By Robert G. Moore, Jay T. Bishoff, Stefan Loenig, Steven G. Docimo
Useful and simple to take advantage of, this beautifully illustrated textual content will give you the trainee with diagnostic and surgical assistance, tips and methods, and a great stable history to using minimally invasive urological surgical procedure ideas.
The editors, all specialists in urological laparoscopy, have selected an elite staff, typically from the us and Germany, to give their sensible surgical services in a in actual fact written, instructive ebook which additionally contains an in depth part on pediatric operations.
With laparoscopy education now integrated into many urology education programmes, this can be surely a hugely necessary and critical reference for trainees within the box.
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Extra info for Minimally Invasive Urological Surgery
A procedure similar to a dismembered pyeloplasty is used to correct this congenital anomaly. Retroperitoneal fibrosis Retroperitoneal fibrosis or Ormand’s disease is a nonmalignant inflammatory condition that encases the ureters and great vessels. Retroperitoneal fibrosis has been linked to the migraine medication methysergide or may develop iatrogenically. The fibrous encasement of the ureter may lead to a physiologic obstruction of the ureters by inhibiting peristalsis.
Although dissection of the renal vein usually allows for rapid identification of the Minimally invasive urologic surgery 28 renal artery, preoperative imaging frequently is helpful in challenging cases for discerning the location of the renal artery relative to the renal vein. ‘Fortunate’ identification of the renal artery anterior to the renal vein should engender much suspicion on the part of the surgeon. 5). This artery must be preserved during renal procedures as its sacrifice results in bowel ischemia.
Through the retroperitoneal adipose tissue, a gentle sweeping motion of a blunt instrument may initiate ureteral peristalsis. The right ureter leaves the renal pelvis and passes posterior to the second part of the duodenum, running along the lateral aspect of the inferior vena cava. A Kocher maneuver is necessary to access the upper ureter in a non-hydronephrotic system. At this point, the ureter encounters the gonadal vessel as it enters the inferior vena cava. The gonadal vein travels medial and parallel to the ureter, then crosses over and lateral to the gonadal vein.