Nano Microbial Cellulose (NMC) is one of the most effective biopolymer in treating the injury. It has many applications in medical field due to unique properties such as high water absorption, compatibility with body and transparency for medical examination. Accordingly, this research attempts to evaluate the characteristic of raw and purified microbial cellulose for medical usage. The chemical and physical structure of microbial cellulose layer was assessed by FTIR and XRD. In addition, water absorption, wettability and permeability of raw and purified microbial cellulose pellicle were investigated and SEM was applied for assessing the surface of nanocellulose pellicle. FTIR result confirmed the cellulosic structure of pellicle and XRD represented that the crystallinity of NMC was more than cotton (plant cellulose). The obtained result indicated that the amount of water absorption of purified layer is 10% less than raw layer but wettability of the treated layer is increased more than 50%. No permeability was representing against air pressure in raw and purified samples in wet and dry forms at 25 Pa. Therefore, applying purification treatment improved the NMC pellicle properties for modern wound dressing. © 2015 The Authors. Published by Elsevier Ltd. Peer-review under responsibility of the organizing committee of UFGNSM15.

Knowledge of pathophysiological basis of laparoscopic procedures, that is, the influence of CO2 pneumoperitoneum (PNP) on the body in particular, can prevent the complications during laparoscopy to occur. Standard intra-abdominal pressure (IAP), which is used during laparoscopic surgery, is 12-15 mm / Hg. The direct effect of CO2 pneumoperitoneum is a result of mechanical action of the gas and increasement of intra-abdominal pressure (IAP). The indirect effect of CO2 pneumoperitoneum is caused by the absorption of gas inserted into the abdomen. Analysis of published articles that assess the effects of CO2 pneumoperitoneum on the body and abdominal organs contributes to a better usage of the laparoscopic method. Different techniques in laparoscopy, created as an alternative to standard CO2-pneumoperitoneum, have the task to reduce the risks for patients with comorbidity and simultaneously raise the abdominal wall and allow the surgeon to perform smooth operation, which is especially important for ASA III and ASA IV patients. Alternative techniques can be divided into three groups: laparoscopy using pneumoperitoneum with low intra-abdominal pressure (up to 8 mm / Hg), laparoscopy using retractors abdominal wall and limited pneumoperitoneum, and laparoscopy without the use of gas (gasless laparoscopy; raising the abdominal wall retractor only ). Low insufflation pressure in the abdomen (up to 8 mm / Hg) is beneficial for patients with laparoscopic procedures and its routine usage in elderly patients and patients with severe cardiorespiratory diseases, should be common practice. Gasless laparoscopy was created because of the need to prevent the negative effects of increased intra-abdominal pressure on the body during laparoscopy, primarily in patients with high comorbidity (ASA III and ASA IV). When compared to other techniques, numerous studies prefer laparoscopy with low insufflation pressure, but in practice this is not done routinely, yet each technique is applied selectively, according to the needs and condition of the patient, which is the most appropriate. To avoid the side effects of CO2 pneumoperitoneum, which is important in high-risk patients, it is more likely to operate on low IAP (6-8 mm / Hg) or use gasless laparoscopy. This is especially important for long – duration operations. DOI: 10.7251/SMDEN1501066H (Scr Med 2015:46:66-72)

INTRODUCTION Primitive neuroectodermal tumor or Ewing's sarcoma is a tumor of undifferentiated small round cells that arise from the soft tissues, and is believed to be of neural origin. It occurs most often in children, followed by adolescents and young adults. CASE OUTLINE A case of a 24-year-old patient with ulcerostenosans Ewing's sarcoma of the initial part of the small intestine is presented in our paper. Reviewing the literature and using as an example the case of a female patient with signs of sideropenic anemia caused by primitive neuroectodermal tumor of the small intestine, an attempt was made to clarify the etiology, clinical presentation, diagnosis and therapy with the aim of its rapid detection and treatment. CONCLUSION Mesenteric primitive neuroectodermal tumor is a rare neoplasm in adults, while it usually occurs in children and young adults. Surgical resection of the lesions with the application of chemotherapy is the main form of treatment of patients suffering from this disease.

The prospective study, lasted from January 2010 to January 2015, covered the respondents treated for breast carcinoma. The respondents were divided into 2 groups. First group, group A (59 respondents), included the respondents where the tumour was found in diameter to 2 cm and were operated by breast-sparing surgery. Second group, group B (88 respondents), was consisted of respondents where the tumour was discovered in diameter over 2 cm and which breast amputated as part of a radical cancer surgery by Madden technique. The aim of this study is to analyse the effects of surgical treatment of breast carcinoma with different diameter and influence of tumour diameter on treatment outcome. The parameters for comparison of results were the number of relapses, the time elapsed from surgery to recurrence and treatment outcome. There were no significant differences between the two groups regarding the motives for attending breast examination. The incidence of carcinoma in the left or right breast also showed no statistical difference. It was found that the most common breast cancer is in women age between 50 and 70. It has been shown that breast carcinoma with diameter over 2 cm was significantly more frequent in women age of 71 to 80. Recurrent disease was registered in 3 cases in respondents from group A. Recurrence in group B was not registered. Lethal outcome was observed in group B in 4 cases, and in group A in 1 case, which proved to be statistically different.