Rhabdomyosarcoma of spermatic cord in adult.
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Biomedical subjects
Publications and source records attributed to D Turini.
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Twelve kidneys were autotransplanted to the internal iliac vessels in 11 patients for the treatment of renovascular hypertension. The ureter had been left unresected in all but one case, where a transuretero-ureterostomy was performed. A radiographic study of the ureteral motility was obtained during the postoperative period recording images every 1.5 s with a spot-camera system. The ureters appeared to follow different courses, due to the different surgical procedures. In all but two cases the transport of urine was obtained through separate boluses, frequency and direction of peristalsis were within normal ranges, and significant dilation was never observed.
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Selective angiography of the hypogastric artery was performed in two patients presenting vaginal metastases from renal cell carcinoma, in order to better define the extent of the metastases. In other case left renal angiography revealed an unsuspected metastasis to the left ovary, fed by a middle perforating capsular artery.
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The authors present their clinical experience in conservative surgery for renal cell carcinoma, which was performed in two cases of simultaneous bilateral tumours, in a case of neoplasm in solitary kidney, in two cases of cancers with damaged contralateral kidney and in two cases of association between cyst and small tumour. All patients are alive and without evidence of residual or recurrent malignancy with a followup ranging between 6 months and 7 years. The pros and cons of the various surgical solutions are discussed.
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The effects of bladder distension on the production of prostaglandins (PGs) were studied in an isolated rabbit bladder preparation. Increasing bladder distensions induced a proportional release of PGs together with a parallel increase in endovesical pressure; pretreatment with indomethacin prevented both. Infusion of exogenous PGs into the arteries of bladders previously filled and treated with indomethacin produced a rise in endovesical pressure similar to that observed subsequent to distension of the untreated bladder. Our results suggest that PGs and particularly PGE2 play a role in the maintenance of vesical tone during distension.
Two hypertensive patients with elevated renin presenting with renal artery stenosis and ureteropelvic junction obstruction are reported. Nephrectomy was successful in 1 patient and the other patient was treated wiht renal autotransplantation and dismembered pyeloplasty. The diagnostic and therapeutic problems of coexistent renal lesions are discussed.
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Total ureteral substitution had been performed with a pedicled gastric flap shaped as a tubule in 6 dogs. No dilatation was found at X-ray controls. No metabolic changes were recorded. The HCl secretion diminished the possibility of an infecting reflux.
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A case is reported of massive recurrent hematuria after ureterolithotomy caused by a fistula between a branch of the hypogastric artery and the bladder.
The authors propose a classification of ex situ surgery of the kidney and present their clinical experience of 20 renal autotransplantations over a period of 6 years: 16 were performed for renovascular hypertension with 2 failures and 4 for recurrent staghorn calculi, with 1 stone recurrence. Based on their experience and on the literature they discuss the present status and the future implications of ex situ surgery of the kidney.
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