Handcrafted vacuum-assisted system is a feasible and safe method to treat chronic ulcers. This system would benefit patients favoring earlier infection control, faster granulation tissue appearance and earlier discharge. Clinical trials registered in https://www.clinicaltrials.gov/ Number NCT02512159.
Open appendectomy skin closure with a unique absorbable intradermic stitch is safe, with a reduced seroma and abscess incidence, compared to traditional closure, and an equivalent dehiscence and superficial infection incidence, allowing a lower hospital attention cost and length of hospital stay for treatment of complications. The relative risk of complications with traditional skin closure is 2.91 higher, compared to this new technique.
Background: Wilms tumor diagnosis due to minimal abdominal trauma is rare and represents a diagnostic and therapeutic challenge. Introduction: A 3-year-old girl presented with one week history of slight left flank pain after fell down from her own height, associated with nausea and vomiting. Physical examination showed abdominal bloating and severe left flank pain. The CT scan showed kidney grade III injury and an upper pole solid mass of 12.8x9x7 cm and 68 UH. Nephrectomy was performed. Histopathology reported a Wilms tumor of 13x8x6cm with Gerota fascia rupture. Nine months later she came back with pulmonary and peritoneal metastases. Conclusion: Renal trauma is more common in children due to anatomical abnormalities and any discrepancy between the mechanism of injury and physical examination should be suspected for congenital or pathological issues.
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