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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 20 (1995), S. 368-370 
    ISSN: 1432-0509
    Keywords: Bladder, abnormalities ; Ureter, calculi ; Ureter, stenosis or obstruction ; Urography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background Interureteric ridge edema may be seen at intravenous urography (IVU) and is related to acute lower ureteral obstruction, trauma, or calculi. The purpose of this study was to explore the relationship between interureteric ridge edema and acute distal ureteral obstruction caused by ureteral calculi. Methods A total of 338 patients who had IVU for various indications during a 6-month period were reviewed for the presence of interureteric ridge edema. Results Interureteric ridge edema was seen in 12 (4%) of 338 patients, all with acute lower ureteral obstruction from stones. Interureteric ridge edema was best demonstrated with the partially filled bladder film or postvoid bladder film in all cases. Conclusion Interureteric ridge edema is most commonly caused by stone-induced distal ureteral obstruction and is less commonly seen with recent passage of a stone or other etiologies. Interureteric ridge edema was present in 26% of patients with acute lower ureteral obstruction.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 9 (1995), S. 905-907 
    ISSN: 1432-2218
    Keywords: Laparoscopy ; Laparoscopic-assisted abdominal aortic aneurysm repair ; Vascular
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Since the advent of laparoscopy, the sweeping changes seen in general surgery have not been paralleled in vascular surgery. There have been case reports of laparoscopic-assisted aortobifemoral bypass for occlusive disease. Because aneurysmal disease comprises the majority of aortic surgery, we pursued animal and cadaveric feasibility studies for laparoscopic-assisted abdominal aortic aneurysm (AAA) repair. We present a case report of the first clinical case performed under Institutional Review Board protocol using this technique. The patient was a 62-year-old male with a 6-cm infrarenal AAA. After obtaining a pneumoperitoneum, a modified fish retractor was used to exclude the bowel. Ten 11-mm ports provided access to laparoscopically dissect the neck of the aneurysm and the iliac vessels. Then, a 10-cm minilaparotomy was performed and standard vascular clamps were inserted via the port incisions. Standard aneurysmorraphy was performed with a polytetrafluoroethylene (PTFE) tube graft. Laparoscopy conferred three major benefits: better visualization of the aneurysm neck, less bowel manipulation, and avoidance of hypothermia. This case report illustrates the feasibility of laparoscopic-assisted aneurysm repair. Controlled human studies will define the role of laparoscopy in AAA surgery.
    Type of Medium: Electronic Resource
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