PubMed Health⌕ Search

Biomedical subjects

G Rius Espina

Publications and source records attributed to G Rius Espina.

6 recordsLinked to original sources

[Urologic surgery without hospitalization].

The improvement of surgical utensils, the development of endoscopic techniques, the simplification of many surgical procedures and the increasing substitution of classic surgery with treatments using the physical effects originated from innovative devices, together with the evolution of anaesthetic techniques, make possible for urological operations to be now simpler and less aggressive. All of what, whenever both the hospital and the social environment so allow it, can let us in many cases dispense with hospitalizations which, up to now, were considered essential or, at any rate, significantly reduce the patient's stay in hospital.

Ambulatory Surgical Procedures↗

[New therapeutic alternative for complex renal lithiasis].

The combination of percutaneous nephrolitotomy and renal extracorporeal litothricy, is currently considered to be the best choice for the treatment of complex renal lithiasis. This procedure, however, quite frequently needs the use of adjuvant maneouvers (urethroscopy, catheterization, large number of sessions, etc.), and there is a considerable proportion of residual lithiasis. We present here our series using a new therapeutic sequence: first, we perform extracorporeal litothricy (ESWL) of calices not accessible to the nephroscope, followed by percutaneous nephrolitotomy which has revealed to be a simplification of the percutaneous surgical technique since it decreases the movements of the nephroscope and the use of ultrasounds. Calyceal lithiasis previously fragmented are then extracted through the nephrostomic channel and so no lithiatic paths are induced, the percentage of residual lithiasis being also lower.

Adult↗