Biomedical subjects
Publications and source records attributed to G Höltl.
The diagnosis of a kidney trauma is discussed and the great importance of angiography besides i. v. urography and retrograde pyelogram is pointed out. In surgical treatment exact urinary diversion and wound drainage are most important points to avoid later complications.
3 patients with U-tube pyelonephrostomy were treated conservatively for multiple struvite (triple phosphate) stones in the kidney by means of constant irrigation with citrate buffer (pH 4.8). Complete dissolution of the stones was achieved in 2 patients. Conservative therapy was unsuccessful in the third case in view of narrowing of the renal calyces. Combined therapy by means of direct irrigation and oral chemotherapy is recommended.
Three cases of spontaneous rupture of the collecting system of the kidney are reported on. Organ-saving surgery was feasible in two of them. The etiology and treatment of spontaneous ruptures of the renal pelvis are discussed.
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