ABSTRACT
Seventy-five patients, with uncomplicated benign prostatic hypertrophy referred for pre-prostatectomy assessment, were studied to determine whether renal tract ultrasound combined with plain films of kidney, ureters and bladder could provide an acceptable alternative to intravenous urography (IVU). All patients had both IVU and ultrasound. Bladder residual urine volumes were calculated by ultrasound measurements. Fifty-nine (78%) patients had normal IVU and ultrasound. Twelve (16%) had both abnormal IVU and abnormal ultrasound. Four (6%) had positive findings on one examination not detected on the other: two of these occurred with ultrasound and two with IVU. Measurement of residual volume of urine in the bladder by ultrasound and IVU is discussed. The combination of ultrasound and a plain radiograph of the urinary tract provides more information and should replace IVU in the preoperative assessment of patients with uncomplicated benign hypertrophy of the prostate.
Subject(s)
Prostatic Hyperplasia/surgery , Ultrasonography , Urologic Diseases/diagnosis , Aged , Aged, 80 and over , Humans , Male , Middle Aged , Preoperative Care , Prostatectomy , Prostatic Hyperplasia/complications , Urography , Urologic Diseases/complicationsABSTRACT
Eight years' experience with the brachiocephalic fistula for vascular access are reported. Eighty one fistulae were created in 77 patients. Forty one fistulae were created by an end to side anastomosis and 40 using a side to side technique. Overall patency was 70% at 1 year; 57% at 2 years; 50% at 3 years, which compares well with other secondary access procedures. Anastomotic configuration did not significantly affect fistula survival. Cardiac failure and arterial steal syndrome were significant problems with the side to side fistula. Two patients died from fistula complications; one exsanguinated at home from a cannulation site and another succumbed to high output cardiac failure. Infection was rare. The end to side brachiocephalic fistula is recommended as the secondary vascular access procedure of choice. It is a simple, reliable procedure which does not require graft implantation and preserves the saphenous vein, should tertiary access be required.
Subject(s)
Arteriovenous Shunt, Surgical/methods , Brachial Artery/surgery , Elbow/blood supply , Renal Dialysis/methods , Adolescent , Adult , Aged , Child , Female , Humans , Kidney Failure, Chronic/therapy , Male , Middle Aged , Postoperative Complications , Vascular Patency , Veins/surgeryABSTRACT
Sixty-six patients were reviewed after 70 therapeutic arthroscopy procedures. The procedures carried out included partial meniscectomy, removal of loose bodies, lateral release and synovial plica division. The commonest procedure performed was partial meniscectomy. The 32 patients undergoing arthroscopic meniscectomy were compared with a similar group of patients undergoing open meniscectomy as regards their duration of hospital stay, operation time and rehabilitation.
