Surgery of the Hiatus

Jan 10, 2019 by in UROLOGY Comments Off on Surgery of the Hiatus

Indications Print Section Listen Laparoscopic and Open Nissen Fundoplication Evidence of gastroesophageal reflux disease (GERD) plus: Sequelae of GERD refractory to medical therapy (eg, esophageal strictures, Barrett’s esophagus, recurrent aspiration,…

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Operative Management of Gastric Lesions

Jan 10, 2019 by in UROLOGY Comments Off on Operative Management of Gastric Lesions

Indications Print Section Listen Malignant tumors. Benign tumors. Intractable bleeding. Chronic ulceration and inflammation. Contraindications Print Section Listen Absolute Inability to completely resect primary cancer. Distant metastases. Relative High operative…

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Transhiatal Esophagectomy

Jan 8, 2019 by in UROLOGY Comments Off on Transhiatal Esophagectomy

Indications Print Section Listen Resectable esophageal carcinoma. Barrett esophagus with high-grade dysplasia. Carcinoma of the cardia or proximal stomach. Achalasia. Advanced disease (mega-esophagus). Failed esophagomyotomy. Benign (undilatable) stricture. Recurrent hiatal…

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Surgery of the Endocrine Pancreas

Jan 8, 2019 by in UROLOGY Comments Off on Surgery of the Endocrine Pancreas

Indications Print Section Listen Tumors may be functional (ie, a clinical syndrome of excessive levels of such hormones as insulin, gastrin, VIP, somatostatin, and glucagon) or nonfunctional (ie, normal serum…

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Adrenalectomy

Jan 8, 2019 by in UROLOGY Comments Off on Adrenalectomy

Indications Print Section Listen General Indications Clinically or biochemically apparent adrenal hormonal hyperfunction. Possible or certain malignant adrenal mass. Adrenal mass of uncertain significance. Specific Conditions and Disease States Primary…

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Thyroidectomy and Neck Dissection

Jan 8, 2019 by in UROLOGY Comments Off on Thyroidectomy and Neck Dissection

Indications Print Section Listen Thyroid Lobectomy Unilateral toxic nodule. Solitary adenoma or cyst. Total Thyroidectomy Thyroid carcinoma. Graves’ disease. Hashimoto thyroiditis. Multinodular goiter. Substernal goiter. Neck Dissection Locally advanced head…

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Parathyroidectomy

Jan 8, 2019 by in UROLOGY Comments Off on Parathyroidectomy

Indications Print Section Listen Symptomatic Fractures (especially vertebral compression fractures). Nephrolithiasis. Severe neuromuscular weakness. Easy fatigability. Loss of stamina. Sleep disturbance. Depression. Memory loss. Pancreatitis. History of an episode of…

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Investigation of Erectile Dysfunction

Jan 8, 2019 by in UROLOGY Comments Off on Investigation of Erectile Dysfunction

Introduction Erectile dysfunction (ED) is defined as ‘the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse’ (NIH Consensus Development Panel on Impotence, 1993), and was…

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Bladder Cancer

Jan 8, 2019 by in UROLOGY Comments Off on Bladder Cancer

Introduction Bladder cancer ranks as the fourth leading cause of cancer-related death in men and tenth leading cause in women in the United States (Parkin et al., 2002). A delay…

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Prostate Cancer

Jan 8, 2019 by in UROLOGY Comments Off on Prostate Cancer

Introduction Prostate cancer is the most common non-dermatological malignancy among British men. Almost 25 000 men were diagnosed with prostate cancer in the UK in 1999 and nearly 10 000…

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