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  • ISSN: 2373-9819
    Volume 5, Issue 4
    Case Report
    Mirian Paola Toniazzo* and Fernando Antonio Rangel Lopes Daudt
    Periodontal diseases have as their main etiology the bacterial biofilm. The continuous deposition of the biofilm in the gingival tooth region without adequate periodic removal initiates the inflammatory response of the host, causing gingivitis, depending on the host’s susceptibility, gingivitis progresses to a more severe form of periodontal disease, periodontitis, which manifests itself two different ways, with different diagnosis and treatment: chronic or aggressive periodontitis. Aggressive periodontitis is characterized as a disease of low prevalence and rapid progression, mainly affecting young and adults systemically healthy. It is observed the occurrence of severe insertion loss, with formation of deep periodontal pockets and bone destruction. It is also related to local factors such as plaque and calculus, and their presence is not compatible with the periodontal destruction found in many cases. The radiographic features are angular bone loss in the region of incisors and first molars being denominated localized and it can also affect all teeth of the buccal cavity and called generalized. Besides the susceptibility of the host and the most virulent microbiological aspects, aggressive periodontitis has an important factor in the diagnosis of familial aggregation.
    Pawel Legosz*, Roman Srubarski, Sylwia Sarzynska, and Pawel Maldyk
    Progress in oncology diagnostics and treatment results in systematic increase of survival rates in cancer. In women, the most common primary site of a neoplasm that metastasizes to bones is breast cancer and most commonly affected bone is proximal femur. This results in local weakening of the bone structure and, as a consequence, to pathological fractures that impairs the quality of life and may shorten the patient survival. However, if they are detected at an appropriately early stage, they can be treated much more successfully than other metastases. Well planned intervention of an orthopedic surgeon can prevent such fracture if the risk is diagnosed at an appropriately early stage. Surgical treatment of metastatic lesions is considered as palliative treatment and life expectancy is one of the criteria considered while selecting the treatment method. The selection of an implant and type of intervention will have their effects for many years, just as in patients receiving radical treatment. In summary, treatment of metastases limited to the femur/hip after a radical treatment of the breast cancer with good prognostic factors should be radical with curative intent. Resection of the metastatic tumor with a margin of healthy tissues and using an implant that provides an optimal perspective of long-term preservation of the extremity function and comfortable life should be a goal.
    Paul Dhinakaran, Krishna Prasad, Dinesh Kumar Sathanantham*, Sreeramulu PN, and Amal Abraham
    Incisional hernia represents a breakdown or loss of continuity of a fascial closure. It is one of the most frequent long term complications of abdominal surgeries. These hernias are of particular concern not only for the high recurrence rates among them but also for the challenges that follow their repair. It is known to occur in 11-23% of laparotomies. This paper presents one of the unusual complications of incisional hernia managed by the authors. One ruptured incisional hernia with evisceration of omentum. The patient with ruptured hernia and eviscerated gut presented immediately and was resuscitated and the hernia repaired with on lay pre-peritoneal polypropylene mesh. Incisional hernia can present with unusual complications. The management is very challenging. Good knowledge and skills are required to deal with this condition.
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