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Go Early For Renal Transplantation – Article by Dr.Krishna Mohan on Medical Tourism Magazine.

Sep - 27 - 2019

A kidney transplant is a surgical procedure to place a healthy kidney from a living or diseased donor in a person whose kidneys no longer function properly. The first truly successful transplant was performed on December 23, 1954, at Brigham Hospital, Boston, by Joseph Murray, J. Hartwell Harrison, John P....

EFFECTIVE REPROCESSING OF MEDICAL DEVICES IN UROLOGY WITH SPECIAL REFERENCE TO MINIMAL INVASIVE PROCEDURES: CONSENSUS GUIDELINES

Jan - 22 - 2019

Health care–associated infections (HCAIs) are among the most common complications of hospital care. Reprocessing methods of medical devices play an important role in controlling HCAIs as impaired reprocessing of devices can lead to HCAIs. In this article we evaluate sterilization and disinfection processes used for multi-use and single use medical...

A minimally invasive approach for single stage management of double metatstasis in a solitary kidney and crossover adrenal metastasis

Jun - 20 - 2017

INTRODUCTION AND OBJECTIVES Double metatstatic lesions in a solitary functioning renal unit with crossover adrenal metastasis have been rarely reported. This video demonstrates the operative management of a similar presentation. METHODS 65 year old male experienced left flank pain since 1 month. He underwent right radical nephrectomy and left adrenalectomy...

Complications of laparoscopic renal surgeries

Jun - 20 - 2017

Introduction and Objectives Laparoscopic approach is becoming standard of care for benign and malignant renal pathologies. Despite growing acceptance of laparoscopy among urologist and patients, there is always potential for wide range of complications. We present a video demonstration of complications of laparoscopic renal surgeries. Methods All patients who developed...

Laparoscopic reconstruction of iatrogenic-induced lower ureteric strictures: Does timing of repair influence the outcome?

Jun - 20 - 2017

Abstract Context: Influence of timing of repair on outcome following laparoscopic reconstruction of lower ureteric strictures Aims: To assess the influence of timing of repair on outcome following laparoscopic reconstruction of lower ureteric strictures in our adult patient population. Settings and Design: Single surgeon operative experience in two institutes. Retrospective...

Laparoscopic radical nephrectomy for renal cell carcinoma with level 1 ivc thrombus

Jun - 20 - 2017

Introduction and Objectives Laparoscopic approach is becoming the standard of care for managing renal tumors. Renal masses with a renal vein and inferior vena cava (IVC) thrombus present a technically challenging situation. Left sided tumors present an additional challenge as getting an access to the junction of the vein with...

Laparoscopic reconstruction for dual extrinsic pathologies compressing the upper ureter: The nutcracker ureteric compression

Jun - 20 - 2017

Surgical Technique The patient presented with left flank pain of six months' duration. The blood profile was normal. Ultrasound, intravenous pyelogram, and retrograde pyelogram were suggestive of left pelviureteric junction obstruction. We planned for laparoscopic reconstruction via the transperitoneal approach. Four ports were utilized - one 10 mm camera port...

Laparoscopic Reconstruction for Obstructive Megaureter: Single Institution Experience with Short- and Intermediate-Term Outcomes

Jun - 20 - 2017

ABSTRACT Purpose: To narrate our experience with laparoscopic reconstruction of obstructive megaureter (MGU) and assess the intermediate-term outcome achieved. Patients and Methods: Patients were evaluated in detail including presenting complaints, biochemical profile, and imaging (ultrasonography [USG], diuretic renography [DR], magnetic resonance urography [MRU], and voiding cystourethrography [VCUG]). All patients...

Laparoscopic partial nephrectomy for large renal mass: No tissue sealant, no bolster technique

Jun - 20 - 2017

Surgical Technique A 50-year-old man presented with intermittent right flank pain since six months. Detailed evaluation revealed (8.5 cms × 6.5 cms) a large exophytic renal neoplasm with an appearance suggestive of angiomyolipoma. Laparoscopic partial nephrectomy was contemplated. Five ports were employed - one 10 mm camera port (CP), two...

Transperitoneal Laparoscopic Dismembered Pyeloplasty in Unusual Circumstances—Is the Outcome Comparable to That Achieved in Familiar Pathologies?

Jun - 20 - 2017

Objective To compare the operative outcome, morbidity profile, and functional outcome after transperitoneal laparoscopic dismembered pyeloplasty for ureteropelvic junction obstruction in unusual circumstances (intrinsic pathology in anomalous kidneys or unusual extrinsic pathologies; group 1) to the outcome after this procedure in familiar pathologies (normally located kidneys with intrinsic dysfunctional segment...

Laparoscopic management of recurrent ureteropelvic junction obstruction following pyeloplasty

Jun - 20 - 2017

Abstract Objective: The aim was to analyze the operative, postoperative and functional outcome of laparoscopic management of previously failed pyeloplasty and to compare operative and postoperative outcome with laparoscopic pyeloplasty for primary ureteropelvic junction obstruction (UPJO). Materials and Methods: All patients who underwent laparoscopic management for previously failed dismembered pyeloplasty...

EX-VIVO NEPHRON-SPARING SURGERY AND AUTOTRANSPLANTATION FOR RENAL TUMOURS: REVISITED

Jun - 20 - 2017

ABSTRACT Introduction: We studied the feasibility of ex-vivo nephron-sparing surgery and autotransplantation for complex renal tumours. We also studied the role of laparoscopy in these situations. Methods: All patients who underwent renal autotransplantation for renal tumour at our centre were included in this retrospective study. Patient profiles were recorded...

Laparoscopic nephrectomy for autosomal dominant polycystic kidneys in patients with end-stage renal disease on maintenance hemodialysis: 10-year single surgeon experience from an Indian center

Jun - 20 - 2017

Abstract Context: Pure laparoscopic nephrectomy in patients with ADPKD (autosomal dominant polycystic kidney disease) and ESRD (end-stage renal disease) on MHD (maintenance hemodialysis) is challenging with high incidence of complications. Limited experiences from India has been reported in these scenarios. Aims: To present a 10-year single surgeon experience from India...

Laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes

May - 09 - 2017

Abstract Context: Long-term outcome following a laparoscopic reconstruction of ureteral strictures (US) involving solitary renal units (SRU) are scarcely reported. Aims: The aim was to report short-term (1 year) and long-term (5 years) outcomes following a laparoscopic reconstruction of US in a solitary kidney. Settings and Design: Retrospective. Materials and...