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Biomedical subjects

E Proca

Publications and source records attributed to E Proca.

At least 91 records · Page 5Linked to original sources

[Primary renal actinomycosis].

A case of renal actinomycosis, treated by nephrectomy, in a 41 year-old male, is reported. The clinical diagnosis, to which urography and renal arteriography lent support, was renal anthrax. The pus being sterile on conventional seeding, the investigations were directed towards the finding of characteristic mycelium. Five months after nephrectomy a cerebral abscess developed and the patient died. Although in the cerebral pus only B. proteus and coagulase-positive staphylococci were found, the actinomycotic etiology cannot be excluded since the specific granules were not looked for.

Actinomycosis

[Transperitoneal anterior approach to the neoplastic kidney].

The authors present 51 cases of malignant renal tumours approached by the transperitoneal anterior route. The authors preferred a bilateral subcostal incision sectioning the insertions of both abdominals, that was prolonged in the para-rectal region on the right or on the left, according to case, into the vicinity of the femural arcade. In this group of 51 cases 8 explorations of the inferior cava were performed and in one case total resection of the abdominal cava was carried out. In 4 of the patients nephrectomy was associated with splenectomy (2 cases), with colecystectomy and with right duodeno-hemicolectomy (one case each).

Adolescent

[Bi-valve nephrotomy under local hypothermia in the treatment of coraliform calculi].

A total of 138 patients with coraliform renal calculi have been operated over a period of 3 years. In 36 of them large bi-valve nephrotomy was necessary in view of removing the calculus. Surgery was performed under local hypothermia, and renal artery clamping. Indications, risks and results are discussed in the statistics presented.

Humans

[Glenn-Cohen-Anderson operation in the treatment of vesico-renal reflux].

A total of 38 cases are presented (47 ureters) that were operated according to the anti-reflux procedure of Glenn-Cohen-Anderson. The immediate and the late results (up to 4 years) are excellent. The authors suggest that cases with reflux of the I-st or the II-nd degree should not be operated, and that surgery should be considered only when the urine is infected, and when there is a serious risk of scleroatrophic pyelonephritis. As a general rule a more conservative attitude should be adopted when faced with vesico-renal reflux, and the surgery should be well justified.

Adolescent

[Reconsideration of vesicorectostomy].

Seven cases are presented, of vesico-rectostomia, with a favourable evolution up to 3 years with regard to renal complications. The better tolerance following this procedure, and the lack of the hypercholermic acidosis syndrome, as well as of the uremigenic effects, characteristic to other types of derivation of the urine in the colon is apparently due to the maintenance of the normal uretheral meatus, which prevents retrograde transfer of pressures to the renal cavities.

Adult