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Biomedical subjects

A Lilov

Publications and source records attributed to A Lilov.

14 recordsLinked to original sources

[Extracorporeal lithotripsy of kidney and ureteral calculi after open operations].

Experience is recorded with the application of stroke-wave extracorporeal lithotripsy of calculi which have remained after open-technique operations for coral-shaped calculosis. Fifteen patients, 11 women and 4 men at mean age 43 years have been treated for the period 1.01.1989 through 7.02.1990. They all had nephrostoma placed by operation. Extracorporeal lithotripsy (ECL) was performed mean 14 days after the operation. The mean length of stay in hospital was 23 days. All patients were calculi-free 3 months after ECL. It is recommended to place nephrostoma when the kidney has not been fully freed from calculi during operation, to allow further performance of ECL. This helps to achieve quicker and complete removal of calculi from the urinary tract, which in turn contributes to successful of the urinary infection.

Adult

[The diagnostic and treatment problems in kidney tumors].

Experience is recorded with the diagnosis and treatment of 90 patients with tumors of the kidney and its pyelocalyx system. Of all methods of diagnosis major importance is attached to computer axial tomography. It is emphasized that the approach to the kidney, the type and scope of the operative intervention should depend on the stage of tumor development. For tumors of the pyelocalyx system it is recommended to perform nephroureterectomy, since this approach rules out the hazard of appearance of tumors in the ureter. The presence of isolated metastases is no contraindication for performing nephrectomy. Indications for organ-preserving operation should be strictly specified. They should applied in patients with single kidney, patients with bilateral tumors and patients with chronic renal failure.

Adult

[Treatment of ureteral stricture using balloon dilatation].

Balloon dilatation is a new method in endourological treatment of diseases of the urogenital system. Personal experience is recorded with the treatment of ureter strictures by balloon dilatation. Thirteen patients were treated. In 10 the strictures were congenital and in 3 acquired. Fifteen dilatations on the pyeloureteral segment and the distal portion of the ureter were performed. The method is practicable, low traumatic and is well tolerated by the patients. The limited experience does not allow general inferences to be made for the early and late results of application of balloon dilatation. Its advantages however allow to recommend its wide acceptance for treatment of strictures of the ureter in all of its segments.

Adult

[The treatment of coralliform kidney calculosis with extracorporeal lithotripsy, percutaneous lithotripsy and ureteroscopy].

Experience is recorded with the combined treatment of 53 patients with coralliform renal calculosis. Combined application of bypass lithotripsy (BLT), percutaneous lithotripsy (PLT) and ureterorenoscopy (URS) is an alternative to open surgical intervention. Depending on the size, form and position of the calculus, the degree of destruction of the residual concrements, combined therapy was applied, as follows: 17 patients--PLT and BLT, 7 patients--PLT, BLT and URS, 7 patients--URS and BLT, 13 patients--BLT and URS, 8 patients--BLT and URS. Very good results were obtained--complete cure in 51 patients (96.2 per cent), which encourage the authors to recommend the three methods for routine application in the treatment of coralliform renal calculosis.

Adolescent

Extracorporeal shock wave lithotripsy of stones in the ureter.

In the present paper we report on one-year experience with the application of extracorporeal shock wave lithotripsy (ESWL) in 157 patients with stones in the ureter 63 of which were in the pyeloureteral segment, 52 in the lumbar part and 42 in the distal third. The indications and contraindications for lithotripsy, the peculiarities in performing the manipulation are determined and the results analysed. They are evaluated as very good because 78.98% of the patients have passed completely disintegrated stones up to the tenth day after lithotripsy. The average hospital stay was 4.08 days. The drawback of the method is the high cost of manipulation.

Humans