[Laparoscopic ureteroneocystostomiya a modo Boari - hitch operative technique and results].

Objective: To present the first laparoscopsic ureteroneotsistostomies we have performed by the Boari methods - operative technique and results. Materials and Methods: We investigated 9 patients for a period of two years -from 2015 to 2016 year, 9 had had previous surgery, in 2 of them followed by radiotherapy (one man and one woman). The average age of the patients was 45 (29-61) years. Women in the study were 7, men - 2. We performed 9 laparoscopic operating procedures following the open operative technique of Boari. Results: All patients we have operated and who have no previous radiotherapy had excellent results - no hydronephrosis, recovering the kidney parenchyma and absence of reflux. In two patients who had undergone radiotherapy we had to perform an open procedure because of severe adhesions. Conclusions: The experience we have gained with open operative technique and the development of laparoscopic techniques allow us to look for more - often and less invasive methods of surgery. We have best results when indications for operative technique are strictly followed.

[Results of surgical treatment of five cases with phlegmon of the scrotum for the 2012-2015 period].

Phlegmon of the serotum is a severe form of suppurative inflammatory process, which causes are extremely various. For the 2012 - 2015 year period at the department of urology we had five cases of phlegmon of the scrotum, where incision was performed as well as debridement and drainage and the wound was closed with the available tissues of the scrotum. Aggressive debridement of all necrotic tissues and all fascial planes that were separating easily during the blunt dissection were excised until well vascularized tissue was reached. The wounds were left wide opened until the appearance of healthy granulation tissue and then assessment of their secondary closing. Tissues were sent for histological and microbiological assessment.

[First twelve cases of laparoscopic transperitonealis radical nephrectomy].

AIM: To introduce our experience, opportunities, complications and conclusions with our colegues about first twelve cases of laparoscopic transperitonealis radical nephrectomy. MATERIAL AND METHODS: For the period from 16.04.08 to 16.09.08 we made twelve laparoscopic transperitoneal radical nephrectomies. Seven males and five females age 48 to 81 have been operated. RESULTS: In two of these cases we made revision for bleeding. The other cases were without complications. CONCLUSION: The laparoscopic transperitoneal radical nephrectomy is the most perfect technic for the moment--because of the low bleeding and short postoperative period in the hospital it is a good method of choice.