Compartmental surgery, Liposarcoma, Surgery, Retroperitoneal sarcoma.Complex injuries concerning bones, muscles and smooth cells associated with hand still represent a challenging challenge for reconstructive surgeons. Hereby, we present a case of a person struggling with a complex crush injury for the right hand that led to a broad three-dimensional problem with lack of two metacarpal bones, extensor tendons and epidermis. For composite hand defects, the most common medical strategy offers up a one-stage composite reconstruction or for an early tissue biomechanics repair of bone and skin, with delayed tendon grafts. When it comes to peculiarity of the defect Calanoid copepod biomass , a one-stage reconstruction was not possible. Thus, we chosen a two-stage reconstruction however the usual surgical tips were inverted. Initially we secured tendon and skin restoration through a composite teno-cutaneous radial free flap. A month later, we reconstructed the 2 metacarpals with a modified Masquelet method using fibular cortical graft. This tactic permitted the in-patient to start an early rehabilitation program and obtain a satisfactory data recovery of his principal hand. KEY WORDS Composite flap, Hand trauma, Hand repair, Microsurgery. Acute mesenteric ischemia (AMI) after cardiac surgery is a rare but serious problem linked to high mortality. Enough time of beginning is key point to correctly evaluate the medical scenarios. Data from adult patients who underwent laparotomy for AMI after elective or urgent cardiac surgery had been reviewed (January 2005 – December 2019) to report their anatomoclinical functions in relationship to time of beginning. Early occasions (within 48 hours) were allotted to Group 1, whereas belated onsets were assigned to Group 2. Two well distinct types of AMI after cardiac surgery can be categorized. The initial consists of patients with well-known danger aspects developing ischemia due to extreme visceral hypoperfusion The second comprises of customers with low comorbidity just who experience late AMI as a result of “trigger events”, mainly de novo atrial fibrillation. This category may be beneficial to better alert the medical staff into the possibility of bowel ischemia at any time after cardiac surgery, advertising very early analysis and treatment.Mesenteric ischemia, Cardiovascular pathology.Mandible can be afflicted with outstanding variety of neoformations, like aneurysmal bone cyst, odontogenic myxoma, CGCG (Central Giant Cell Granuloma), GCT (giant cell tumor), sarcoma, ameloblastoma, lymphoma, ossifyng fibroma, odontogenic mixoma, granuloma, arteriovenous malformations and Schwannoma. Periodically is certainly not possible to get clinical or radiological distinctive results therefore is usefull to execute additional examinations, contemplate unusual illness and perform an explorative surgical procedure which can be adapted into the intraoperatory results. This attitude might help to lessen overtreatment but also selleckchem to be radical especially in situation of rare condition just like the situation offered a Central Giant Cell Granuloma regarding the jaws. In this case report the authors present a 19-year-old female with a slowly enlarging, painfull inflammation in the left region of the reduced jaw. Ortopantomography exam disclosed an osteolytic bone tissue formation confirmed by Tomographic Dental Scan, MRI and Eco-Doppler exam. Nobody among these procedures, however, permitted to characterize the neoformation. For that reason had been prepared immediately an explorative surgical procedure, in place of an agosbiopsy. Macroscopic free margins resection supplied radicality on one side and conserved much bone tissue possible on the other; morever it would have permitted to be more demolitive with a further procedure if the histopathological examination of specimen didn’t show total neoformation treatment. KEY PHRASES Central Giant Cell Granuloma, Rare Mandibular Neoplasm, Explorative Medical Procedures. Describe an unusual situation of Richter’s hernia with caecum incarceration into the right femoral hernia and provide a narrative literature analysis about its medical management. A 46-year-old woman presented to your crisis Department also to our surgical device with a two-days reputation for worsening stomach discomfort in the right lower quadrant without nausea / vomiting, related to an irreducible lump. Computed tomography associated with the abdomen described a right inguinal hernia containing tiny bowel with perivisceral substance with it without signs and symptoms of little bowel occlusion nor perforation. A Richter ‘s femoral hernia with necrotic caecum wall ended up being found but the appendix was not included. Through a mini-laparotomy, tangential caecal resection and appendectomy were performed. The femoral defect was fixed with a polypropylene mesh-plug put in the pre-peritoneal space. Postoperative period was uneventful while the patient ended up being released regarding the fifth post-operative day. Femoral hernias account fully for only 2-4% of most crotch hernias and occur through a small fascial problem into the femoral channel. Due to its narrowness, it leads to a higher danger of incarceration and strangulation thus outlining the increased death in the disaster establishing (up to 10 fold weighed against the optional restoration). In some instances, symptoms are no specific and uncommon findings have-been reported. Medical research is required when you look at the presence of signs and symptoms of bowel strangulation or perforation and different approaches (either open or laparoscopically) happen described in literature.