scholarly journals The evaluations of ESWL, RIRS and m-PCNL treatments in kidney stones smaller than two centimeters

2020 ◽  
Vol 7 (4) ◽  
pp. 450-454
Author(s):  
Hüseyin Saygın ◽  
Gökhan Gökce ◽  
Esat Korğalı
Keyword(s):  
Renal Stones ◽  
Renal Calculi ◽  
Minimal Invasive ◽  
Invasive Treatment ◽  
Stone Size ◽  
Scale Scores ◽  
Before And After ◽  
Duration Of Hospitalization ◽  
Vas Scores ◽  
Minimal Invasive Treatment

Objective: The aim of the current study was to compare the outcome of minimal invasive treatment (RIRS, m-PCNL) with the ESWL, Micro-Percutaneous Nephrolithotomy (m-PCNL), and Retrograde intrarenal surgery (RIRS) in patients with renal calculi less than two centimeters in size. Methods: Preoperative renal ureter-bladder (KUB) film and computed tomography (CT) used to imaging stone size and localization in all patients. Ninety consecutive patients were randomized equally to three groups. We evaluated age, gender, stone size, length of hospitalization, stone-free rates, X-ray duration that patients were exposed during the processes, general anesthesia time, Visual Analogue Scale values, Modified Clavien Complication Scale scores after RIRS, mPCNL, and ESWL on renal stones smaller than 2 cm. Results: At the end of the first month, stone-free rate for the lower calyx stones was 33.3% (3 patients out of 10) in ESWL, 83.3% (10 patients out of 12) in RIRS, and 90.9% (10 patients out of 11) in m-PCNL. ESWL's success in the lower-calyx stones was found to be low. Our rates for the stones in renal pelvis, middle, and upper calyx were % 85.7 (18 patients out of 21) in ESWL, % 94.4 (17 patients out of 18) in RIRS and % 94.7 (18 patients out of 19) in m-PCNL. No difference was observed in the duration of hospitalization among patients who underwent RIRS and m-PCNL. The VAS scores in ESWL group were higher than other groups. There were no significant differences for fluoroscopy time between the groups. Decrease in hemoglobin values before and after the procedure were found to be significant in m-PCNL group (p<0.05). Conclusions: We compared three minimal invasive treatments for less than 2 cm renal stones; m-PCNL and RIRS methods were found to be more effective than ESWL, especially aspects of the stone free rates.

103: Minimal Invasive Treatment of Men with Cathegory IIIB (CPPS) Prostatitis. A Prospective Multicenter Trial: Results of the MICP Study

2007 ◽  
Vol 177 (4S) ◽  
pp. 36-36
Author(s):  
Bob Djavan ◽  
Christian Seitz ◽  
Martina Nowak ◽  
Michael Dobrovits ◽  
Mike Harik ◽  
...  
Keyword(s):  
Multicenter Trial ◽  
Minimal Invasive ◽  
Invasive Treatment ◽  
Minimal Invasive Treatment ◽  
Prospective Multicenter Trial

scholarly journals Successful minimal invasive treatment of chylous ascites following pancreaticoduodenectomy: A case report and review of literature

2021 ◽  
pp. 102451
Author(s):  
Thanh Khiem Nguyen ◽  
Tuan Hiep Luong ◽  
Ngoc Cuong Nguyen ◽  
Ham Hoi Nguyen ◽  
Ngoc Hung Nguyen ◽  
...  
Keyword(s):  
Case Report ◽  
Chylous Ascites ◽  
Minimal Invasive ◽  
Review Of Literature ◽  
Invasive Treatment ◽  
Minimal Invasive Treatment

scholarly journals Polypropylene Mesh in Minimally Invasive Treatment of Female Stress Urinary Incontinence

2017 ◽  
Vol 54 (4) ◽  
pp. 635-638
Author(s):  
Nicolae Grigore ◽  
Valentin Pirvut ◽  
Ionela Mihai ◽  
Adrian Hasegan ◽  
Elisabeta Antonescu ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Polypropylene Mesh ◽  
Public Health Problem ◽  
Minimal Invasive ◽  
Female Stress Urinary Incontinence ◽  
Invasive Treatment ◽  
Pelvic Support ◽  
Minimal Invasive Treatment

Stress urinary incontinence in women is a condition widely encountered in the entire world with a prevalence between 12.8% and 46.0%. Stress urinary incontinence is a public health problem causing a significant decrease in quality of life, involving social, physical, psychological, occupational and sexual suffering of patients. The minimal invasive treatment of the stress urinary incontinence (SUI) consists in fixing a suburethral polypropylene mesh (SPM) in retropubic (TVT) or transobturator (TOT) space, in order to regain the pelvic support of the urethra, with the consecutive augmentation of the pressure of urethral closing during effort. The objective of this paper is to present the advantage of SPM in the SUI treatment in the eleven years� experience of Department of Urology Sibiu.

scholarly journals MINIMAL-INVASIVE TREATMENT OF HIGH LEVEL RECTOVAGINAL FISTULAS (THE FIRST EXPERIENCE OF «INVAGINATION» METHOD)

2018 ◽  
pp. 39-44
Author(s):  
A. A. Mudrov ◽  
Yu. A. Shelygin ◽  
A. Yu. Titov ◽  
O. Yu. Fomenko ◽  
L. A. Blagodarny ◽  
...  
Keyword(s):  
Minimal Invasive ◽  
Pelvic Surgery ◽  
Fistula Tract ◽  
Invasive Treatment ◽  
Stoma Formation ◽  
Diverting Stoma ◽  
Bowel Diseases ◽  
Minimal Invasive Treatment ◽  
Rectovaginal Fistulas ◽  
High Level

AIM: to evaluate the efficacy of new «invaginative» method for rectovaginal fistulas. MATERIALS AND METHODS: thirty-seven females aged 37.3 (20-73) years with high rectovaginalfistulas (RVF) were included in the study. All patients underwent fistula surgery using novel «invaginative» method, which includes invagination of the fistula tract into the rectum, RVF origin included inflammatory bowel diseases in 7 (18.9%) patients, delivery injury - in 21 (56.7%), pelvic surgery - in 5 (13.5%), other causes - in 4 (10.8 %). Twenty (54.1 %) patients had two previous unsuccessful repairs on average. Diverting stoma formation as a first stage for RVF repair was performed in 4 (10.8%) patients. Meanfollow-up was 14,7± 6,6 months. RESULTS: «invaginative» method has been performed in all patients. Eight (21.6 %) of them produced recurrence after 2-6 weeks after surgery. No postoperative complications occurred. CONCLUSION: «invaginative» method is a safe and effective in treatment of high rectovaginal fistulas. It can be performed without diverting colostomy in most cases.

scholarly journals Transorbital penetrating injury of the skull base and cavernous sinus - defining a minimal invasive treatment

2020 ◽  
pp. 106-106
Author(s):  
Bojan Jelaca ◽  
Djula Djilvesi ◽  
Papic Vladimir ◽  
Filip Pajicic ◽  
Milan Lepic ◽  
...  
Keyword(s):  
Foreign Body ◽  
Minimally Invasive ◽  
Skull Base ◽  
Cavernous Sinus ◽  
Penetrating Trauma ◽  
Minimal Invasive ◽  
Surgical Approaches ◽  
Invasive Treatment ◽  
Minimal Invasive Treatment ◽  
Therapeutic Problem

Introduction. A transorbital intracranial injury with a foreign body can be a very complex and controversial therapeutic problem. The orbit's content is susceptible to penetrating trauma, and neurovascular skull base structures are at high risk from injury. There are some traditional cranial surgical approaches, and more recently reported different endoscopic approaches for treating this kind of injury. Case report. We present a case of a 30-year-old male who had an accident at work when a piece of wood hit him in his head and entered through the medial aspect of his left orbit with skull base and cavernous sinus injury. Rapid and complete radiological and clinical assessments were performed, and the patient was treated in a minimally invasive manner. The foreign body was manually extracted with an endoscopic and endovascular team ready to treat adverse events. No postoperative complications were reported, and visual acuity increased at one month follow up. Conclusion. Penetrating wounds of the orbit represent a challenge that requires a multidisciplinary assessment and well-organized management. Combined endoscopic minimally invasive approaches should be considered during the treatment of this kind of injury.

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