Intraperitoneal nebulization versus intraperitoneal instillation of ropivacaine for postoperative pain management following laparoscopic donor nephrectomy.

Conclusions: Intraperitoneal nebulization of ropivacaine reduced postoperative pain, fentanyl requirements, referred shoulder pain, PONV with earlier mobility but with no difference in duration of the hospital stay. PMID: 30987415 [PubMed - as supplied by publisher]
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

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Discussion and conclusionVascular leiomyomas do not show any aggressive behaviour. However, their growth tends to displace the normal viscera, causing pressure effects that may give rise to intractable pain. Vascular obstruction affects GFR and renal function. In our patient, despite a long period of growth, the tumour did not show any malignant changes. Tumour excision through radical nephrectomy resulted in symptomatic improvement in our patient. Since imaging alone does not distinguish a leiomyoma from its malignant counterpart with certainty, surgical excision may be warranted in all the cases.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 17 October 2019Source: Urology Case ReportsAuthor(s): Walid Smeoui, Ahmed Samet, Talel Touaiti, Nouri Rebai, Abderrazek Bouzouita, Mourad HadjslimèneAbstractA 52-year-old man with a history of right nephrectomy for a nonfunctioning kidney, consults after 22 years for fever with right lower abdominal pain. Surgical exploration was thereafter performed and the right ureteral stump was removed en bloc. Pathological examination of the right ureterectomy specimen revealed a significant acute and chronic ureteritis due to stone without any signs of malignancy. Owing to the low incidence ...
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
Renal vein aneurysms (RVA)s are uncommon entities, which are usually incidental findings or may cause mild non specific symptoms. Modern radiological imaging, mainly multi slice computerized tomography (CT), has substantially contributed to a prompt and accurate diagnosis. Treatment may range from watchful waiting to aneurysmorraphy, aneurysmectomy and nephrectomy. Potential complications include thrombosis, pulmonary embolism, pressure to other structures and rupture.Case: A 58-year-old male patient was admitted at the Emergency Department with abdominal pain.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
Abstract Kidney transplant is a choice option for treatment of chronic kidney failure because it is associated with cost-effective and normal quality of life. To increase the number of living kidney donors, laparoscopic and minimal invasive modalities have been introduced. Here, we present a case of a living donor with an extremely rare complication after laparoscopic donor nephrectomy that presented as massive chylous ascites. Kidney donor operation can be performed with the use of 3 modalities: traditional open, laparoscopic, and open with minimally invasive. All 3 modalities may be associated with some complica...
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - Category: Transplant Surgery Authors: Tags: Exp Clin Transplant Source Type: research
ConclusionThis case highlights the importance of proper surgical treatment and its role in the managing this type of malignancy especially in localized disease at presentation.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Conditions:   Opioid Use;   Kidney Diseases;   Pain, Postoperative;   Postoperative Complications;   Postoperative Nausea and Vomiting Interventions:   Procedure: multimodal pain management;   Other: goal directed fluid management;   Other: preoperative carbohydrate loading;   Procedure: Donor nephrectomy;   Procedure: regional anesthesia Sponsor:   Thomas Jefferson University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Abstract Background and objectives: Microwave thermal ablation (MWT) is one of the treatment options for kidney cancer. However, for patients over 70 years old the safety and oncological efficacy of this treatment is still controversial. The goal of this study was to compare MWT with open partial nephrectomy (OPN) and to find out whether MWT is preferable in maintaining patient renal function and reducing the risk of postoperative complications. Materials and Methods: Depending on the treatment choice, all patients were divided into two groups: an MWT group and an open kidney resection (OPN) group. Data have been ...
Source: Medicina (Kaunas) - Category: Universities & Medical Training Authors: Tags: Medicina (Kaunas) Source Type: research
We present a case of a 66-years-old man undergone sternal resection for a large painful metastasis. He was previously undergone left nephrectomy for clear cells carcinoma. En bloc resection of the sternal manubrium and right clavicle was performed, a Gore-Tex mesh was placed. Histology confirmed metastasis of kidney clear cells carcinoma. Patient was discharged with no complications and no pain. Chest CT at six months follow up was negative for recurrence.Discussion and conclusionWe highlighted the importance of surgery as possible first-line treatment in symptomatic large sternum metastasis. Therefore, prospective studies...
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionThis case highlights the importance of proper surgical treatment and its role in the managing this type of malignancy especially in localized disease at presentation.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
The patient is an 49-year-old male who was referred to our tertiary centre for management of a large left renal mass. He had been   evaluated elsewhere for vague left side abdominal pain and contrast enhanced computed tomography (CT) of his abdomen had revealed a large left renal mass with level III inferior vena caval (IVC) thrombus and regional adenopathy(Figure 1A,B). He denied any history of recent acute weight loss and h is body mass index was 26.4 Kg/m2.Review of the CT images showed that the left renal vein which had the tumour thrombus was retro-aortic in position .
Source: Urology - Category: Urology & Nephrology Authors: Tags: Invited grand rounds Source Type: research
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