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Biomedical subjects

P Androulakakis

Publications and source records attributed to P Androulakakis.

13 recordsLinked to original sources
PubMed1982

Isolation of anaerobic organisms from kidney in serious renal infections.

We have studied 45 patients who underwent nephrectomy owing to unilateral renal sepsis for anaerobic and aerobic bacterial growth in the urine and kidney. Anaerobic organisms were recovered from 11 patients: 10 had positive kidney cultures, and only 1 had positive kidney and urine cultures. There was a distinct relationship between anaerobic infection of the kidney and urinary tract obstruction; 44 per cent of the obstructed kidneys yielded anaerobic organisms versus only 11 per cent of the unobstructed kidneys. Bacteroides fragilis was the anaerobic organism most often cultured. It is suggested that cultures for anaerobic organisms be performed together with aerobic cultures in patients with symptomatic upper urinary tract infections associated with urinary obstruction. In patients in whom anaerobic infection is suspected, in spite of negative anaerobic cultures, antibiotic treatment for anaerobes should be added to the existing therapeutic measures.

Anti-Bacterial Agents↗
PubMed1982

Kidney damage in recurrent renal lithiasis. A survey of 175 cases with clinicopathological observations.

We evaluated the degree of kidney damage in 175 patients treated by nephrectomy for recurrent renal stones. Renal histopathological lesions of the removed kidneys were graded and correlated to clinical and operative findings. Nonexcreting kidneys on intravenous pyelography or small atrophic kidneys with poor contrast excretion showing advanced hydronephrosis and pyelonephritic scarring intraoperatively corresponding to kidneys with advanced parenchymatous destruction histopathologically. In 91% of the cases severe renal damage was correctly predicted, and a decision to remove the affected kidney was justified.

Adolescent↗
PubMed1981

Surgical problems in pelvioureteral junction obstruction of the lower moiety in incomplete duplex systems.

We report 2 cases of pelvioureteral junction obstruction of the lower moiety in incomplete duplex systems. The connecting segments distal to the pelvioureteral junction were short, which created some technical problems. The diagnostic approach and the different surgical techniques are discussed. When confronted with a pelvioureteral junction obstruction in an incomplete duplex system the proper anatomy should be defined completely preoperatively.

Abnormalities, Multiple↗
PubMed1979

Non-functioning carcinoma of the adrenal cortex.

A case of non-functioning carcinoma of the adrenal cortex is reported. This type of neoplasm is rarely seen; up to 1974 only 173 similar cases had been reported. The patient has survived for nine months following diagnosis and operation.

Adrenal Cortex Neoplasms↗
PubMed1977

[Treatment of flail chest from the general surgical view. Experience with 20 cases].

Flail chest is a serious complication of multiple fractures of the ribs that needs immediate management in order to avoid its disastrous respiratory and circulatory consequences. The authors present their experience with 20 cases of flail chest injury and discuss especially some practical aspects of its treatment. Skeletal traction was used frequently to stabilize the chest wall, while intermittent positive pressure respiration was reserved only for patients with uncompensated respiratory disturbances. The authors urge that a well-organized surgical unit should be able to provide appropriate management in such cases, since most of these patients have multiple injuries that need general surgical together with more specialized treatment.

Adolescent↗
PubMed1975

Use of the gallbladder neck in the reconstruction of the bifurcation of the main hepatic ducts.

A case of successful resection of an adenocarcinoma of the junction of the right, left and common hepatic ducts is reported. The right hepatic duct was anastomosed to the gallbladder neck and the left hepatic to the common hepatic duct in order to restore the continuity of the biliary tract. This unusual technique offered effective decompression. It may prove, in selected patients with a normal gallbladder and a wide cystic duct, to be a useful alternative to other commonly performed internal drainage procedures.

Adenocarcinoma↗