NEFROLITOTOMIA PERCUTANEA EPUB

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Epub Dec 7. Departamento de Urología, Hospital Universitario Ramón y Cajal, Madrid, España. Context And Objectives: The first-line treatment for >2cm. nefrolitotomia percutanea pdf to excel. Quote. Postby Just» Tue Apr 16, 20 am. Looking for nefrolitotomia percutanea pdf to excel. Will be grateful for. Se determinó la incidencia y composiciones de piedras metabólicos sometidos nefrolitotomía percutánea (NLP) VT Jaime Landman Irvine. Vol. Todas las .


Nefrolitotomia Percutanea Epub

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CÁLCULOS RENALES. Percutánea Nefrolitotomía o nefrolitotripsia para los. Cálculos Renales En nefrolitotomía percutánea o nefrolitotripsia, el cirujano hace . Resumen. Dentro de las alternativas terapéuticas disponibles para el tratamiento de la litiasis renal de polo inferior se encuentran la litotricia. Article Information, PDF download for Nefrolitotomia Percutanea E Ostruzioni Delle Vie Escretrici Superiori · Open epub for Nefrolitotomia.

Method: A descriptive study was carried out in a series of cases for evaluation of technology, from January to May in the Transplant Service of the Institute of Nephrology. Universe consisted of 51 patients from a living or cadaveric donor. Creatinine levels were taken into account during the first, third and sixth months after transplantation. The default limit of follow-up was until May 31, , which establishes a maximum observation period of 17 months, which was taken as reference in the survival study.

With this date the state of last news of the renal graft and the free interval of acute rejection was determined. Results: patients between 40 and 59 years old The most commonly used type of induction was the thymoglobulin scheme. Conclusions: the therapeutic results were good, low rates of infection and acute rejection were found, with adequate graft and patient survival, with comparable results with both types of induction.

Key words: Renal transplantation; induction; thymoglobulin; basiliximab; immunosuppressants. No se emplearon esquemas libres de esteroides. Las variables cualitativas fueron resumidas con frecuencias absolutas y relativas. La tasa de ingresos por infecciones Fig.

nefrolitotomia percutanea pdf to excel

La tasa estimada de rechazo agudo en los trasplantados renales Fig. No se diagnosticaron episodios de rechazo agudo vascular Banff II o III , ni biopsias con sospecha de rechazo humoral agudo con C4d positivo.

El tipo de donante es uno de los factores considerados predictores del resultado a mediano y largo plazo del trasplante renal. After second-look PCNL residual stone was still not cleared because it was unreachable through the tract established and the patient was discharged without Nephrostomy and with the ureteral stent, with the plan of performing Retrograde intrarenal surgery RIRS in weeks.

Haemoglobin, Haematocrit and the renal function were normal. At the 7th day after PCNL no leakage was detected from the percutaneous tract, but the patient started to complain about flank discomfort and fever. Imaging showed a 6 cm lower-pole subcapsular collection. After 3 day of conservative management with antibiotics, the sub capsular collection did not resolve and a percutaneous 6 Fr mono-j drainage in the collection was placed.

Drain output was at first purulent and evolved into urine throughout the following days. Drain urine culture was positive for E.

Coli infection and Carbapenemic targeted antibiotic was offered to the patient. Results Collection drained about cc in 7 days and the drain was removed when the output was less than 10 cc per day. No late complications were reported and RIRS was scheduled in 1 month to clear the residual stone. Discussions Improvement of surgical care demands transparent, consistent, and accurate reporting of surgical outcomes that are evaluated and documented in a standardised manner.

A Categorisation of percutaneous nephrolithotomy-specific complications according to Clavien classification score based on expert opinions collected from 74 urologists via an international survey has mentioned most of the PCNL complication and relative management. In the Clavien-Dindo classification it may be located at 3b category, because its resolution needed a radiological intervention under local anaesthesia.

The subcapsular collection did not resolve spontaneously because an internal fistula between the damaged calix and the subcapsular space supplying the collection had been established. The second-look PCNL irrigation without an Amplatz sheath probably plumped the collection through the fistulous small path, although it was carried out one week later when the tract should be mature enough and the calix rupture healed.

Usually, the collection should shrink without further management when the collecting system is adequately drained by the stent after nephrostomy removal. That was not the case because the tract sealed quickly and the subcapsular collection continued being supplied by urine extravasation despite the double J placement.

After 7 days the patient became symptomatic as the collection augmented and evolved into an abscess. Another interesting aspect we observed was the complete absence of blood clots in the collection as it was not a result of a traumatic hematoma, but rather a urine extravasation supplied by the second-look PCNL irrigation.

Conclusion To our knowledge and experience the aforementioned complication is very uncommon and dreadful. Prompt detection and minivasive management may be resolutive. Reference 1. The percutaneous nephrolithotomy global study: classification of complications. J Endourol. Supine Valdivia and modified lithotomy position for simultaneous anterograde and retrograde endourological access. BJU Int.

Krupski TL. Standardization of reporting surgical complication. Are we ready? J Urol ;—2.

Categorisation of complications and validation of the Clavien score for percutaneous nephrolithotomy. Eur Urol.

Ruffo1, G. Di Lauro1, F. Trama2, L. Romis1, G. Romeo2, G. Celentano2, E. Maisto2, A. Russo2, F. It is more common in young adults, but can affect any age. It is characterized by atrophy of the epidermis. LS affects especially the genital mucosa. The disease can give: itching of the glans and penis, trauma during intercourse, difficulty in preputial mobility, erectile dysfunction, phimosis and paraphimosis and furthermore can lead to urethral stricture [1].

Materials and Methods From January to February 10 patients pts with LS and urethral stricture were enrolled for this study. Patient mean was age 45 years. All of the patients underwent physical examination, uroflowmetry, retrograde and voiding urethrography in order to evaluate the stricture.

Mean stricture length was 3. When the stricture affected the navicular urethra it was used a labial graft for its minor thickness. A midline longitudinal incision was made along the penile skin ventrally. The penile urethra was exposed with minimal dissection. The urethra was opened along its ventral surface under the guidance of the guide wire, previously inserted.

The urethra is spatulated up to 3 cm into normal caliber and pink urethral mucosa. The entire urethral plate affected by the LS was removed. Then the buccal mucosa graft was suteured on the urethral plate with two lateral running sutures and many single stiches on the whole graft in 5. Second-stage procedure was carried out at 6 months from the first procedures in order to have a soft urethra and relaxed scar tissues. The neo-urethra is incised laterally and tubularized with 5.

The glans was reconstruct on the tubularized urethra. Dartos fascia and skin were closed. A sovrapubic catheter and a 10 Fr urethral stent were inserted and left for two weeks post-operatively. Pts were discharged from the clinic 2 days after surgery.

Results At 3 months follow-up after the second stage all pts underwent uroflowmetry in order to assess the voiding. Two pts needed calibration with Nelaton catheter 16 Fr.

One patient underwent surgery with buccal mucosa graft. All Pts were satisfied with the result of the surgery. Discussions In pts with penile strictures caused by LS, the penis is fully involved in the disease : glans, meatus, skin, fibrotic dartos.

For these pts one-stage repair would be risky, having a poor chance of success. For this reason it is recommended the two-stage repair [2]. At moment buccal mucosa graft is the best tissue to replace the urethra Conclusion Penile urethroplasty is a complex procedure with high risk of insuccess so it should be perfomed only by surgeon specialized in genital reconstructive surgery. This procedure is the only technique that can treat LS and penile strictures.

Management of Panurethral Stricture. Urol Clin North Am. Treatment of long anterior urethral stricture associated to lichen sclerosus. Actas Urol Esp.

Inviato da: inca67 hotmail. Incarbone1, V. Matei1, M. Ferro1, O. Several risk factors have been identified in poorly vascularized tissue between the urethra neobladder anastomosis and anterior vaginal wall on the suture line proximity and in the damage to the anterior vaginal wall during dissection The technique that we are going to describe was introduced by Dr Heinrich Martius in in African women with vescico-urethral-fistula caused of a long labor time after recurrence with poor functional outcomes.

This kind of flap has been used for urogyncological fistulae and less frequently for rectovaginal fistulae Generally, the surgical approach, depending on the complexity of the cause and the localization of the fistulae. There are various techniques repair that can be considered like gracile muscle flaps, trans abdominal omentum flap, transperineal and transvaginal approaches or fistula plugs 12,13 and can be performed opening, lapharoscopy or Robot assisted.

Healthy tissue transfer is important more that the tecnique for a good outcome of complex fistulae especially for clinical patients history.

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For low fistulae, when rectal, perineal or vaginal approach is planned, Martius flap become an excellent choice being in close proximity of the operation field Materials and Methods We report a small collection of 2 patients with VVF after orthotopic urinary diversion. The first one is a patient 66 years old who received the Martius flap after previously transvaginal approach for anterior vaginal wall fistula with neo-bladder urethra anastomosis with a double wall layer repair.

The recurrence occurred after 3 months and in the same side and the fistula size was 1. The second is a patient 62 years old received a Martius flap like first step for laterally vagina fistula wall with neo-bladder urethral anastomosis with size of 1cm.

In both cases anterior vagina wall was sacrificed during radical open cystectomy and the posterior wall was folded anteriorly and anastomosed to the margin of vagina resection.

Results The patients independently of previously transvaginal surgical approach were dry after removal catheter in 15th day. A cystoscopy and cystography performed after two months were without evidence of recurrence.

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At an average of Conclusion We think that anterior approach of the neo-bladder vagina fistula using the Martius flap represents the less invasive and feasible technique that can be employed with minimally morbidity especially compared to gracile muscle flap or abdominal approach. We suggest this technique before to plane ad abdominal approach. Particular indication can be considered in all patients with poor outcome or actinic tissue damage because the bulbocavernosus muscle provides with a good drainage of the local secretion and in same time supplied an appropriate blood and lymphatic support.

J Gastrointest Surg ; Int J Colorectal Dis ; Dis Colon Rectum ; Boronow RC: Repair of radiation-induced rectovaginal fistula utilizing the Martius technique. World J Surg ; Obstet Gynecol ; J Urol ; World J Urol ; BJU Int ; J Am Coll Surg ; Juan E. Closure of neobladder-vaginal fistula in patient with Studer neobladder using vaginal approach and interposition of Martius flap.

Urology Service. Maude E. Goldman,2 Courtenay K. Moore,2 Raymond R. Rackley,2 and Sandip P. Polara1, Z.

Ziv1, G. E' stata posta indicazione al trattamento laparoscopico del caso clinico. Attraverso cateterino ureterale preventivamente posizionato, si inietta indaco di carminio, con individuazione del collettore puntiforme del calice superiore, che viene suturato.

Segue prova di tenuta idraulica negativa. Le dimissioni sono state in II giornata dopo rimozione del drenaggio. L'ecografia di controllo a 3 mesi evidenzia assenza di ectasia calico pielica, in paziente asintomatico con urine abatteriche. Zukerman1, L.

Aresu1, G. I tempi operatori sono stati min, le perdite ematiche intraoperatorie ml. Lugnani1, L.. Misuraca1, M.

Ferriero1, V. Panebianco2, M. Los resultados se tabularon en tabla de Excel. Cistitis, se Then just wait until the conversion is complete and download the file. Il presente articolo descrive le varie fasi dell'intervento.

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Convert your XLS files right now — free! This will open the Object dialog box. Convert PDF to Excelt.At the 7th day after PCNL no leakage was detected from the percutaneous tract, but the patient started to complain about flank discomfort and fever. Cada fragmento de un clculo coraliforme debe eliminarse para evitar que la piedra de regresar. Rackley,2 and Sandip P. Long term outcome of ATG vs Basiliximab induction.

Treatment of sepsis is complicated by the high rate of multidrug-resistant bacteria within this population.

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