ABSTRACT
Ureteral obstruction following renal transplantation is not an uncommon complication. Open surgery has been the traditional approach. In recent years, retrograde endourologic techniques have been used to manage this complication with good results. In cases of failure of retrograde catheterization of the neomeatus, a percutaneous approach is employed. We present a new technique of pneumovesicoscopic ureterotomy in case of posttransplant ureteric stricture, with failure of retrograde catheterization. This simple, minimally invasive approach for these patients avoids transplant kidney puncture.
Subject(s)
Kidney Transplantation/adverse effects , Postoperative Complications/surgery , Ureteral Obstruction/surgery , Adult , Humans , Kidney Function Tests , Male , Middle Aged , Treatment Outcome , Ureteral Obstruction/etiology , Ureteral Obstruction/pathologySubject(s)
Carcinoma, Transitional Cell/complications , Fever/etiology , Leukemoid Reaction/etiology , Paraneoplastic Syndromes/etiology , Urinary Bladder Neoplasms/complications , Aged , Carcinoma, Transitional Cell/secondary , Carcinoma, Transitional Cell/surgery , Female , Fever/pathology , Fever/surgery , Humans , Leukemoid Reaction/pathology , Leukemoid Reaction/surgery , Paraneoplastic Syndromes/pathology , Paraneoplastic Syndromes/surgery , Prognosis , Tomography, X-Ray Computed , Urinary Bladder Neoplasms/pathology , Urinary Bladder Neoplasms/surgeryABSTRACT
We present a patient of tuberous sclerosis complex with bilateral renal angiomyolipoma and hepatic angiomyolipoma with spontaneous retroperitoneal hemorrhage from right angiomyolipoma (Wunderlich's syndrome). Nephron preserving approach was tried but the right kidney could not be salvaged. Hepatic angiomyolipoma was managed conservatively. Wunderlich's syndrome has been found in around 10% of cases of renal angiomyolipomas. Hepatic Angiomyolipoma is a benign mesenchymal neoplasm of the liver which is rarely reported in literature.
Subject(s)
Angiomyolipoma/complications , Hemorrhage/etiology , Kidney Diseases/etiology , Kidney Neoplasms/complications , Liver Neoplasms/complications , Tuberous Sclerosis/complications , Adult , Female , Humans , Retroperitoneal Space , SyndromeSubject(s)
Carcinoid Tumor/pathology , Pancreatic Neoplasms/pathology , Aged , Carcinoid Tumor/metabolism , Carcinoid Tumor/surgery , Digestive System Surgical Procedures , Humans , Immunohistochemistry , Male , Pancreatic Neoplasms/metabolism , Pancreatic Neoplasms/surgery , Tomography, X-Ray ComputedSubject(s)
Penis/injuries , Adult , Coitus , Hematoma/etiology , Humans , Magnetic Resonance Imaging , Male , Rupture/diagnosis , Rupture/etiology , Rupture/surgeryABSTRACT
BACKGROUND: Incisional hernia is a frequent complication of abdominal surgery. Various types of repair are recommended for incisional hernia. Suture and mesh repair are compared in the present study. METHOD: One hundred seventy one patients with incisional hernia underwent Cardiff repair (far and near sutures with reinforcement sutures) which was used as an open suture repair while onlay polypropylene mesh was used in the mesh repair technique. RESULT: Cardiff repair was performed in 116 patients with no mortality with recurrence in two patients with mean follow up of 7.1 years. Both these patients with recurrence had a defect measuring more than 10 cm in width. Mesh repair was carried out in 55 patients with no recurrence in mean follow up of 37 months. Seroma formation was noted in 7 (12.72%) with mesh repair as compared to 4 (3.44%) patients with Cardiff repair. CONCLUSION: We recommend Cardiff repair for primary and small to medium size incisional hernias. Onlay polypropylene mesh is ideal for tension-free hernia repair, recurrent incisional hernia and hernia defects wider than 10 cm.
