RESUMO
During a kidney transplant, a plastic tube (stent) is placed in the ureter, connecting the new kidney to the bladder, in order to keep the new join open during the initial phase of transplantation. The stent is then removed after a few weeks via a camera procedure (cystoscopy), as it is no longer needed. The present study compared performing this in the operating theatre or in clinic for transplanted patients using a new single-use type of camera with an integrated grasper system. The results have shown that it is safe and cost-effective to do this in clinic, despite patients being susceptible to infection after transplantation.
Assuntos
Procedimentos Cirúrgicos Ambulatórios/métodos , Cistoscopia/métodos , Remoção de Dispositivo/métodos , Transplante de Rim , Stents , Ureter , Adolescente , Adulto , Idoso , Procedimentos Cirúrgicos Ambulatórios/efeitos adversos , Procedimentos Cirúrgicos Ambulatórios/economia , Análise Custo-Benefício , Cistoscopia/efeitos adversos , Cistoscopia/economia , Remoção de Dispositivo/efeitos adversos , Remoção de Dispositivo/economia , Estudos de Viabilidade , Feminino , Custos Hospitalares , Humanos , Masculino , Pessoa de Meia-Idade , Salas Cirúrgicas/economia , Cuidados Pós-Operatórios/efeitos adversos , Cuidados Pós-Operatórios/economia , Cuidados Pós-Operatórios/métodos , Complicações Pós-Operatórias , Estudos Retrospectivos , Adulto JovemRESUMO
About a series of 33 patients operated in the ENT Depart. Prof. Soudant-La Pitié-Salpêtrière Hospital-Paris. Any emphasis was put on 11 cases of aspergillosis sinusitis. Most of the time, clinical signs are non specific. But X rays studies are of great help for the diagnosis. Treatment of chronic sinusitis of dental origin, particularly aspergillosis, remains surgical: caldwell-luc operation or endonasal approach. As a conclusion, the authors suggest systematic removal of all intrasinusal foreign body.
Assuntos
Aspergilose/etiologia , Corpos Estranhos/complicações , Sinusite Maxilar/etiologia , Tratamento do Canal Radicular/efeitos adversos , Adulto , Doença Crônica , Feminino , Corpos Estranhos/cirurgia , Migração de Corpo Estranho/etiologia , Humanos , Masculino , Sinusite Maxilar/diagnóstico por imagem , Sinusite Maxilar/cirurgia , Pessoa de Meia-Idade , Pólipos Nasais/complicações , Radiografia , Materiais Restauradores do Canal Radicular/efeitos adversosRESUMO
Attention is drawn to the existence of low erythrocyte sedimentation rate (ESR) during the active phase of temporal arteritis. The author describes the results of a retrospective study on the ESR of 34 cases diagnosed at the University Hospital of Geneva: The average value was 80 mm after 1 hour, the ESR was under 40 mm in 4 patients (11%) of whom 1 (3%) had a ESR under 20 mm. These results are close to those obtained in 373 cases reviewed in the literature. Only biopsy-positive cases were selected.
