RESUMO
The use of minimal invasive surgery in urology continue to increase. Retroperitoneoscopic approach in performing minimal invasive surgery of retroperitoneum shortens the duration of operation in comparison with transabdominal approach, with minimal risk of intraabdominal complications. We described the use of the retroperitoneoscopic approach to the upper pole of a kidney for marsupialization of a symptomatic renal cyst. The procedure was minimally traumatic, morbidity was negligible and the patient was discharged from the hospital the third day after the operation. We believe that retroperitoneoscopic management of giant symptomatic renal cysts will be applicable, together with other existing methods.
Assuntos
Doenças Renais Císticas/cirurgia , Laparoscopia/métodos , Idoso , Feminino , HumanosRESUMO
A review of 465 persons wounded during the war in Sisak, Croatia, is presented. The nature of injuries are listed as follows: 337 persons were wounded by fire arms, 120 by beating or falling, 4 by knife, 3 by low temperature and 1 person was injured by high temperature. Of 465 injured patients 7 were dead at the time of admission to the hospital and the other 6 died within one hour of arrival. Special surgical care was necessary for 17 persons and it was provided in Zagreb. Of particular interest was the treatment of the large skin defects caused by high velocity small missiles. The authors emphasize the importance of accurate and adequate stage-treatment which begins immediately on the battleline and proceeds in the ambulance and hospital.
