Spontaneous Isolated Dissection of the Abdominal Aorta

Isolated spontaneous dissection of the abdominal aorta is such a rare entity and there are only a few cases reported in literature up to date. A 42-year old male was admitted to the hospital with mild pain in the lower abdomen and back that had began seven days prior to admission together with the sudden onset of the ischemic symptoms of the left leg (ischemic ulcers of the calf, gangrenous toe and pallor foot). Patient denied any trauma, hypertension history was negative, while he was active cigarette smoker. MSCT and digital subtracted angiography have shown a dissection of the abdominal aorta approximately two centimeters below the origin of the inferior mesenteric artery extending in the left common iliac artery, with no sign of the aneurysmatic dilatation of the abdominal aorta. Emergent surgery was performed with aorto- biiliacal bypass graft interposition, amputation of the left toe and necrectomy of the left calf. Postoperative follow up and local vascular condition were satisfied. Even though is rare entity, isolated abdominal aorta dissection accounts for ap proximately 2–4% of all aortic dissection. Nowadays therapeutic regimen includes endovascular, open surgery or conser vative treatment

VIDEO-ASSISTED EXTIRPATION OF BREAST FIBROADENOMA WITH IMMEDIATE BILATERAL BREAST AUGMENTATION – A CASE REPORT

Pozadina: Od sredine 1990-ih godina razvila se videoasistirana kirurgija dojke (VABS) za liječenje dobroćudnih i zloćudnih bolesti dojke. Prema studijama koje su provedene uglavnom u Japanu, ova je tehnika sigurna i lako se uči, a njezina je glavna prednost izvrstan kozmetski rezultat poslijeoperacijskog izgleda dojki koji se ne može postići standardnim kirurškim tehnikama. Cilj: Prikazati prvi slučaj videoasistirane kirurgije dojke u Hrvatskoj primijenjene u liječenju fibroadenoma dojke uz neposredno obostrano povećanje dojki. Prikaz bolesnice: Bolesnica u dobi od 39 godina primljena je u našu bolnicu radi elektivnog zahvata povećanja obiju dojki. Tom je prilikom upotrijebljena metoda videoasistirane ekstirpacije fibroadenoma kroz inframamarnu inciziju neposredno nakon koje je učinjeno obostrano povećanje dojki. Zaključak: VABS je izvediva uz očit kozmetski učinak i zbog tog postaje metoda izbora u kirurgiji dojke. Međutim, potrebno je steći daljnja iskustva u ovom području kako bismo adekvatnije mogli procijeniti ovu tehniku.Background: Since mid 1990s video-assisted breast surgery (VABS) has been developed in the treatment of benign and malignant breast diseases. According to studies that are conducted mainly in Japan, this tehnique is safe, easy to learn and his main advantage is excellent cosmetic results on postoperative appearance of breasts that cannot be achived with standard surgical procedures. Objective: To present a first case of video assisted breast surgery in Croatia applied to treatment of breast fibroadenoma and immediate bilateral breast augmentation. Case report: A 39 year old female patient was admitted to our hospital for elective procedure of breast augmentation. On this occasion video assisted extirpation of fibroadenoma was performed through inframammary incision and followed by immediate bilateral breast augmentation. Conclusion: VABS is feasible, cosmetic effects are evident and the VABS deserves attention as a possible surgical option in breast surgery. However further experience on this field must be gained and it remains to evaluate this tehnique on the additional studies

VIDEO-ASSISTED EXTIRPATION OF BREAST FIBROADENOMA WITH IMMEDIATE BILATERAL BREAST AUGMENTATION – A CASE REPORT

Pozadina: Od sredine 1990-ih godina razvila se videoasistirana kirurgija dojke (VABS) za liječenje dobroćudnih i zloćudnih bolesti dojke. Prema studijama koje su provedene uglavnom u Japanu, ova je tehnika sigurna i lako se uči, a njezina je glavna prednost izvrstan kozmetski rezultat poslijeoperacijskog izgleda dojki koji se ne može postići standardnim kirurškim tehnikama. Cilj: Prikazati prvi slučaj videoasistirane kirurgije dojke u Hrvatskoj primijenjene u liječenju fibroadenoma dojke uz neposredno obostrano povećanje dojki. Prikaz bolesnice: Bolesnica u dobi od 39 godina primljena je u našu bolnicu radi elektivnog zahvata povećanja obiju dojki. Tom je prilikom upotrijebljena metoda videoasistirane ekstirpacije fibroadenoma kroz inframamarnu inciziju neposredno nakon koje je učinjeno obostrano povećanje dojki. Zaključak: VABS je izvediva uz očit kozmetski učinak i zbog tog postaje metoda izbora u kirurgiji dojke. Međutim, potrebno je steći daljnja iskustva u ovom području kako bismo adekvatnije mogli procijeniti ovu tehniku.Background: Since mid 1990s video-assisted breast surgery (VABS) has been developed in the treatment of benign and malignant breast diseases. According to studies that are conducted mainly in Japan, this tehnique is safe, easy to learn and his main advantage is excellent cosmetic results on postoperative appearance of breasts that cannot be achived with standard surgical procedures. Objective: To present a first case of video assisted breast surgery in Croatia applied to treatment of breast fibroadenoma and immediate bilateral breast augmentation. Case report: A 39 year old female patient was admitted to our hospital for elective procedure of breast augmentation. On this occasion video assisted extirpation of fibroadenoma was performed through inframammary incision and followed by immediate bilateral breast augmentation. Conclusion: VABS is feasible, cosmetic effects are evident and the VABS deserves attention as a possible surgical option in breast surgery. However further experience on this field must be gained and it remains to evaluate this tehnique on the additional studies

Transverse momentum and pseudorapidity distributions of charged hadrons in pp collisions at (s)\sqrt(s) = 0.9 and 2.36 TeV

Measurements of inclusive charged-hadron transverse-momentum and pseudorapidity distributions are presented for proton-proton collisions at sqrt(s) = 0.9 and 2.36 TeV. The data were collected with the CMS detector during the LHC commissioning in December 2009. For non-single-diffractive interactions, the average charged-hadron transverse momentum is measured to be 0.46 +/- 0.01 (stat.) +/- 0.01 (syst.) GeV/c at 0.9 TeV and 0.50 +/- 0.01 (stat.) +/- 0.01 (syst.) GeV/c at 2.36 TeV, for pseudorapidities between -2.4 and +2.4. At these energies, the measured pseudorapidity densities in the central region, dN(charged)/d(eta) for |eta| < 0.5, are 3.48 +/- 0.02 (stat.) +/- 0.13 (syst.) and 4.47 +/- 0.04 (stat.) +/- 0.16 (syst.), respectively. The results at 0.9 TeV are in agreement with previous measurements and confirm the expectation of near equal hadron production in p-pbar and pp collisions. The results at 2.36 TeV represent the highest-energy measurements at a particle collider to date