[Kidney calcinosis as a sequela of complicated fractures of long bones].
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Biomedical subjects
Publications and source records attributed to M Fryczkowski.
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Traumatic lesions of kidney parenchyma, not penetrating into the renal collective system, are the most frequent kidney traumas in man. The absence of typical clinical symptoms and the inability of comparing radiological investigations with the actual state are strongly limiting the diagnostic possibilities. The object of the present work has been to give a comparative evaluation of urography, arteriography, scintigraphy and pharmacophlebography in 22 dogs in which lesions of kidney parenchyma were performed operatively. From this work it follows that pharmacophlebography is of the greatest value because it detects traumatic lesions of the parenchyma in 80-100%. This method carries no risk even at an early period of kidney lesion, and does not lead to late changes in the parenchyma and kidney vessels.
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Relying on their own observations, the authors describe nine patients in whom Fraley's syndrome was diagnosed and treated operatively. In six of them, calycopyeloneostomy was performed. In three of the patients, because of complications, the upper pole of the kidney was excised together with the changed calyx. In noncomplicated cases the calycopyeloneostomy with a transposition of the artery beyond the cervix of the upper calyx allows to retain the active parenchyma of the upper pole of the kidneys.
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In this work the results of vesicoureteroplasty performed by the Leadbetter-Politano method in 77 children are presented. The indications for a vesicoureteroplasty procedure are outlined. Bad results are analysed and the causes of failure and possibilities of preventing them are considered. Probable causes of vesicoureteral reflux on the side opposite to the operated one, and the influence of coexisting congenital anomalies of urinary tract upon operative results are discussed.