Insufflators and the Pneumoperitoneum

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Insufflators and the Pneumoperitoneum

Laparoscopy and the ever-expanding robotic-assisted techniques have revolutionized the field of minimally invasive surgeries. Pneumoperitoneum is the keystone that allows surgeon to create a visual field and working space necessary…

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Laparoscopic Renal Biopsy

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Laparoscopic Renal Biopsy

Renal biopsy is a crucial tool in the diagnosis of medical disease of the kidney. Histologic information is pivotal in making treatment decisions and providing prognostic information. Ultrasound-guided percutaneous needle…

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Pyelolithotomy and Ureterolithotomy

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Pyelolithotomy and Ureterolithotomy

Indications and Contraindications With the use of shock wave lithotripsy (SWL) and advances in endoscopic technology and instrumentation, open surgery, once the mainstay treatment for ureteral stones, is now uncommon….

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Laparoscopic Pyeloplasty

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Laparoscopic Pyeloplasty

Laparoscopic pyeloplasty has evolved into a new standard of care for the treatment of ureteropelvic junction (UPJ) obstruction. Since it was introduced in the early 1990s, the laparoscopic approach has…

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Nephroureterectomy

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Nephroureterectomy

Urothelial carcinoma can arise from any part of urothelium: bladder, renal collecting system, or ureter. The nomenclature of upper tract urothelial carcinoma (UTUC) is reserved for tumors that are localized…

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Laparoscopic Renal Cyst Decortication

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Laparoscopic Renal Cyst Decortication

Indications and Contraindications Renal cystic disease is common, with an increasing prevalence likely related to the use of cross-sectional imaging over the last several decades. Renal cysts have been identified…

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Ureterolysis

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Ureterolysis

Ureterolysis is performed to relieve ureteral obstruction caused by extrinsic compression. Retroperitoneal fibrosis (RPF) is a rare (1 in 200,000-500,000) chronic process characterized by inflammation and mononuclear infiltration that is…

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Laparoscopic Radical Nephrectomy

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Laparoscopic Radical Nephrectomy

Radical nephrectomy has long been considered the gold standard surgical treatment for renal cell carcinoma. In the past two decades, nephron sparing surgery has become the standard for treatment of…

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