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Biomedical subjects

P Buli

Publications and source records attributed to P Buli.

17 recordsLinked to original sources

[Our experience in urologic surgery with a new polyglycolic acid (Darvin)].

Catgut chromic has long been used as an absorbable suture and recently polyglycolic acid has been used widely as a suturing material causing minor tissue reaction. The aim of this study is to consider the bioavailability of a new absorbable suture which is a modified polyglycolic acid: Darvin. We considered 10 consecutive patients surgically treated for a bladder disease. They were cystoscopically followed 30 and 90 days after surgery. We noted a complete integration of the suture material in the bladder wall and no side reactions of the bladder.

Biocompatible Materials↗

Endourologic procedures for ureteropelvic junction stenosis: techniques and results.

Twenty-two cases of stenosis of the ureteropelvic junction were treated by endourologic procedures; 13 were associated with renal stones. Three techniques were used, depending on the type and degree of obstruction: (1) anterograde or retrograde dilation with a double-lumen balloon dilator catheter; (2) incision of the stricture with a cold knife after a percutaneous approach to the kidney; and (3) incision of the stenosis with a new flexible knife through a nephrostomy tract. Balloon dilation was always performed after the incision. No immediate complications were observed following the procedure. The average follow-up was eight months. A routine excretory urogram was done three months after treatment. There were four reobstructions, and in 1 patient the ureteropelvic junction could not be identified. Success rate was 77.3 percent.

Catheterization↗

[Radiological aspects and results of percutaneous ultrasonic nephrolithotripsy].

Percutaneous removal of renal stones is becoming an established procedure, especially for stones lying free in the renal pelvis. These techniques, which include: retrograde pyelography to facilitate a thorough understanding of caliceal anatomy and stone position in 3 dimensions; approaches for accurate placement of a nephrostomy tract for straightline access to the stone and stone removal are discussed.

Humans↗

[Crystalluria during prophylactic treatment of urinary lithiasis with allopurinol, hydrochlorothiazide, manganese oxide, diphosphonates and propionohydroxamic acid].

The study of cristalluria was used as a method to evaluate the severity of nephrolithiasis and the efficacy of different drug therapies. The number and dimensions of urinary crystals as well as the number of crystal aggregates, were determined in patients with infected calcium or uric acid nephrolithiasis. Crystalluria was studied before therapy and at 6 and 12 months during treatment. Marked reduction of crystalluria in patients with uric acid stones treated with allopurinol and in patients with infected stones treated with antibiotics and propionohydroxamic acid (PHA) was observed. Reduction of crystalluria in the group of patients treated with antibiotics alone was lower. We stress usefulness of the study of crystalluria in stone formers, which is also relatively easy to carry out.

Allopurinol↗

Acetohydroxamic acid therapy in infected renal stones.

The use of acetohydroxamic acid at different dosages is recommended in the treatment of renal lithiasis secondary to urease-producing bacteria. The effects of this drug are directed to urinary ammonium and urinary pH reduction and to potentiation of antibiotic therapy.

Adolescent↗

Urease inhibitor therapy in infected renal stones.

The strict dependence of struvite and carbonate apatite renal stones on the urease-producing germs confirm the need to combine bacterial urease inhibitor drugs with antibiotic treatment. Of the two antiurease drugs used the better results were obtained with acetohydroxamic acid, both for its minimum side effects and its more powerful urease-inhibitor capacity. Thus stone recurrence was avoided even in patients with urinary infection not responding to specific antibiotic treatment.

Adolescent↗