ABSTRACT
Shoulder dislocation reflects a complete loss of contact between the humeral head and the glenoid cavity. It is a frequent pathology and is the most common dislocation in the body. More frequent in young adults with a clear male predominance, which can lead to a socio-professional and sporting handicap. The diagnosis of glenohumeral instability is most often clinical. Standard radiography is sufficient for bone assessment. Arthroscanner and arthro-irm are currently the most effective techniques for confirming the diagnosis, assessing the extent and severity of the lesions, and searching for associated lesions. The treatment is surgical, the LATARJET operation remains the gold standard of treatment of instability of the shoulder. It allows the recovery of joint mobility as well as satisfactory joint stability.

ABSTRACT
Crossed renal ectopia is a rare congenital anomaly, it was described by WILMER in 1938 [1], implies that one of the two kidneys sits on the contralateral side, the ureter of the ectopic kidney crosses the midline to meet in the bladder on the opposite side, the existence of a parenchymal fusion is frequent (85 to 90%). This anomaly is most often asymptomatic and discovered incidentally. We report the observation of a 21-year-old woman with a G1P1V1A0 obstetrical history (ATCD), presenting cross renal ectopia discovered fortuitously following pain in the right flank associated with palpation of an abdominal mass and to review the literature.

ABSTRACT
Hemostatic mechanisms are an integral a part of the human physiology. Traditionally divided into intrinsic and extrinsic arms, the coagulation cascade converges, through the interactions of the many various factors, at a standard element—thrombin. As a consequence, variety of various agents is developed to supplement this common, critical step to assist surgical hemostasis. Intraoperative interventions most ordinarily include sutures and heat-generating cautery devices; however, these methods are sometimes insufficient or inappropriate for a selected procedure or anatomic location, resulting in the event of other adjunctive therapies, including topical hemostats. Topical hemostatic agents generally act as active, passive, and combinations therapies, counting on their individual composition and mode of action. We offer a quick review of the traditional coagulation cascade, including critical points, followed by a discussion of surgical strategies and adjuctive therapies want to achieve surgical hemostasis and concluding with a discussion of topical thrombins.

ABSTRACT
Cannabis is one of the most present and easily accessible narcotics in the world. The responsibility of cannabis in these consumers in the occurrence of psychiatric and neuropsychiatric effects has been demonstrated by researchers for a long time, but in recent decades it has been indexed in the occurrence of somatic events, notably cardiovascular. We will report the case of a young patient aged 29, with no pathological history; hospitalized in the vascular surgery department of the CHU Hassan II for ischemic stroke and acute ischemia of the right upper limb after the consumption of cannabis. The etiological research of these clinical events orients us to direct the responsibility of cannabis whose consumption emerged during the anamnesis in our patient, after the elimination of all possible etiologies that may be responsible for the clinical events. This case highlights the possible involvement of cannabis in the occurrence of stroke and acute ischemia of the limb in a young subject without any cardiovascular risk factors. Note that the responsibility of cannabis in the occurrence of ischemic stroke is well known but its responsibility in the occurrence of acute limb ischemia has not been reported in any literature.

ABSTRACT
The placement of a central venous catheter is a life-saving gesture with multiple indications but it can be the cause of several complications including the migration of the metallic guide, in which we present a case that occurred in a 30-year-old patient; admitted to the emergency department for polytrauma following a road traffic accident. She benefited from the placement of a left femoral venous catheter for emergency intensive care; there was the migration of the guide wire during the insertion of the catheter. A control X-ray shows the presence of the guide wire from the inferior vena cava to the right internal jugular vein. Surgery was indicated employing a mini approach to the internal jugular vein to extract the guide.

ABSTRACT
Background: Mechanical bowel preparation (MBP) for elective available colorectal surgical procedure has been practiced as a clinical routine for many decades. However, earlier randomized medical trials (RCTs) and meta-analyses endorse that MBP ought to be deserted earlier than colorectal surgical treatment due to the fact of the futility in decreasing postoperative problems and motility. The new published outcomes from three RCTs evaluating MBP with no MBP in colorectal surgical treatment in 2010 make the updating of systemic overview and meta-analysis necessary. Objectives: The aim of this study is to assess the safety of colorectal surgery without mechanical bowel preparation. Methods: This is an observational study. The study used to be carried out in the admitted patient’s Department of Surgery Rajshahi Medical College Hospital, Rajshahi, Bangladesh. In Bangladesh for the duration of the period from June 2014 to May 2015. Results: This study shows that the according to age of 80 patients aged 20-above 51 years where, 4(10%) were 20-30 years, 10(25%) were 31-41 years, 10(25%) were 41-50 years, 16(40%) were 51 and above years in Group A, and 6(15%) were 20-30 years, 6(15%) were 31-40 years, 13(32.5%) were 41-50 years and 15(37.5%) were 51 and above years in Group B. And 28(70%) were males and 12(30%) were females in group A. And 27(67.5%) were males and 13(32.5%) were females in group B. Conclusions: Mechanical bowel preparation before elective colon and rectal surgery cannot prevent complications like anastomotic leakage, wound infection, intra-abdominal sepsis, abdominal abscess and extra abdominal complications.