In such cases open thoracotomy is one of made use of method according towards the literature. We provide the way it is of an individual undergoing a postoperative correct hepatectomy for hepatoarcinoma that complicates with an additional biliary fistula then with a pleuro-biliary fistula with empyema, for which thoracoscopy is used within the therapy. the patient resolved the complication plus the pleural drainage ended up being eliminated 7 days later. thoracoscopy is a secure and efficient strategy into the remedy for this problem.thoracoscopy is a secure and efficient approach into the remedy for this complication.Objetivo Medición de la eficacia y relevamiento de las complicaciones asociadas a la a realización de traqueostomía percutánea (TP) guiada por videobroncoscopia en un hospital universitario de alta complejidad. Materiales y métodos Estudio observacional retrospectivo realizado entre mayo de 2017 y agosto de 2019. El criterio para la indicación de TP fue desvinculación prolongada de la ventilación mecánica en todos los casos. Incluyó pacientes mayores de 18 años en que se realizó TP electiva guiada por videobroncoscopia. Se registraron variables demográficas, APACHE II y días de ventilación mecánica previos a la TP. Los angeles eficacia del procedimiento fue evaluada en base a la tasa de éxito en la ejecución, la necesidad de conversión a técnica abierta. Asimismo, se registraron las complicaciones observadas. Resultados Se evaluaron 235 procedimientos (149 hombres y 86 mujeres) en pacientes con edad media de 61 años ± 19, un score APACHE II 18 ± 8. La TP pudo ser ejecutada en forma rápida y satisfactoria en todos los t can be achieved in intensive attention units with the lowest rate of problems. Following the World Health Organization (WHO) declared the COVID-19 outbreak, global measures had been implemented utilizing the purpose of containing its development. On March 20, 2020, the mandatory preventive quarantine began in Argentina. As a result of these activities, past researches orthopedic medicine carried out in the framework for this pandemic in China, show mental consequences. Because of this, we noticed that concern with COVID-19 was better in 55 to 59 yrs old people, with an abrupt drop above 70; that depressed feeling additionally the increased of alcohol consumption had been much more frequent in youngest topics, and that depressed mood has also been common among subjects who destroyed their particular jobs during quarantine. Eventually, we noticed an elevated level of agreement because of the quarantine measure, even yet in many people which suffered a decrease in their earnings higher than 80% during quarantine. These answers are ideal for obtaining information on threat groups biological targets , allowing specific preventive and therapeutic methods might be created.As a result, we observed that fear of COVID-19 had been better in 55 to 59 yrs old folks, with an abrupt drop above 70; that despondent state of mind and also the increased of alcohol consumption had been much more frequent in youngest subjects, and that despondent state of mind has also been frequent among subjects whom destroyed their particular tasks during quarantine. Eventually, we observed an increased degree of arrangement with the quarantine measure, even yet in some people whom suffered a decrease within their income more than 80% during quarantine. These results are useful for acquiring information regarding danger groups, allowing certain preventive and therapeutic strategies might be designed. Into the framework of the COVID-19 pandemic, WHO published considerations regarding individuals with handicaps. The goal of this work was to know if these considerations can be satisfied and in case you will find variations in their satisfaction between age groups. Descriptive research geared towards people with disabilities in Argentina. A study ended up being conducted in regards to the four Just who suggestions for this population in online mode, amongst the 28th and 39th times of preventive and compulsory personal isolation. Statistical analysis was in line with the nature regarding the factors, X2 with Fisher’s correction had been used check details to look for the differences when considering teams. 309 surveys were gathered from 18 provinces of Argentina. 230(74.4%[69.1-79.1]) were answered by caregivers and 79(25.5%[20.7-30.7]) by people with disabilities. Persons with handicaps had been 138(44.7%[39.0-50.4]) children and teenagers and 171(55.3%[49.5-60.9]) grownups and older grownups. Individuals with handicaps had the ability to adhere to the Just who tips regarding reducing experience of COVID-19 also to prepare yourself in the event of contracting it. There were problems when you look at the amount of caregivers required, since 266(66.6%[61.0-71.8]) have actually this possibility, and troubles in 55(32.1%[25.1-39.6]) grownups and older grownups that do not carry out educational-therapeutic activities. You will find emotions of anxiety, stress, or despair in people with disabilities and their particular caregivers. In Argentina, you can easily comply because of the that recommendations to prevent exposure to the virus also to prepare yourself in case there is illness. Difficulties continue to be to be solved in terms of associated individuals with disabilities in their actual and psychological state.In Argentina, you can easily comply with the WHO recommendations in order to avoid contact with the herpes virus also to be prepared in the event of illness.