Introduction: Acute mesenteric ischemia represents one of the most severe pathological entity that needs rapid diagnosis and initiation of treatment in order to reduce the mortality rate and the long-term morbidity. Material and method: A monocentric, retrospective study that included 68 patients with acute mesenteric ischemia with or without bowel infarction has been undertaken within the General Surgery Department of the “Sfântul Pantelimon” Clinical Emergency Hospital from Bucharest, Romania, between January 2014 and January 2019, a 2nd grade hospital, according to the provisions of the Order of the Ministry of Public Health no. 1764 of 22 December 2006 on the approval of criteria for the classification of local, county and regional emergency hospitals in terms of competences, material and human resources and their capacity to provide emergency medical care and medical care for patients in critical condition, published in the Federal Law Gazette of Romania, Part I, no. 63 of 26 January 2007. Results and conclusions: Acute mesenteric ischemia is associated with poor outcomes, high morbidity and mortality rates, making the early diagnosis and treatment initiation imperative in order to prevent severe complications, such as transmural bowel infarction, and, thus, potentially decreasing the morbidity and mortality rates.

The present study aims to determine the mean duration of the conservative management that can be tolerated by the patients with intestinal obstruction secondary to the postoperative peritoneal adhesions, in order to postpone the surgical intervention. Material and method: The data of the patients with intestinal obstruction secondary to postoperative peritoneal adhesions were retrospectively collected and analysed. The number of readmissions, the type of the therapeutic management, the duration of the conservative treatment, the number of surgical reinterventions and the intraoperative aspect represented the studied variables. Results: 543 patients with intestinal obstruction secondary to postoperative peritoneal adhesions, admitted in the Surgical Department of Sfantul Pantelimon Emergency Hospital from Bucharest, Romania, between January 2014 and July 2018, were enrolled in the study. 233 patients underwent conservative treatment, 310 patients being surgically treated. The mean interval necessary for the monitoring of the patients non- operatively treated was 7 days, within a range of 2 to 14 days. For the surgically treated cases, the mean monitoring interval was 5 days, within a range of 1 to 14 days. Among the patients that underwent surgical treatment, there were 276 cases of adhesiolysis, 31 cases of intestinal resection with anastomosis and 3 cases of intestinal resection with terminal ileo- or colostomy. Conclusion: Under strict monitoring, a signifi cant number of cases of intestinal obstruction secondary to postoperative peritoneal adhesions can, successfully, be treated using conservative management, within 7-10 days.

The presence of the peritoneal adhesions during surgery represents an element that can negatively influence the intra- and postoperative evolution of the patients. This article aims to evaluate the impact of the peritoneal adhesions on the postoperative recovery of the patients. Material and method: The data of 1407 patients undergoing laparoscopic cholecystectomy between January 2014 and October 2018 were retrospectively analyzed. Patients were organized into two groups: the case group, consisting of patients for whom peritoneal adhesions were identifi ed during the surgical intervention, and the control group, with patients that had no postoperative peritoneal adhesions. The degree of association between the presence of the peritoneal adhesions and the operative time, the risk of laparoscopic conversion to laparotomy and the risk of intra- or postoperative complications was analyzed. Results: For 537 patients (38.16%) included in the study postoperative peritoneal adhesions were identified at the time of the laparoscopic cholecystectomy.