By Philip M Hanno MD MPH, Thomas J. Guzzo MD MPH, S. Bruce Malkowicz MD, Alan J. Wein MD PhD (Hon) FACS
Introducing the Penn medical guide of Urology. This one-volume reference offers the most important medical info you must diagnose and deal with urologic issues speedy and successfully. short, well-illustrated chapters mix an easy-to-read layout with the excellent assurance you call for. this can be a certain delivering that merits a spot on each urologist's shelf.Find info fast and simply with basically provided algorithms, tables, and figures-an first-class source for medical questions and answers.Get the genuine top quality info you are expecting in a simple entry, fast reference format.Brush up or arrange for board evaluation utilizing the self-assessment questions on the finish of every bankruptcy.
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Instrumentation Specifically for the nephrectomy portion of the procedure, the instrumentation would be similar to that of laparoscopic radical nephrectomy. Differences in instrumentation would result from the requirements for the distal cuff portion. Operative Steps The operative technique for the renal dissection was outlined previously. Once the kidney is devascularized, attention is turned into the pelvis and the ureter is mobilized to the bladder. Here the techniques will depend on the individual surgeon’s preference.
Laparoscopic view of cyst decortication for kidney affected by ADPKD. 26 David I. Lee pain that they have endured. Additionally, some patients after cyst decortication experience pain out of proportion to the procedure; this has been related to cyst fluid spillage. In either case, pain medication requirements will be significant in this period. Results In the largest series to date regarding laparoscopic cyst decortication, OR times were 5 hours. An average of 220 cysts were treated. With a follow-up of 32 months, the pain relief was durable.
J Urol 167:1253–1256, 2002. 6. Lee DI, Andreoni CR, Rehman J, et al: Laparoscopic cyst decortication in autosomal dominant polycystic kidney disease: impact on pain, hypertension, and renal function. J Endourol 17:345–354, 2003. 7. Link RE, Bhayani SB, Allaf ME, et al: Exploring the learning curve, pathological outcomes and perioperative morbidity of laparoscopic partial nephrectomy performed for renal mass. J Urol 173:1690–1694, 2005. 8. Matin SF, Gill IS: Recurrence and survival following laparoscopic radical nephroureterectomy with various forms of bladder cuff control.