scholarly journals Urinary fistulas after partial nephrectomy in renal cell carcinoma

2021 ◽  
Vol 9 (2) ◽  
pp. 111-124
Author(s):  
B. G. Guliev
Keyword(s):  
Partial Nephrectomy ◽  
Percutaneous Injection ◽  
Main Method ◽  
Prevention And Treatment ◽  
Pelvicalyceal System ◽  
Urinary Fistulas ◽  
Ureteral Stenting ◽  
Urine Leakage ◽  
High Blood Loss

Urinary fistulas after partial nephrectomy are rare complications of this operation. There are various reasons for their development, prevention and treatment. This review analyzes the results of the cases' prevalence of urine leakage after partial nephrectomy with various approaches, occurrence's predictors of urinary fistulas, possible ways of their intraoperative prevention and treatment methods. The obtained data show that the size of tumors, their endophytic nature and proximity to the kidney pelvicalyceal system, as well as suturing of its defect, can be predictors of the development of urinary fistulas (UFs). Some authors point to the influence of long ischemia time and high blood loss on the occurrence of UFs. The main method of treating UFs is ureteral stenting or percutaneous drainage of the kidney pelvicalyceal system. For long-term persistent UFs, the method of choice can be simultaneous introduction of 2 stents, retrograde or percutaneous injection of fibrin glue, percutaneous cryoablation of the UFs.

scholarly journals Combined assessment of long-term functional and oncologic outcomes after robot-assisted partial nephrectomy: The ROMe’s score

2020 ◽  
Vol 19 ◽  
pp. e225-e226
Author(s):  
A. Brassetti ◽  
U. Anceschi ◽  
R. Bertolo ◽  
S. Guaglianone ◽  
M. Ferriero ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Oncologic Outcomes ◽  
Robot Assisted

Robot‐assisted partial nephrectomy for high‐complexity tumors (PADUA score ≥10): Perioperative, long‐term functional and oncologic outcomes

2021 ◽  
Author(s):  
Periklis Koukourikis ◽  
Ali Abdullah Alqahtani ◽  
Ahmad Almujalhem ◽  
Jongsoo Lee ◽  
Woong Kyu Han ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Oncologic Outcomes ◽  
High Complexity ◽  
Robot Assisted

scholarly journals Acute graft-versus-host disease: a bench-to-bedside update

Blood ◽  
2014 ◽  
Vol 124 (3) ◽  
pp. 363-373 ◽  
Author(s):  
Shernan G. Holtan ◽  
Marcelo Pasquini ◽  
Daniel J. Weisdorf
Keyword(s):  
Small Molecules ◽  
Graft Versus Host Disease ◽  
Host Disease ◽  
Multiple Modalities ◽  
Graft Versus Host ◽  
The Past ◽  
Prevention And Treatment ◽  
Near Future ◽  
Acute Graft

Abstract Over the past 5 years, many novel approaches to early diagnosis, prevention, and treatment of acute graft-versus-host disease (aGVHD) have been translated from the bench to the bedside. In this review, we highlight recent discoveries in the context of current aGVHD care. The most significant innovations that have already reached the clinic are prophylaxis strategies based upon a refinement of our understanding of key sensors, effectors, suppressors of the immune alloreactive response, and the resultant tissue damage from the aGVHD inflammatory cascade. In the near future, aGVHD prevention and treatment will likely involve multiple modalities, including small molecules regulating immunologic checkpoints, enhancement of suppressor cytokines and cellular subsets, modulation of the microbiota, graft manipulation, and other donor-based prophylaxis strategies. Despite long-term efforts, major challenges in treatment of established aGVHD still remain. Resolution of inflammation and facilitation of rapid immune reconstitution in those with only a limited response to corticosteroids is a research arena that remains rife with opportunity and urgent clinical need.

Main approaches to treatment of hypoxia in acute respiratory distress syndrome, bacterial and viral pneumonia (part III)

2021 ◽  
pp. 38-55
Author(s):  
A. V. Vlasenko ◽  
E. A. Evdokimov ◽  
E. P. Rodionov
Keyword(s):  
Respiratory Failure ◽  
Distress Syndrome ◽  
Experimental Studies ◽  
Viral Pneumonia ◽  
Medical Technologies ◽  
Clinical Observations ◽  
Wide Range ◽  
Prevention And Treatment ◽  
High Degree

The paper summarizes data on modern approaches to the diagnosis, prevention and treatment of severe acute parenchymal respiratory failure of various origins, including ARDS due to bacterial viral pneumonia. The work is based on the data of modern well-organized studies, analysis of international clinical guidelines with a high degree of evidence, as well as the results of our own long-term experimental studies and clinical observations of the treatment of patients with ARDS of various origins, including viral pneumonia of 2009, 2016, 2020. Scientifically grounded algorithms for prevention, differential diagnosis and personalized therapy of severe acute respiratory failure using innovative medical technologies and a wide range of respiratory and adjuvant treatment methods have been formulated. The authors tried to adapt as much as possible the existing current recommendations for the daily clinical practice of anesthesiologists and resuscitators.

scholarly journals Long-term response to renal ischaemia in the human kidney after partial nephrectomy: results from a prospective clinical trial

2015 ◽  
Vol 117 (5) ◽  
pp. 766-774 ◽  
Author(s):  
George J.S. Kallingal ◽  
Joel M. Weinberg ◽  
Isildinha M. Reis ◽  
Avinash Nehra ◽  
Manjeri A. Venkatachalam ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Partial Nephrectomy ◽  
Human Kidney ◽  
Prospective Clinical Trial ◽  
Renal Ischaemia ◽  
Term Response
Sign in / Sign up

Export Citation Format

Share Document