No abstract

Aim Endoscopic plication could develop excessive midline tension that could increase recurrence rate in patients with severe rectus diastasis (SRD). New minimally invasive endoscopic repair (FESSA technique)(FT) was proposed to corrects both pathologies. Aim: assess clinical results, postoperative pain, functional recovery and recurrence of FT compared to endoscopic anterior rectus sheaths plication and mesh (ARSP). Patients and Methods male patients with ventral/incisional hernia and SRD were included. 2017–2019 patient underwent to ARSP. 2019–2020 patients underwent to FT. data: Defect and diastasis width and length. Surgical results: Operation time, Intraoperative complications, Hospital stay,Postoperative complications,Pain on 1th/7th/30th days, Functional recovery, Hernia recurrence. Statistic variables were compared using nonparametric tests. Results 53 patients were included. 28 patients underwent FT and 25 to ARSP. operative time: 70 +/-9 min in FT, 55+/- 7 min in ARSP with significant differences.Hospital stay:1.4+/- 0,5 days for FT and 2,08+/-0,5 for ARSP with significant differences. one postoperative subcutaneous hematoma, requiring surgical removal (2%) in ARSP. Pain at postoperative day 1:21+/2 in FT and 25 +/-2 in ARSP without differences. Pain after 7 and 30 days,significant improvement were shown in favor of FT. functional recovery at 1 month: 17,8 +/-2,4 in FT and 27,8 +/-3,3 in ARSP with significant improvement in FT. recurrence after 24 months: 1 patient in FT (3.6%) and 9 patient in ARSP(36.0%) with significant differences. Conclusions Minimally invasive endoscopic Anterior rectus sheaths plication with mesh in SRD and midline hernias, shows higher recurrence rate, postoperative pain and worse functional recovery due to probably excessive midline tension.

No abstract

Background: Sudden cardiac death is one of the main issues worldwide. It is strongly believed that the implementation of "Kids Save Lives" project in schools can change this situation. The World Health Organization endorsed the 'Kids Save Lives' project in 2015 in order to reduce mortality, while in countries, where children were taught cardiopulmonary resuscitation (CPR) in schools, have higher rates of bystander CPR and higher survival rates.Purpose: To evaluate the level of theoretical knowledge of secondary school students on the subject of Basic life Support before and after a "Kids Save Lives" program and to compare the results after the first and second year of implementation.Material -method: Data collection took place on the academic periods of 2017-2018 and 2018-2019 and was performed in secondary schools. A total of 62 students participated on the "Kids save Lives" program in both academic periods. A 12-question questionnaire was answered by the students before and after the program. The same programme was performed one year later and the same questionnaire was given to students in order to fill it again before and just after the course Results:The training improves significantly the theoretical knowledge regarding CPR) with the percentage of correct answers being 54.6% and 73.5%, before and after the first year course respectively (p < 0.001). One year later, students not only retain their knowledge before the course (72% correct answers), but also improve their performance (91.94% correct answers, p < 0.001) after the course.Conclusions: The overall results strongly depict the benefits of "Kids Save Lives" program by improving the theoretical knowledge. The course should performed for at least 2 years in order to attain optimal results of theoretical knowledge. Further research is needed to identify the times a student must follow the program to maximize its effectiveness