal procedures were performed between January 1992 - March 2009 in our Department and 29 complete dehiscences were identified (0,15%). Significant risk factors in our analysis were intraabdominal infection, wound infection, emergency surgery, malignancies, digestive fistulae, hiperabdominal pressure, sex and age over 65 years. Less significant factors were the abdominal type of incision, the method of wound closure and heart or respiratory diseases. CONCLUSIONS: postoperative complete dehiscence is a constant presence in a surgical department; despite its low frequency, wound dehiscence is associate with a hight mortality and morbidity rate, and increase the costs and hospitalisation periode. Risk factors evaluation and their associations represente an important role in the therapeutic management of the surgical patient.

[Hepatic hemostasis with packing in complex abdominal traumatic lesions: indications and postoperative outcomes]. / Impachetarea hepatica în leziunile traumatice abdominale complexe: indicatii si rezultate postoperatorii.

UNLABELLED: The purpose of this study is to review our postoperative outcomes with liver packing in complex abdominal trauma. PATIENTS AND METHODS: 76 liver trauma were admitted for operative procedures in the Surgical Department of City Hospital Timisoara between April 1994 - September 2009 and 16 cases were identified in our series as requiring liver packing. In all cases, this method was efficient, with no postoperative bleeding. In the same time, there were specific complications such as bile leak or abdominal collections. CONCLUSIONS: despite a second procedure for packs removal and the possibility for specific complications, liver packing is an efficient method for severe liver trauma or complex abdominal lesions.