Background: Peripheral nerve sheath tumors are benign or malignant. Schwannoma is a benign peripheral nerve sheath tumor originating from the Schwann cells that slowly grows eccentric to the nerve axis. Malignant transformation of a schwannoma is rare. Case presentation: A 73 years old women that presented in our medical service for other medical problems was diagnosed with a tumor of the lower leg (a small mass neglected by the patient for about 10 years). Considering the ultrasound features of the tumor, it was suspected to be a schwannoma. The tumor was resected and the histopathological assessment revealed a schwannoma with areas of malignant peripheral nerve sheath tumor transformation.
The surgical repair of inguinal hernia represents one of the most frequent procedures used in general surgery. The new surgical techniques are simpler, with a lower morbidity and recurrence of less than 2%. The laparoscopic totally extra-peritoneal (TEP) technique is contraindicated in complicated hernias (occlusion, incarceration) and in voluminous inguino-scrotal hernias.PurposeThe evaluation of the TEP technique, of the risk factors and of the postoperative results on the group of patients who have undergone surgery in the Surgical Clinic 2 Cluj Napoca.Material and methodThe study is prospective, on a group of 40 patients operated with the TEP technique in the Surgical Clinic 2 during the period May 2013 – July 2014. The following have been assessed: the demographic data, the risk factors, the immediate complications, the recurrence of the hernias.ResultsThe average duration of hospitalization was 6.79 days. The intraoperative incidents were: 7 minimal peritoneal lesions with pneumoperitoneum and a hemorrhagic lesion of the epigastric vessels repaired endoscopically by the clipping of the lesion. There were 2 recurrences, 24 hours and 1 year after surgery, solved by the Lichtenstein technique. After 30 interventions, the average duration of the surgery was of 64 minutes, being longer in the case of bilateral hernias and being influenced by the team’s learning curve.ConclusionsThe TEP technique is a safe option followed by a low rate of complications, a low recurrence rate and low intensity postoperative pain.
The hilar and intrahepatic location represents the most frequent positioning of cholangiocarcinoma. Late diagnosis, tumour resection - as the sole method of radical treatment require a multimodal approach of this form of malignancy.Material and methodsThe paper is based on a retrospective study conducted on a series of 56 patients diagnosed with hilar and peripheral cholangiocarcinoma admitted and treated in the 3rd Surgical Clinic Cluj-Napoca between September 2004 – December 2010. The series included patients treated with radical or palliative surgical treatment, or patients who underwent minimally invasive treatment of biliary endoscopic or percutaneous drainage followed or not by surgery. We analyzed the data on the postoperative morbidity and mortality, surgical re-interventions, the percentage of patients who received curative resection with radical intention or palliative treatment.ConclusionsCholangiocarcinoma is an aggressive form of cancer and commonly diagnosed late. The cholangiocarcinoma resectability results are comparable to those in literature and may be improved by increasing the number of tumor resections with negative resection margins. The main goal of the palliative procedures is the improvement and remission of the obstructive jaundice, in most cases being successful. The multimodality of the cholangiocarcinoma treatment is a reality, but also a goal in the group of patients studied, the number of patients in which the sequential treatment biliary drainage – surgical treatment were applied being still low.
The objective of the present research is to adapt The Santa Clara Strength of Religious Faith Questionnaire (SCSRFQ) to the Romanian population. SCSRFQ is a self-assessment questionnaire with two versions, 10-items version (SCSRFQ), and a short version (SCSRFQ-SF) with 5-items used to assess strength of religious faith. A total of 201 participants, aged 18-77 years, completed a socio-demographic data sheet and the SCSRFQ. A high internal consistency was obtained for the scale of the instrument, with a Cronbach's alpha coefficients 0.95. Exploratory factor analysis (EFA) and Confirmatory factor analysis (CFA) were also evaluated. The results indicate that the Romanian version of The Santa Clara Strength of Religious Faith Questionnaire (SCSRFQ) has good psychometric properties, being a suitable instrument for the assessment strength of religious faith.
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