RESUMEN
We review our experience with the posterior approach to the kidney and compare it with the classic flank approach to pyelo- and ureterolithotomy. Our results show a decrease in morbidity with the posterior approach
Asunto(s)
Cálculos Renales/cirugía , Pelvis Renal/cirugía , Plexo Lumbosacro/cirugía , Cálculos Ureterales/cirugía , Adulto , Estudios de Evaluación como Asunto , Humanos , Métodos , Persona de Mediana Edad , Complicaciones PosoperatoriasAsunto(s)
Adenocarcinoma/terapia , Neoplasias Renales/terapia , Riñón/irrigación sanguínea , Cuidados Paliativos , Adenocarcinoma/diagnóstico por imagen , Adenocarcinoma/patología , Anciano , Angiografía , Autopsia , Femenino , Humanos , Infarto , Inyecciones Intraarteriales , Neoplasias Renales/diagnóstico por imagen , Neoplasias Renales/patología , Métodos , Metástasis de la Neoplasia , Obstrucción de la Arteria RenalRESUMEN
We present a modification of the classic Marshall-Marchetti-Krantz procedure in which only 1 pair of sutures is used. Each suture snugs the periurethral tissue of the anterior vaginal wall on each side to the posterior surface of the symphysis pubis and ipsilateral pubic bone by passing the suture through a hole drilled in each respective pubic bone. Complications have been temporary difficulty in voiding after the catheter has been removed and an occasional incisional hernia. Osteitis pubis has not been a problem possibly because of the use of wide-spectrum antibiotics.