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1.
Urologiia ; (3): 44-9, 2008.
Artigo em Russo | MEDLINE | ID: mdl-18669348

RESUMO

The article presents a comparative analysis of the results of extraperitoneoscopic and laparoscopic methods of internal seminal vein ligation in 90 varicocele patients (40 and 50 patients, respectively); describes insufficiently known method--extraperitoneoscopic operations. The working space in the prevesical space is created by direct introduction of trocars with optics into the prevesical space without any additional tools. The operations took the same time. Laparoscopic operations required more postoperative analgetic drugs than extraperitoneoscopic ones. By pain intensity and physical activity scales, varicocele patients' quality of life was higher after extraperitoneoscopic operations than after laparoscopic and open operations. Thus, extraperitoneal ligation of the seminal veins by direct introduction of endoscope into the preperitoneal space with CO2 insufflation without prior creation of working space is simple for use, low invasive, has low risk of visceral injury and can be applied as an alternative to laparoscopy.


Assuntos
Laparoscopia , Procedimentos Cirúrgicos Urológicos Masculinos/métodos , Varicocele/cirurgia , Adulto , Humanos , Infertilidade Masculina/etiologia , Infertilidade Masculina/fisiopatologia , Infertilidade Masculina/cirurgia , Tempo de Internação , Masculino , Dor Pós-Operatória/prevenção & controle , Pneumoperitônio Artificial , Qualidade de Vida , Espaço Retroperitoneal , Espermatogênese/fisiologia , Resultado do Tratamento , Varicocele/complicações , Varicocele/diagnóstico , Varicocele/fisiopatologia
2.
Klin Lab Diagn ; (5): 14-7, 2008 May.
Artigo em Russo | MEDLINE | ID: mdl-18590164

RESUMO

The study has been undertaken to improve the methods for diagnosing urolithiasis, which comprehensively evaluate the severity of a pathological process and the results of treatment in patients with nephrolithiasis. The paper gives the data of investigating the processes of chromatographic mass spectrometric urinalysis in 82 patients aged 15 to 81 years urgently admitted to the units of urology of Moscow City Clinical Hospital Seven for a renal colic attack. The levels of lithogenic substances were measured in patients with different types of metabolic disturbances. There was evidence that the chromatographic mass spectrometric parameters of the level of lithogenic substances and hydrolytic enzymes might be used as diagnostic criteria for the progression of urolithiasis, the prediction of the severity of a pathological process, and the development of preventive methods against lithogenesis in patients with a renal colic attack.


Assuntos
Cólica/urina , Espectrometria de Massas , Urolitíase/urina , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Cromatografia Líquida , Cólica/diagnóstico , Feminino , Humanos , Masculino , Espectrometria de Massas/métodos , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Urolitíase/diagnóstico
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