Changes in patients' quality of life after renal transplantation.
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Biomedical subjects
Publications and source records attributed to T Wesołowski.
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Urological complications of allogenic kidney transplantation include vesicoureteral reflux which can result in graft threatening urinary tract infection. To prevent this complication several ureterovesical anastomosis techniques have been developed. Authors present a comparison of three different techniques: extravesical without antireflux mechanism, extravesical Witzel-Lich with antireflux mechanism and intravesical Laedbetter-Politano with antireflux mechanism. 39 patients were selected randomly from a cohort of 420 allogenic kidney recipients (follow up time 10-147 months). All patients had voiding cystography and urine culture performed. The incidence of vesicoureteral reflux varied from 13.3% to 50%, depending on the anastomosis technique. No correlation between type of anastomosis and urinary tract infection was found.
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Proposed are indications for a drainage of the subretinal space on the basis of results of 345 retinal detachment operations with and without evacuation of the subretinal fluid. These indications are dependent on the recognition of the so called prognostical factors unfavourable for the surgical treatment of retinal detachment.
Presented are the results of treatment of more severe retinal detachments (82 eyes); in which a fragment or fragments of a silicone sponge roll encircled the eye ball performing a role of an extrascleral invaginating implant. The anatomical reattachment of the retina was achieved in 85% of cases (70 eyes). Misting of the vitreous (17%) was the more substantial early complications; it passed after a general application of antibiotics.
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