Catalin Gheorghe Bejinariu

Catalin Gheorghe Bejinariu

The Treatment of the Cubital Tunnel Syndrome Using the Anterior Transposition Surgical Technique

Introduction: The paper aims to present the advantages and disadvantages related to using the anterior transposition technique for the treatment of the cubital tunnel syndrome. Materials and Methods: The study presents the surgical treatment of a 58 years old woman. The therapeutic protocol included the decompression of the ulnar nerve at the level of the elbow, followed by the anterior transposition, the new position being maintained by anchoring in a fascial sling. Results: The electromyographic evaluation performed 12 months after the surgical intervention indicated that the parameters of motor nerve conduction were within normal limits on all segments, normal sensory velocities from the V finger, orthodromic and from the dorsal branch, sign of a very good postoperative recovery. Conclusions: Anterior transposition of the ulnar nerve may be a firm solution for the treatment of the compressive ulnar neuropathies located at the level of the elbow.

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The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 Years

The optimization of the breast reconstruction treatment protocols and the introduction of state-subsidized national programs are global priorities. The present paper presents the results obtained within the National Program of Breast Reconstruction at the „Bagdasar-Arseni” Emergency Clinical Hospital, highlighting the advantages and disadvantages of the surgical techniques used. Materials and Methods: The results obtained after 71 surgical interventions were used for the study. The methodology used involved the use of demographic data, patient history, and the description of the surgical methods and techniques that were used. Results: Among the main results, the paper highlights the fact that mammary reconstruction by using the ‘expander-implant’ surgical technique was 5 times more frequent than the „implant-myocutaneous flap” technique. Post-operative complications have been present in 57% of the patients who associate comorbidities. Breast reconstruction using the TRAM (transverse rectus abdominis muscle1) flap was the rescue solution for severe complications. Conclusions: The TRAM flap was proven to be the best technique in the treatment of diffi cult cases. Carrying out these statistical analyzes related to projects of a national scale form the solid foundation of documented studies that bring a significant contribution to the development of the Romanian medical system.

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