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At least 163 records · Page 9Linked to original sources

Percutaneous suprapubic cystostomy after spinal cord injury.

The results of treatment of urinary bladder paralysis with small calibre (9 Charriere) suprapubic drainage in 41 male patients are described. It was found that suprapubic drainage could be maintained for an average of 8 weeks and that the urine in 43% of patients remained sterile for an average of 7 weeks. This technique merits further trial, both in the paraplegic patient and in normal patients requiring catheterisation because of obstruction of the lower urinary tract.

Humans↗

Uretero-neo-cystostomy in renal transplantation. Is an antireflux mechanism mandatory?

We report a retrospective analysis of 120 kidney transplantations in which a simple end-to-end ureteric implantation in the bladder without antireflux mechanism was made. From this study no greater incidence of vesico-ureteric reflux could be demonstrated and, even when present, reflux neither interfered with graft function nor caused an increased incidence of recurrent urinary tract infections. The incidence of other urological complications (leakage, obstruction) being equal, this very simple technique yielded in our hands the best results and we recommend its use in kidney transplantation.

Humans↗

Ovarian cystostomy.

Surgical treatment of follicle and luteal cysts by laparoscopic fenestration is an accepted procedure. After cyst aspiration, a "window" is cut in its wall. Thus, a tissue sample can be obtained for cytological and histopathological examination. Laparoscopic fenestration was performed in 104 patients. During a mean follow-up period of 20 months (N = 91) a recurrence rate of 8% was observed by vaginal examination and abdominal sonography. In the presence of pelvic adhesions, functional cysts tend to recur. Luteal cysts have a higher recurrence rate than follicle cysts.

Adult↗

[Hepaticocholangiochole cystostomy plus construction of subcutaneous tunnel of the gallbladder in the treatment of hepatolithiasis with bile duct stricture].

A novel operation was designed by using Hartmann's pouch of the gallbladder to anastomose stone-strictured intrahepatic bile duct while leaving the common bile duct and Oddis sphincter intact and fixing the fundus of the bladder subcutaneously. 28 patients with intrahepatic bile duct stones and strictures underwent the operation successfully, and recovered well. There were no postoperative complications such as reflux cholangitis or disturbances of GI tract.

Adolescent↗