[Bleeding control in stab wounds to the great vessels at the neck base]. / Controlul hemoragiei în leziunile vaselor mari de la baza gâtului produse prin arme albe.

Stab wounds of the neck are a great challenge for every surgeon. Approximately 25% of penetrating neck injuries results in a vascular lesion. Wounds being situated below the cricoid cartilage are associated with the great mortality and morbidity, having a global mortality between 12-20%. 2/3 of the vascular wounds at this level have a tragic end. We are going to present 3 cases of cervical stab wounds in zone 1 of the neck, with vascular lesions, in which we succeeded to control the hemorrhages throw a midline sternotomy combined with different extensions. After this small experience we think that in patients with wounds situated in zone 1 of the neck, who reach the hospital hemodynamically unstable or with active bleeding, urgent midline sternotomy combined with cervicotomy, or section of the clavicle, is the best way to control the hemorrhages. Using blunt digital dissection we can avoid unpleasant situations that can appear using instrumental dissection into the mediastinal hematoma.

[Bifocal non-union of the forearm as of consequence of an open fracture type 3 B - a case report]. / Pseudartroza bifocala de antebrat secundara fracturii deschise cu leziuni de parti moi tip III B.

We present a 26-year old patient who suffered an accident while at work, his forearm being almost completely separated because of an electrical circular saw. Admitted at our hospital 8 hours after the accident occurred the forearm was temporarily stabilized by means of k-wires and the radial artery and vein as well as the median nerve were anastomosed.