We are constantly concerned about improving the diagnostic and treatment conditions we offer to our patients, and starting from the observation that the widespread use of Mepivastesin 30 mg / mL(Mepivacaine Hydrochloride) anesthesia in dental and even buccal-facial interventions has a real success and increased safety profile, inspired and encouraged by its use for the local anesthesia during diagnostic hysteroscopy, we started to use this anesthetic substance in gynecology, for the local anesthesia necessary for the electroresection of the benign and premalignant lesions of the cervix. Thus, data was collected, regarding 527 patients who received such local anesthesia between 2007 and 2017 (10 years) and worked out a study that demonstrated that the method can be used with relief and safety for this type of minimally invasive gynecological interventions.
Although we often find isolated lower limb fractures of the femur or tibia in children, ipsilateral fracture of both femur and tibia is a rarity among the pediatric population. The ipsilateral limb fracture is a rare event even in the adult patient population. The mechanism involved is most often one with high energy. The issue for pediatric surgeons and orthopedic pediatric surgeon remains relevant, as reported by this clinical case, due to the optimal orthopedic treatment of pediatric patients in this cases undefined. The interest arises from it being a clinical case involving ipsilateral fracture of femur, tibia and fibula associated with multisystem trauma sustained by the child. Titanium seems to be the ideal osteosynthesis material, especially in children with polytrauma, considering its chemical biocompatibility properties (being an inert material) and physical, its elasticity.
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