Biomedical subjects

H el-Kappany

Publications and source records attributed to H el-Kappany.

3 recordsLinked to original sources

PubMed1994

Accidental division of the transplanted ureter during laparoscopic drainage of lymphocele.

We report on the accidental division of the ureter of a transplanted kidney during laparoscopic marsupialization of a symptomatic lymphocele into the peritoneal cavity. Identification of the lymphocele was difficult because of a thick layer of overlying periperitoneal fibrolipomatous tissue. The complication was identified intraoperatively and stented reanastomosis of the divided ureter was performed. Postoperative course was uneventful. To avoid accidental injury to the transplanted ureter during laparoscopic drainage of lymphocele, we recommend that a ureteral catheter be inserted.

Drainage↗

PubMed1994

Laparoscopic nephrectomy: an established routine procedure.

Between August 1992 and April 1993, 60 patients underwent laparoscopic nephrectomy in our institution for benign disease (35 hydronephrosis, 20 chronic pyelonephritis, 4 end-stage kidney, 1 renal hypoplasia). Conversion to open surgery was needed in six cases to overcome intraoperative bleeding or perirenal adhesions. The mean operative time was 3.5 +/- 1.3 hours, and the mean hospital stay was 3.2 +/- 2.1 days. No deaths occurred, but significant complications were encountered in four cases in the form of pulmonary embolism, a large hematoma, postoperative bleeding, and colonic perforation. Laparoscopic nephrectomy is a safe and effective alternative to open nephrectomy for benign renal conditions.

Adolescent↗

PubMed1986

Rigid ureteroscopy for the treatment of ureteric calculi: experience in 120 cases.

Over a 1-year period, rigid ureteroscopy has been used to retrieve ureteric calculi in 120 patients. The technical details, causes of failure and the complications are described. An initial success rate of 78% was obtained. It was concluded that ureteroscopy should replace blind procedures for the extraction of ureteric stones.

Adult↗