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Biomedical subjects

G Abril Baquero

Publications and source records attributed to G Abril Baquero.

8 recordsLinked to original sources
PubMed1994

[Laparoscopic ablation of renal cysts].

The therapeutic indications for renal cysts, a pathology observed in more than 50% of subjects aged over fifty years, are currently limited to their symptomatic forms or those of uncertain diagnosis. The approach has changed from the unroofing procedure to percutaneous sclerotherapy and, thereafter, to percutaneous resection or endourological marsupialization to the urinary tract. Only a year ago, some isolated cases of laparoscopic treatment of renal cysts were reported. Our experience of 13 cases using this latter technique is described. The procedure is performed under general intravenous anesthesia (with intubation), using three or four laparoscopic ports (one of 11 mm and 5 mm for the rest), electric scissors, two grasping forceps and an aspiration/irrigation system. After opening the parietocolic space at the cyst level, a 4 cm window is dissected in the peritoneal tissue, on its wall. After punctioning and emptying the cyst, we explore it inside and dissect its free wall for complete excision. The early and late results (some cases have a follow-up of more than one year) are excellent. For this reason, we advocate the use of this procedure for symptomatic renal cysts over 8 cm in diameter that do not present an exclusively intrarenal development.

Adult↗
PubMed1994

[Nephrectomy through lumbar endoscopy. Report of 3 cases].

After a long experience with transperitoneal laparoscopic surgery of the kidney, we have incorporated the Gaur balloon technique for dissection. We report our experience of 3 nephrectomy procedures performed via lumboscopy, with the patients lying in the lumbotomy position. A 12 mm skin incision is made in the axillary midline. Blunt dissection of the muscle planes is carried out and the retroperitoneal space is explored digitally. A 16 F balloon-tipped catheter is introduced and the balloon is distended with 720 ml saline solution. The catheter is removed and a Hasson trocar with optics and 3 accessory trocars are inserted. The kidney is dissected and the elements of the vascular pedicle are clipped or stapled independently. The kidney is fragmented inside a Lapsac and removed. In our view, this procedure is easier to perform and carries less morbidity than transperitoneal laparoscopic nephrectomy.

Adult↗
PubMed1994

[Laparoscopic management of complex lithiasis in horseshoe kidneys].

Based on the fact that the results obtained with extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy are uncertain in cases of complex lithiasis in horseshoe kidney, and counting on a wide laparoscopic experience as the most suitable solution in these cases, the authors present their initial experience in two cases of double lithiasis in right hemikidney. Approach was done through transperitoneal laparoscopy, after placement of a stent catheter and under the support of a radiological C-arc. After removal of the stones, the renal pelvis was closed with loose 4 zero reabsorbable suture with kots done intracorporeally. The post-operative had no complications with the exception of a transient leak of urine (5 days) that cause no further complications or subsequent sequelae. Monitoring at 6 months showed absence of residual lithiasis and good morphology and renal function of the sides operated.

Aged↗
PubMed1993

[Laparoscopic renal surgery].

Spurred by the development of laparoscopic lymphadenectomy and nephrectomy, laparoscopic surgery has gained acceptance in Urology, although not as rapidly as endourology. Laparoscopic access to the kidney is easier by the transperitoneal than by the retroperitoneal approach. Insertion of a trocar through the umbilicus for the optic and utilizing three to five accessory trocars is the standard practice. In some simple procedures two accessory trocars will suffice, four trocars and periumbilical trocar are required for nephrectomy, and an additional trocar is inserted in the hypogastrium for distal ureter release in nephroureterectomy. The procedure is performed using intravenous general anesthesia with endotracheal intubation and the patient is placed in the supine decubitus position with a 45 degrees lateral tilt or in the total lateral decubitus position (nephrectomy) with a slight anti-Trendelenburg. Exposure of the kidney is achieved by opening the posterior peritoneum along the line of Toldt and, in some cases, releasing the hepatic angle or the splenic colon. The kidney can be released partially or completely depending on the type of surgery. It is easier to perform an extended nephrectomy since dissection is performed better between the capsule of Gerota and the pararenal tissue. The renal vessels can be controlled with clips or an automatic stapling/cutting device. Laparoscopic access to the mid and upper ureter is very simple and the only difficulty encountered is in its correct identification. The current and future applications of laparoscopic renal surgery are discussed, including some original procedures that have been performed by the authors, such as in situ excision of a renal tumor and two pyelolithotomy procedures in solitary kidney.

Forecasting↗
PubMed1993

[Urinary retention caused by hematocolpos secondary to imperforate hymen].

We report on two adolescent girls with imperforate hymen that had presented clinically as urinary retention. In the second case described herein, hydrocolpos could have resulted from the imperforate hymen and might have caused the congenital hydronephrosis incorrectly diagnosed during the neonatal period and childhood as such.

Adolescent↗
PubMed1989

[Epidermoid cyst of the testis in children].

An epidermoid cyst of the testis was found in a 10 year-old child. The interest of this case report resides in the fact that it is rare in childhood and that its pathogenesis is not well known. Although the treatment of this condition remains controversial, a high orchidectomy through the inguinal tract was performed to a correct pathological diagnosis.

Child↗
PubMedDate not supplied

[Incrusted cystitis after Mitomicin-C].

Incrusted cystitis is an infrequent process characterized by precipitation an incrustation of salts on the vesical mucosa. An alkanine urine is required to this precipitation. The urinary infection with urolithic activity microorganisms can also be a very important factor. We present a case of incrusted cystitis after using Mitomicine as vesical chemotherapy.

Alkylating Agents↗