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Biomedical subjects

H Claes

Publications and source records attributed to H Claes.

At least 37 records · Page 2Linked to original sources

Intraarterial embolization in combination with surgery in the management of congenital pelvic arteriovenous malformation.

A case of congenital arteriovenous fistula of the pelvis is described. Arteriovenous malformations of the pelvis are rare and can give rise to problems in diagnosis and treatment. A long history of vague complaints precedes determination of the correct diagnosis. Because recurrence is not uncommon after treatment, intraarterial embolization in combination with surgery is mandatory.

Adult↗

Xanthogranulomatous pyelonephritis with emphasis on computerized tomography scan. Retrospective study of 20 cases and literature review.

The authors reviewed 20 cases of xanthogranulomatous pyelonephritis. An accurate preoperative diagnosis of this disease is difficult because of its clinical and radiologic similarities to various other renal lesions. A resistant urinary tract infection in a patient with a nonfunctioning kidney and a perinephric abscess should lead to the condition being suspected. Although xanthogranulomatous pyelonephritis is mainly a histologic diagnosis, computerized tomography opens new perspectives in the preoperative determination. This could allow less radical surgery in selected cases.

Aged↗

Solitary benign schwannoma in the psoas muscle.

Schwannomas, which also are referred to as neurinoma or neurilemmoma, are rare. We report a case of a solitary benign schwannoma in the psoas muscle, which was not associated with von Recklinghausen's disease. The tumor was excised successfully. Its appearance on clinical examination is described, the preoperative investigations and operative findings are presented, and the literature is reviewed.

Adult↗

Retroperitoneal approach for transureteroureterostomy: a neglected and forgotten procedure.

Transureteroureterostomy in 12 consecutive cases is reviewed. Our technique of the operation (with retroperitoneal approach) is described. Stenosis of the recipient ureter or other complications did not develop in any of our cases. Based on our experience we continue to regard this procedure as an excellent means of urinary diversion for patients with unilateral lower ureteral lesions.

Adult↗

Use and maintenance of percutaneous nephrostomy.

Percutaneous nephrostomy has been used for the diagnosis and treatment of 64 patients. There have been no unsuccessful attempts at nephrostomy placement and no major complications were noted. This procedure can be accomplished readily and safely, reliably and effectively for short- and long-term urinary diversion in various urologic conditions in children and adults. Catheter care is described, and use of the nephrostomy tract for various urological problems is discussed.

Adult↗

Percutaneous stone extraction in one single session.

Elective percutaneous nephrolithotomy in 137 consecutive cases is reviewed. Radiological puncture, dilation, placement of a nephrostomy tube and endoscopic lithotomy were always done in a single session, with the patient under general anesthesia. Thirty-six patients had a renal operation at the site of percutaneous nephrolithotomy. An adequate tract was formed in 94.9% of the cases. Ninety percent of the targeted calculi were removed successfully. Average anesthesia time was 90 min and mean hospitalization 6 days. Complications were few and patients returned to work earlier than after an open operation.

Adolescent↗

Influence of concanavalin a on autolysis of gametes from Chlamydomonas reinhardii.

The phytohemagglutinin concanavalin A inhibited zygote formation of Chlamydomonas reinhardii. 15--50 mug lectin/ml not only interfered with the mating reaction, but also with cell wall lysis of gametes and zoospores in a crude autolysin preparation gained from copulating gametes. Further, the structure of cell walls shed into the medium after autolysis in the course of the mating reaction and after lysis "from without" in the crude autolysin preparation was stabilized by Con A. Therefore, it must be assumed that the lectin inhibited zygote formation of C. reinhardii by interfering with autolysis of the cell walls of the gametes. Though Con A inhibited the lytic processes of C. reinhardii, an activation of the autolytic system in theta gametes by the lectin was found to compete with its inhibitory reaction. Con A induced autolysis of theta gametes was dependent on adherence of the cells by their flagella to the surface of the culture vessel or the liquid medium and did not occur in cultures stirred by rotation. The interferences of Con A with the autolytic serum of C. rienhardii were inhibited by methyl-alpha-D-mannopyrano-side and to a lesser degree by glucose, indicating that the carbohydrate binding sites of the lectin were involved in its reactions with the cells.

Binding, Competitive↗