Percutaneous approach of leiomyoma of renal pelvis

2017 ◽  
Vol 16 (9) ◽  
pp. e2619
Author(s):  
L. Ladaria Sureda ◽  
E. Pieras Ayala ◽  
J. Brugarolas Rossello ◽  
X.A. Sabate Arroyo ◽  
J. Guimera Garcia ◽  
...  
2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Ladaria Sureda L ◽  
Brugarolas Rossello J ◽  
Tubau Vidana V ◽  
Piza Reus P ◽  
Pieras Ayala E

2001 ◽  
Vol 15 (4) ◽  
pp. 377-383 ◽  
Author(s):  
Evangelos N. Liatsikos ◽  
Caner Z. Dinlenc ◽  
Rakesh Kapoor ◽  
Arthur D. Smith

2013 ◽  
Vol 2 (4) ◽  
pp. 413 ◽  
Author(s):  
Bryce Weber ◽  
Theresa J. McCallum ◽  
John Tulip ◽  
Ronald B. Moore

We evaluated the clinical effects of the Zeiss OPMILAS (Oberkochen, Germany) multi–yttrium–aluminum–garnet (YAG) laser in the treatment of renal pelvic tumours as an alternative to nephroureterectomy. Four patients with evidence of transitional cell carcinoma (TCC) in the renal pelvis and a previous history of TCC of the bladder or opposite renal pelvis were treated with the Zeiss OPMILASmulti-YAG laser. Three patients underwent a retrograde ureteroscopic approach and 1 patient required percutaneous resection. Two wave lengths were used:1060 nm continuous coagulative mode and 1440 nm pulsed ablative mode. The patients were followed for 12, 24, 76 and 84 months, respectively. Two patients showed no evidence of recurrence as determined by cystoscopy, retrograde pyelography and selective pelvic urine cytology. One patient experienced a recurrence of TCC requiring subsequent treatment. The ureteroscopic approach was associated with fewer complications and a more rapid recovery, compared with the percutaneous approach. All patients with solitary kidneys avoided dialysis.


1981 ◽  
Vol 74 (1) ◽  
pp. 31-33 ◽  
Author(s):  
MICHAEL S. HAY ◽  
MORTEZA K. ELYADERANI ◽  
JOHN A. BELIS

2007 ◽  
Vol 177 (4S) ◽  
pp. 139-139
Author(s):  
Yun Seob Song ◽  
Kang Su Cho ◽  
Jong Hyun Yun ◽  
Kim Sun ◽  
Se Joong Kim ◽  
...  

Skull Base ◽  
2009 ◽  
Vol 19 (03) ◽  
Author(s):  
Jorge Alvernia ◽  
Nguyen Dang ◽  
Patrick Mertens ◽  
Marc Sindou ◽  
Miguel Melgar

2020 ◽  
Vol 21 (2) ◽  
pp. 120-126
Author(s):  
Alamgir Md ◽  
Karim Km Monwarul ◽  
Nandy SP ◽  
Md Monwar Ul Haque ◽  
Sakhawat Mahmud Khan

Objective: The aim of the study was to compare the endoscopic versus percutaneous approach (blind) to control the obturator jerk in patients undergoing transurethral resection of bladder tumors under spinal anesthesia. Materials and methods: A prospective observational study was performed in Department of Urology, Chittagong Medical College, Chittagong and some Private Hospitals (Ltd.) in Chittagong city during the period from January 2016 to June 2016. Total 100 patients were grouped into two, on alternate basis. Fifty(50) patients in group- A conducted with endoscopic infiltration with 20ml of injection 2% lignocaine at the bladder tumor base and another 50 patients in group-B, conducted with blind percutaneous technique with same drug and volume ( 20ml inj.2% lignocaine) to control obturator jerk. Severity of obturator jerk in both procedure, percentage of complete resection, ONB procedure related time, ONB procedure related complications and surgeon’s satisfaction level were recorded and compared between two approaches. Chi-square analysis was performed to compare the ease of approach and outcome of the two techniques. A value of P<0.05 was considered statistically significant. Results: The mean age of the patients were 59.44+7.681. In group-A, 50 patients were given inj. 2% lignocaine endoscopically at the bladder tumor base to control obturator jerk. Twenty five patients (50%) had no jerk, 20 patients(40%) developed mild jerk and 5 patients (10%) developed moderate jerk and no patients developed severe jerk. Second attempt was taken in moderate jerk patients (5 patients) and succeeded in 3(6%) patients. So, in this group, complete resection of bladder tumor was possible in 96%. In group B, complete resection of bladder tumor was possible in 84%. Statistical analysis was done and result is significant in case of endoscopic procedure to control obturator jerk(p<0.05). ONB Procedure related time was <20 mins. in 32(64%) patients in group-A and 45 (90%) patients in group- B. 20 mins. or more time was required for 18 (36%) patients in group-A and 5 (10%) patients in group-B. Statistical analysis was done and result is significant in percutaneous (blind) technique (p<0.05). ONB procedure related complications in group-A and Group –B were noted. Statistical analysis was done and result is insignificant (p>0.05). Surgeons satisfaction level were recorded on the basis of obturator jerk block and complete resection and which was statistically significant in favour of endoscopy group (p<0.05). Conclusion: It is concluded that endoscopic injection of 2% lignocaine into the bladder tumor base is better in case of jerk elimination and complete resection than blind percutaneous approach. Though, ONB procedure related time was significantly less in percutaneous group. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.120-126


2009 ◽  
Vol 4 (1) ◽  
pp. 70
Author(s):  
Chen Shao-Liang ◽  
Imad Sheiban ◽  
◽  

Coronary bifurcation lesions represent an area of ongoing challenges in interventional cardiology, mainly due to the higher rate of residual stenosis and restenosis at the side branch ostium. Multiple two-stent bifurcation strategies, including T-stenting, V-stenting, simultaneuos kissing stenting, culotte stenting and classic crush techniques, have no advantages over one-stent techniques. This led to provisional stenting being considered as a mainstream approach, based on the results of numerous randomised trials. Dedicated bifurcation stents have been designed specifically to treat coronary bifurcations with the aim of addressing some of the shortcomings of the conventional percutaneous approach and facilitating the provisional approach. The development of more drug-eluting platforms and larger studies with control groups demonstrating their clinical applicability, efficacy and safety are required before these stents are widely incorporated into daily practice.


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