Laparoscopic Appendiceal Onlay Flap and Bowel Reconfiguration for Complex Ureteral Stricture Reconstruction

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Laparoscopic Appendiceal Onlay Flap and Bowel Reconfiguration for Complex Ureteral Stricture Reconstruction

A variety of pathologic conditions may result in ureteral stricture disease. These include urolithiasis, genitourinary infection, retroperitoneal fibrosis, radiation therapy, external trauma, and iatrogenic injury. Strictures below the pelvic brim…

read more

Retroperitoneal Access

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Retroperitoneal Access

The urologist’s approach to retroperitoneal surgery has traditionally been through a flank or posterior incision to avoid violation of the peritoneal cavity. This approach also provides the most anatomically direct…

read more

Buccal Mucosa Graft for Ureteral Strictures

Sep 11, 2018 by in ABDOMINAL MEDICINE Comments Off on Buccal Mucosa Graft for Ureteral Strictures

Complex proximal ureteral strictures can be challenging to manage. Whereas distal ureteral to midureteral strictures can be successfully managed with ureteral reimplantation with psoas hitch or Boari flap, proximal ureteral…

read more

Laparoscopic Orchiopexy

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

In the era of minimally invasive surgery, there is a growing amount of evidence and support for the role of laparoscopy in the management of cryptorchidism. There has been a…

read more

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…

read more

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…

read more

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….

read more

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…

read more

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…

read more
Get Clinical Tree app for offline access