Assuntos
Cistite/patologia , Leucoplasia/patologia , Infecções Sexualmente Transmissíveis/complicações , Bexiga Urinária/patologia , Animais , Candida albicans/isolamento & purificação , Chlamydia trachomatis/isolamento & purificação , Doença Crônica , Cistite/complicações , Cistite/microbiologia , Feminino , Humanos , Leucoplasia/complicações , Leucoplasia/microbiologia , Mycoplasma hominis/isolamento & purificação , Infecções Sexualmente Transmissíveis/microbiologia , Trichomonas vaginalis/isolamento & purificação , Ureaplasma/isolamento & purificação , Bexiga Urinária/microbiologiaRESUMO
828 patients were operated on the retroperitoneal organs since 1985 using a retroperitoneoscope. A total of 836 surgical interventions were performed. A cut of 3.0-3.5 cm long was made to revise the kidney and ureter, retroperitoneal part of the colon, tail of the pancreas, retroperitoneal vessels and lymph nodes via lumbocostal and inguinal approaches. A new intercostal (ribs X-XI) approach is proposed. Most of the patients had urolithiasis, pyoinflammatory lesions, renal cysts, varicocele, obstructive uropathies. Complications developed in 1.7% of cases. Retroperitoneoscopy is a method of choice in diagnosis and treatment of retroperitoneal diseases.
Assuntos
Endoscopia/métodos , Espaço Retroperitoneal/cirurgia , Adulto , Criança , Endoscópios , Estudos de Avaliação como Assunto , Humanos , Complicações Pós-Operatórias/epidemiologiaRESUMO
Using mathematical analysis methods, the authors try to develop algorithm of the diagnosis and early treatment of acute purulent pyelonephritis (APP). On the basis of 107 case histories (84 surgical, 12 conservative APP cases, 11 patients without the inflammation) characteristic symptoms were established. These may serve as parameters for the classification analysis and plotting curves indicative of the kidney involvement in the pyodestructive process. The analysis of the curves elicited that the pattern of the parameter changes reflects stages of purulent pyelonephritis in the kidney.
Assuntos
Pielonefrite/diagnóstico , Doença Aguda , Adulto , Algoritmos , Feminino , Humanos , Masculino , Pielonefrite/classificação , Pielonefrite/cirurgiaRESUMO
In 90 youths at the age of from 14 to 16 years suffering from left-sided varicocele, the authors have used a retroperitoneoscope for high ligation and transection of the testicular vein. There were no complications at the time of operation and after it. In control examination 1.5-2 years later, no varicocele recurrences were revealed. In 15 patients with profuse bleeding from carcinomatous tumor of the urinary bladder, the authors performed ligation of the internal iliac arteries by means of a retroperitoneoscope.
Assuntos
Endoscopia , Artéria Ilíaca/cirurgia , Espaço Retroperitoneal , Cordão Espermático/irrigação sanguínea , Varicocele/cirurgia , Veias/cirurgia , Adolescente , Humanos , Ligadura , Masculino , Instrumentos CirúrgicosRESUMO
Operative interventions on the kidneys and ureters were performed in 85 patients. In revision of the upper pole of a kidney and its median segment, the authors have used the original technique of retroperitoneoscopy (paranephroscopy) in the 11-th intercostal space. The techniques of decapsulation of a kidney, pyelo-, nephrostomy by means of the retroperitoneoscope, operative approaches to the different parts of the ureter, technique for removal of its stones are presented.