[Urinary infections: acute pyelonephritis. Epidemiology, etiology, physiopathology, diagnosis, development, prognosis, treatment].
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Biomedical subjects
Publications and source records attributed to G Benoit.
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We report a computer assisted three dimensional reconstruction technique using serial sections. This reconstruction was achieved by means of a common microcomputer. The organ analyzed in this study was the common European rabbit prostate.
Renal vascular resistance was compared in 2 groups of renal grafts: group 1-16 kidneys perfused with University of Wisconsin solution and group 2-16 kidneys perfused with Euro-Collins solution. Both groups had comparable donors and recipient criteria. Renal blood flow was measured by a miniaturized pulsed Doppler probe fixed on the graft renal artery. Renal vascular resistance was calculated either according to the formula: renal vascular resistance (mm. Hg/ml. per second) = systemic arterial pressure (P)/renal blood flow or through the renal vascular resistive index (RVRI): RVRI = systolic flow velocity - diastolic flow velocity/systolic flow velocity = (S-D)/S. Renal vascular resistance estimation seems to be more contributory than renal blood flow in assessment of renal graft reperfusion disorders. Our results show that University of Wisconsin solution seems to preserve intrarenal arterial caliber better with a decrease in intrarenal vascular resistance, thus, allowing for a higher arterial graft perfusion flow.
The inferior hypogastric (pelvic) plexus conveys two types of fibres: sympathetic fibres originating in the thoracolumbar sympathetic chain and parasympathetic fibers originating in the sacral anterior rami. By using a histofluorescent stain (glyoxalic acid) and a histochemical stain (thiocholine) in 17 fresh cadavres, we have demonstrated that the sympathetic fibres arise from sacral sympathetic ganglia. These fibres participate in the constitution of the pelvic splanchnic nerves. In this study, we confirm that the inferior roots of the pelvic plexus are not only parasympathetic, but also sympathetic.
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One hundred thirty-eight patients with transplant renal artery stenosis (TRAS) were identified among 1200 patients undergoing renal transplantation in our university hospital. Severe systemic hypertension was the main symptom leading to a diagnosis of TRAS. Only 88 TRAS patients were given interventional treatment consisting of percutaneous angioplasty (PTA; n = 49) or surgical repair (SR; n = 39). The immediate success rate was 92.1% for SR and 69% for PTA. The long-term success rate was 81.5% for SR and 40.8% for PTA, with a follow-up period of 56.7 +/- 22.4 months (SR group) and 32 +/- 28.1 months (PTA group). PTA morbidity reached 28%, compared to 7.6% in the SR group. In spite of these results, we still favor PTA as a first line interventional treatment when TRAS is recent, linear, and distal and primary SR in cases of kinking and proximal TRAS.
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The authors present a general review of autosomal dominant transmission of polycystic kidneys. It represents 10% of all causes for haemodialysis. Its penetrance is close to 100%. The dominant aetiology at the present time is obstruction due to hyperplasia of the tubular epithelium which induces cystic dilatation which extends to involve all of the nephron. The cysts are cortical and medullary. The diagnosis is based on an association of enlarged kidney and a family history. The commonest associated abnormalities are hepatic cysts in 60% of cases, cerebral aneurysms in 10 to 20% of cases and colonic diverticulosis in 80% of cases. At the stage of renal failure, patients must be treated for hypertension and deterioration in nephron function must be prevented by a low protein diet. When the patient reaches the stage of renal failure and must be dialysed, he must be rapidly enrolled in a transplantation programme as the actuarial graft survival is more than 80% at 1 year and more than 70% at 5 years.