Laparoscopic treatment of retroperitoneal fibrosis.
[Laparoscopic treatment of retroperitoneal fibrosis.] Arch Esp Urol. 2017 May;70(4):468-474 Authors: Hernández Fernández C, Subirá Rios D, Moralejo Gárate M, Rodríguez Fernández E, Caño Velasco J, Herranz Amo F Abstract OBJECTIVES: Retroperitoneal fibrosis is a disease that may condition a severe involvement of various organs, mainly upper urinary tract, even causing renal insufficiency. It was first described by Albarran in 1905 and it is also known as Ormonds disease. The correct diagnosis includes, in many cases, the performance of one or more tests: CT scan, MRI, renal scan, etc. It is often necessary the insertion of double J catheters on percutaneous nephrostomy tubes with the aim to preserve renal function. Initial treatment is medical, based on corticoids, and , less frequent, immunosuppressive or chemotherapy drugs. Surgery is the treatment of choice when ureteral entrapment by the fibrous plaque is not solved with medical treatment. Such operation may be performed with a conventional open approach (laparotomy) or by pure, hand assisted laparoscopic surgery, or robotic surgery. In all cases, the technique involves freeing the ureters from the fibrous plaque that entraps them, leaving them intraperitoneal, and it is recommendable to wrap them with an omental flap. The implantation of minimally invasive techniques has made that, in groups with experience in laparoscopy, open surgery is being abandone...
CONCLUSION: HALS is a versatile, minimally invasive technique, which is independent of the patient's BMI, for performing a colorectal resection. PMID: 28932720 [PubMed]
It’s down to just four companies in the 2017 MedTech Innovator $500K Competition, whittled down from a field of almost 600 companies. The finalists, which emerged from the 20-company MedTech Innovator Accelerator, will vie for the top prize next week. Representatives from each company will pitch to an audience and judging panel during a session at The MedTech Conference in San Jose, CA on September 26. The panel of judges, which includes leaders from Johnson &Johnson, Baxter Ventures, Becton Dickinson, and Kaiser Permanente Ventures, will ask questions before the session audience casts their votes. The medical te...
We report the case of a 14-year-old female patient who presented with headache and a mass that had been growing in the left frontoparietal region for six months. We describe the findings on conventional radiography, computed tomography, and magnetic resonance imaging.Osteossarcomas que se originam dos ossos craniofaciais correspondem a apenas 5-10% dos casos. Neste artigo relatamos caso de uma paciente de 14 anos de idade com quadro de cefaleia e crescimento de massa tumoral na regi ão frontoparietal esquerda com evolução de seis meses. São descritos os achados na radiografia simples, tomografia...
To evaluate the factors that may affect the efficacy and safety of ureteroscopy with holmium:YAG (Ho:YAG) laser lithotripsy in the management of ureteral stones in preschool children.
A growing body of evidence suggest it is safe to ligate the ureter of poorly functioning renal moieties during renal transplantation. Herein, we present clinical outcomes and data on hydronephrosis progression in pediatric cases associated with ectopic ureters and obstructive ureteroceles.
Conclusions Encrustation of retained stents is a preventable phenomenon which can lead to significant morbidity. Indwelling time and history of stone disease are predictive of degree of encrustation. Upper coil encrustation increases complexity of management, more often requiring multiple procedures.
Conclusions Long-term follow-up of percutaneous renal cryoablation demonstrates low recurrence rates with preserved renal function, even for patients with high nephrometry scores and body mass index, assuming thorough cytotoxic technique and protection measures.
The above-mentioned article has the following corrections.
Conclusions Kidney measures, particularly proteinuria, were associated with increased incidence of cancer. Future studies are needed to better understand the pathophysiologic mechanisms underlying these associations.
Conclusion Today, a minimally invasive approach with stenting is the method of choice in the sequential, urgent management of a potentially life-threatening uretero-iliac fistula in the presence of arterial endoluminal bleeding and an imminent haemorrhagic shock. PMID: 28931184 [PubMed - as supplied by publisher]