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Biomedical subjects

V Szokoly

Publications and source records attributed to V Szokoly.

At least 37 records · Page 2Linked to original sources

[Vesico-ureteral reflux in childhood].

After having reviewed the anatomy and physiology of vesicoureteral reflux, the authors claim that in the case of appropriate indication and technique of the operation good results can be expected of plastic surgery. They stress that the indications of the operations for obstructed reflux have considerably narrowed. Conservative treatment beside long-term disinfection of the urine and removal of the focus results in the majority of cases--mainly when the patients are small children--, in the abolishment of vesico-ureteral reflux. In about 50% of the discovered refluxes surgical intervention is necessary, but also in these cases the administration of antibiotics is indispensable.

Child↗

Lymphadenectomy in Urology.

Surgical radicality in tumours of the urinary tract with lymphonodular deposits requires extirpation of the adjacent and regional lymphadenoid tissues, in particular of the lymph nodes. The theoretical and practical aspects of lymphadenectomy in testicular and renal tumours are discussed, and the technical problems are outlined. The importance of early diagnosis and the benefits of surgery of adequate radicality involving lymphadenectomy are emphasized.

Humans↗

[Surgical treatment of ureterectasia].

Ureterectasia can be congenital (mega-ureter) or acquired (hydro-ureter). Mega-ureters can be of reflux and non-reflux (obstructive) type. The essence of primary non-reflux mega-ureters is the presence of a prevesical adynamic segment which causes functional obstruction. The musculature of this segment is abnormal in both function and structure. A surgical solution of the malformation is recommended mainly in children and young adults. In 10 years, 17 patients were subjected to 22 operations. After removal of the obstructive segment and straightening of the ureter, it was implanted into the vesicle through an intravesical tunnel. With the exception of two cases where nephrectomy had to be done and a case with persisting reflux, the other operations were successful. Narrowing of the ureter was not done. Ureteral neo-implantation is preferred to Boari's operation. Isolated pelvis ureters are operated only in the case of complications.

Adolescent↗

Treatment of testicular tumours.

The changes in the treatment of testicular tumours are reviewed. The currently accepted methods of treatment, the indications for postoperative irradiation, retroperitoneal removal of the lymph nodes and the administration of cytostatics are discussed on the basis of the authors' experience and of published data.

Adult↗

[Complications of kidney transplants].

Increasingly more publications are reported on reassuring results after kidney transplantation. After some initial difficulties promising results were achieved on three patients who now live with a transplanted kidney. The importance of improving diagnostic possibilities and the reduction of damages caused by immunosuppressive drugs is stressed and the possibility of altering if necessary the combination of drugs is suggested.

Host vs Graft Reaction↗