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[PMID]: 26724646
[Au] Autor:Ripollés T; Martínez-Pérez MJ; Martin G; Vizuete J; Martínez-García R; Diez J; Martí E
[Ad] Address:Department of Radiology, Spain. Electronic address: ripolles_tom@gva.es....
[Ti] Title:Usefulness of contrast-enhanced US in the diagnosis of acute gangrenous cholecystitis: A comparative study with surgical and pathological findings.
[So] Source:Eur J Radiol;85(1):31-8, 2016 Jan.
[Is] ISSN:1872-7727
[Cp] Country of publication:Ireland
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To prospectively determine the usefulness of contrast-enhanced ultrasound (CEUS) in the diagnostic assessment of acute gangrenous cholecystitis, using histopathology as the reference method. MATERIAL & METHODS: The local institutional review board approved the study protocol, and all patients at enrollment provided a written informed consent. From December 2011 to July 2014, all patients with a clinical-sonographic diagnosis of acute cholecystitis underwent a CEUS examination. We included only patients who underwent cholecystectomies within 24-h of CEUS. Radiologists in the course of routine clinical care interpreted the US and CEUS images at the end of the examination, filling out a questionnaire. Two radiologists, blinded to the final diagnosis, independently reviewed the video CEUS sequences for the presence of defects of the gallbladder wall enhancement. Associations between the sonographic findings and histological gangrenous cholecystitis were evaluated by using univariate and multivariate logistic regression analysis. RESULTS: A total of 150 patients were analyzed. The histological diagnoses were 41 (27%) nongangrenous cholecystitis and 109 acute gangrenous cholecystitis (73%). Multivariate analysis of the predictive parameters at univariate analysis revealed that only leukocytosis, diabetes mellitus, lithiasis and defects of wall enhancement on CEUS were independent variables related to gangrenous cholecystitis. The presence of enhancement defects on CEUS enabled the diagnosis of the gangrenous form with sensitivity between 85 and 91% and specificity of 67.5-84.8%. Interobserver agreement for CEUS interpretation was good (median k value: 0.664; range, 0.655-0.680). CONCLUSION: Local or widespread absence of gallbladder wall enhancement on CEUS is associated with the presence of gangrenous acute cholecystitis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1601
[Js] Journal subset:IM
[St] Status:In-Process

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[PMID]: 25327295
[Au] Autor:Aslan A; Tan S; Yildirim H; Dönmez U; Çam A; Gezer MC; Teber MA; Arslan H
[Ad] Address:Sevket Yilmaz Education and Research Hospital, Department of Radiology, Bursa, Turkey....
[Ti] Title:Scrotal calculi in clinical practice and their role in scrotal pain: A prospective study.
[So] Source:J Clin Ultrasound;43(7):406-11, 2015 Sep.
[Is] ISSN:1097-0096
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:PURPOSE: Scrotal calculi are rare, and their clinical significance is uncertain. Scrotal pain is a frequent, hard-to-manage problem in urology clinics. Our purpose in this study was to determine the relationship between the presence of scrotal calculi and scrotal pain in a prospective manner. METHODS: Sonography and color Doppler ultrasound of the scrotum were performed in 758 consecutive patients referred with scrotal pain. The pain was rated by using an 11-point numeric rating scale; scores were compared among patients with scrotal calculi with and without additional scrotal pathology. RESULTS: Scrotal calculi were detected in 73 of the 758 patients (9.6%). Scrotal pain (n = 50 [61%]) and a palpable mass in the scrotum (n = 25 [30.5%]) were the most common complaints in patients with scrotal calculi. Hydrocele (n = 17 [29.8%]) and varicocele (n = 15 [26.3%]) were the most commonly associated abnormalities; there was a statistically significant association between the presence of scrotal calculi and hydrocele (p < 0.01). Scrotal pain was present in 61 (83.5%) patients with scrotal calculi, and this association was significant (p < 0.001). The presence of scrotal pain and the correlation between location of calculi and pain in patients without additional scrotal abnormalities were also significant (p = 0.04 and p < 0.004, respectively). CONCLUSIONS: The prevalence of scrotal calculi was 9.6%, and hydrocele was found to be associated with scrotal calculi. We also found a significant relationship between the presence of calculi and scrotal pain. Because the etiology of scrotal pain is essential for appropriate treatment, scrotal calculi should be kept in mind when making a differential diagnosis of scrotal pain. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43:406-411, 2015.
[Mh] MeSH terms primary: Calculi/complications
Calculi/ultrasonography
Genital Diseases, Male/complications
Genital Diseases, Male/ultrasonography
Pain/etiology
Scrotum/ultrasonography
[Mh] MeSH terms secundary: Adolescent
Adult
Aged
Aged, 80 and over
Diagnosis, Differential
Humans
Male
Middle Aged
Pain/ultrasonography
Prospective Studies
Testicular Hydrocele/complications
Testicular Hydrocele/ultrasonography
Ultrasonography, Doppler, Color
Varicocele/complications
Varicocele/ultrasonography
Young Adult
[Pt] Publication type:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:150716
[St] Status:MEDLINE
[do] DOI:10.1002/jcu.22247

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[PMID]: 23032704
[Au] Autor:Serra S; Corona A; De Lisa A
[Ad] Address:Urologic Clinic, University of Cagliari - Cagliari - Italy.
[Ti] Title:Trattamento della litiasi con asse infundibulare ad angolo acuto rispetto al calice d'ingresso nella PCNL. [Treatment of lithiasis with infundibular axis at an acute angle to the calyx entry in PCNL].
[So] Source:Urologia;79 Suppl 19:128-9, 2012.
[Is] ISSN:0391-5603
[Cp] Country of publication:Italy
[La] Language:ita
[Ab] Abstract:INTRODUCTION: In the treatment of pyelo multi calyceal renal lithiasis, although we utilize both rigid and flexible instruments, the greatest challenge when trying to achieve a stone-free status after the procedure with a single access, is represented by the presence of residual caliceal stones difficult to reach for the length of the infundibular system in which they are localized, and major axis of it at an acute angle with respect to the axis of the cannula entrance. We describe our technique of treatment in these cases with no second access. MATERIALS AND METHODS: 55 cases of multiple lithiasis of the lower calyx at the end of PCNL for complex lithiasis were treated with the following technique. Using ultrasound and fluoroscopic guidance a puncture of the calyx adjacent to the cannula was performed. A standard Lubriglide guide (0.038", right or J) was introduced until the renal pelvis. Through a nephroscopic guidance, the guide was retrieved with a clamp and was taken out from the cannula; then the two leaders were locked together by a mosquito-mounted clamp. The guide traction towards the cannula allowed identifying, through the rigid nephroscope, the infundibulum where the lithiasis was located. The infundibulum was sectioned with monopolar electrode and it was possible to access the calyx affected by the lithiasis. RESULTS: In all treated cases it was possible to reach the lithiasis from the single initial percutaneous access and to eliminate them. Small bleedings were dominated by monopolar electrode. The Urography or uro-CT performed after three months showed no residual lithiasis; the infundibulum resumed its morphological characteristics. DISCUSSION: The described technique allows for a complete resolution of the lithiasis with no need of a second access or a retrograde approach, in situations where the combined use of flexible instruments does not allow solving the pathology.
[Mh] MeSH terms primary: Kidney Calices
Lithiasis
[Mh] MeSH terms secundary: Humans
Kidney
Kidney Calculi/surgery
Laparoscopy
Treatment Outcome
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:130201
[St] Status:MEDLINE
[do] DOI:10.5301/RU.2012.9522

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[PMID]: 26717117
[Au] Autor:Glina FP; Castro PM; Monteiro GG; Del Guerra GC; Glina S; Mazzurana M; Bernardo WM
[Ad] Address:Faculdade de Ciencias Medicas de Santos, Centro Universitario Lusiada, Santos, Sao Paulo, Brasil....
[Ti] Title:The use of alpha-1 adrenergic blockers in children with distal ureterolithiasis: a systematic review and meta-analysis.
[So] Source:Int Braz J Urol;41(6):1049-57, 2015 Nov-Dec.
[Is] ISSN:1677-6119
[Cp] Country of publication:Brazil
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Urinary lithiasis is the main urologic cause of emergency treatment in adult patient. In the past years, the incidence in children population has increased. However, literature about the use of alpha-1 adrenergic blockers in pediatric population with distal ureterolithiasis is still scarce. The drug acts by decreasing ureter contractions, especially in the distal portion, facilitating calculus expulsion. OBJECTIVE: This review has the objective to evaluate the use of alpha-1 adrenergic blockers as medical expulsive treatment in children with distal ureterolithiasis. EVIDENCE ACQUISITION: An electronic literature search was performed using the MEDLINE, COCHRANE, and LILACS databases. We further searched manually the references of the primary studies. Searches were concluded on October 4th, 2014. Articles were selected, independently and in pairs, by the respective titles and summaries. Any divergence was resolved by consensus. EVIDENCE SYNTHESIS: Alpha-1 adrenergic antagonists increased the probability of calculus expulsion by 27% (NNT=4). Calculi smaller than 5mm, increased by 33% (NNT=3). Larger than 5mm, increased by 34% (NNT=3). CONCLUSION: Alpha-1 adrenergic blocker use is related with a greater incidence of expulsion of ureteral calculi, smaller or greater than 5mm, and fewer episodes of pain when compared to ibuprofen. However it is necessary larger samples to enhance the power analysis of the expulsion of ureteral calculi larger than 5mm and the episodes of pain. PATIENT SUMMARY: This review analyzed the outcome of alpha adrenergic antagonist in children with ureteral calculi. We conclude that it is the best medicine for use, since it helps the expulsion of the stone.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1512
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.1590/S1677-5538.IBJU.2015.0048

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[PMID]: 25912855
[Au] Autor:Garconnet J; Foletti JM; Guyot L; Chossegros C
[Ad] Address:Service de stomatologie et chirurgie maxillofaciale, centre hospitalier universitaire de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France. Electronic address: juliegarconnet@yahoo.fr....
[Ti] Title:Suture du nerf lingual: note technique. [Suture of lingual nerve: Technical note].
[So] Source:Rev Stomatol Chir Maxillofac Chir Orale;116(3):143-6, 2015 Jun.
[Is] ISSN:2213-6541
[Cp] Country of publication:France
[La] Language:fre
[Ab] Abstract:INTRODUCTION: Because of its anatomical position, the lingual nerve may be severed during oral surgical procedures, such as third molar removal. Early suturing of the nerve promotes better recovery. We describe the end-to-end suture of this nerve. OPERATIVE PROCEDURE: The suture is carried-out under general anesthesia. The approach is made in the mouth floor, in the same way as for submandibular gland lithiasis transoral removal. This approach allows good exposure and some laxity to displace the nerve stumps. The latter can then be sutured under microscope assistance before closing the mucosa. DISCUSSION: Lingual nerve suture is a simple, quick and inexpensive procedure. Unlike other procedures, it cannot be used in case of large loss of substance because of the small amount of laxity of the nerve. Nerve function recovery is better if performed before the 6th post-traumatic month, and in young patients.
[Mh] MeSH terms primary: Lingual Nerve Injuries/surgery
Lingual Nerve/surgery
Oral Surgical Procedures/methods
Sutures
[Mh] MeSH terms secundary: Anastomosis, Surgical
Hemostasis, Surgical/methods
Humans
Tongue/injuries
Tongue/pathology
Tongue/surgery
Tooth Extraction/adverse effects
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:D; IM
[Da] Date of entry for processing:150616
[St] Status:MEDLINE

  6 / 6104 MEDLINE  
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[PMID]: 25841269
[Au] Autor:Louvrier A; Foletti JM; Guyot L; Chossegros C
[Ad] Address:Service de chirurgie maxillo-faciale et stomatologie, centre hospitalier La Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; Service de chirurgie maxillo-faciale, de stomatologie et d'odontologie hospitalière, centre hospitalier universitaire de Besançon, boulevard Fleming, 25030 Besa...
[Ti] Title:Abord combiné des lithiases parotidiennes. Note technique. [Combined approach of parotid lithiasis. A technical note].
[So] Source:Rev Stomatol Chir Maxillofac Chir Orale;116(3):139-42, 2015 Jun.
[Is] ISSN:2213-6541
[Cp] Country of publication:France
[La] Language:fre
[Ab] Abstract:INTRODUCTION: Sialendoscopy, extracorporeal lithotripsy and transoral removal are the usual treatments for parotid lithiasis. These techniques cannot treat all the patients. In fact, removal of lithiasis bigger than the ductal diameter and situated in the middle or posterior third of the duct may fail with such techniques. For this reason the combined approach has been developed. Our technical note describes this procedure. TECHNICAL NOTE: Preoperative check-up needs an ultrasound or a CT scan of the parotid region. The procedure is conducted under general anesthesia. It begins with the localization of the lithiasis with help of the sialendoscope light visible through the skin. A face lift approach is performed giving access to the SMAS that is opened over the lithiasis and the transilluminated area. A window is opened on the duct and the lithiasis is removed. Proximal duct permeability is assessed with the sialendoscope. The different layers are sutured and a suction drainage is left in place. DISCUSSION: Combined approach is indicated in case of failure of conservative techniques. It provides good results in removal of lithiasis located in the posterior or middle thirds of the duct. Its morbidity is low. It can avoid performing a parotidectomy and lowers the risk of facial palsy. In case of failure, botulinum toxin injection may be indicated.
[Mh] MeSH terms primary: Lithiasis/surgery
Oral Surgical Procedures/methods
Parotid Diseases/surgery
[Mh] MeSH terms secundary: Aged
Combined Modality Therapy/methods
Endoscopy/methods
Female
Humans
Lithiasis/epidemiology
Lithiasis/pathology
Lithotripsy/methods
Male
Middle Aged
Operative Time
Parotid Diseases/epidemiology
Parotid Diseases/pathology
Postoperative Complications/epidemiology
Preoperative Care/methods
Retrospective Studies
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:D; IM
[Da] Date of entry for processing:150616
[St] Status:MEDLINE

  7 / 6104 MEDLINE  
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SciELO Brazil full text

[PMID]: 26398759
[Au] Autor:Marchiori E; Zanetti G; Hochhegger B
[Ad] Address:Universidade Federal Fluminense, Niterói, BR.
[Ti] Title:Dense consolidations.
[So] Source:J Bras Pneumol;41(4):388, 2015 Jul-Aug.
[Is] ISSN:1806-3756
[Cp] Country of publication:Brazil
[La] Language:eng; por
[Mh] MeSH terms primary: Lithiasis/chemically induced
Lithiasis/radiography
[Mh] MeSH terms secundary: Amiodarone/adverse effects
Anti-Arrhythmia Agents/adverse effects
Diagnosis, Differential
Humans
Male
Middle Aged
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Nm] Name of substance:0 (Anti-Arrhythmia Agents); N3RQ532IUT (Amiodarone)
[Em] Entry month:1604
[Cu] Class update date: 151121
[Lr] Last revision date:151121
[Js] Journal subset:IM
[Da] Date of entry for processing:150924
[St] Status:MEDLINE

  8 / 6104 MEDLINE  
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[PMID]: 26293048
[Au] Autor:Sevinc C; Balaban M; Ozkaptan O; Karadeniz T
[Ad] Address:Medicana International Istanbul Hospital, Urology Clinic, Istanbul, Turkey....
[Ti] Title:Flexible Ureterorenoscopy and Laser Lithotripsy for the Treatment of Allograft Kidney Lithiasis.
[So] Source:Transplant Proc;47(6):1766-71, 2015 Jul-Aug.
[Is] ISSN:1873-2623
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To evaluate the safety and effectiveness of flexible ureterorenoscopy (F-URS) and laser lithotripsy for the treatment of allograft kidney lithiasis. PATIENTS AND METHODS: In a retrospective analysis of 897 consecutive renal transplantations that were performed at our center between February 2008 and December 2014, 6 patients were found to have allograft lithiasis. F-URS and laser lithotripsy were performed 6 times on 5 patients (twice for 1 patient who had stone recurrence after 6 months). Percutaneous nephrolithotomy was used for the remaining patient. Patient demographics and stone characteristics (age, sex, stone size, stone analysis, location, history of shockwave lithotripsy) and perioperative measures (duration of operation, fluoroscopic imaging, success and complication rates) were reviewed. In addition, the technical difficulties of standard F-URS procedures in transplanted kidneys were reviewed and some facilitative techniques were defined to increase the success rate. RESULTS: A total of 5 patients underwent 6 F-URS procedures and laser lithotripsy operations for renal graft lithiasis. The mean stone size was 9.2 mm (7.5-11 mm). The mean operation and fluoroscopy times were calculated as 55 minutes (40-70 minutes) and 57.5 seconds (40-80 seconds), respectively. Treatment was successful in all patients and no severe complications or mortality occurred. One patient experienced transient hematuria and recovered within 36 hours. CONCLUSION: F-URS is a safe, effective, and minimally invasive treatment modality for small- and medium-sized stones in allograft kidney lithiasis.
[Mh] MeSH terms primary: Kidney Calculi/therapy
Kidney Transplantation
Lithotripsy, Laser/methods
Ureteroscopy/methods
[Mh] MeSH terms secundary: Adult
Aged
Allografts
Female
Humans
Male
Middle Aged
Recurrence
Retrospective Studies
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:150821
[St] Status:MEDLINE

  9 / 6104 MEDLINE  
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[PMID]: 25487049
[Au] Autor:Arrabal-Polo MA; Arrabal-Martin M
[Ad] Address:Urology Department, La Inmaculada Hospital, Doctora Ana Parra Avenue, 04600 Huercal-Overa, Almeria, Spain.
[Ti] Title:Stones: Bone health in patients with kidney stones.
[So] Source:Nat Rev Urol;12(1):9-10, 2015 Jan.
[Is] ISSN:1759-4820
[Cp] Country of publication:England
[La] Language:eng
[Mh] MeSH terms primary: Fractures, Bone/epidemiology
Urolithiasis/epidemiology
[Mh] MeSH terms secundary: Female
Humans
Male
[Pt] Publication type:COMMENT; NEWS
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:150107
[St] Status:MEDLINE
[do] DOI:10.1038/nrurol.2014.333

  10 / 6104 MEDLINE  
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[PMID]: 26210667
[Au] Autor:Mathers J; Solar BT; Harding L; Smeulders N; Hume-Smith H
[Ad] Address:Department of Anaesthesia, Great Ormond Street Hospital, London, United Kingdom. Electronic address: jonathanmathers@me.com....
[Ti] Title:Cardiac Dysrhythmias in Children Undergoing Extracorporeal Shock Wave Lithotripsy Under General Anesthesia or Propofol Sedation: A Prospective, Observational Cohort Study.
[So] Source:Urology;86(5):1008-12, 2015 Nov.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To assess the frequency and severity of cardiac dysrhythmias and identify any intraoperative or postoperative complications in children undergoing extracorporeal shock wave lithotripsy (ESWL). METHODS: All children coming to our institution for ESWL from June 2014 to January 2015 were prospectively enrolled in an observational cohort study. Intraoperative cardiac dysrhythmias and perioperative and postoperative complications were recorded. RESULTS: In total, 21 children aged 1-18 years were enrolled receiving a total of 26 treatments. Intravenous sedation was used in 19 cases and general anesthesia with an inhalational agent in 7 cases. Cardiac dysrhythmias occurred in 58% of children. No hemodynamic instability was noted. No therapies were terminated because of dysrhythmias, and there were no postoperative cardiac dysrhythmias. CONCLUSION: ESWL remains a safe therapy for children with urinary stone disease. Although we experienced more dysrhythmias than currently published literature, there were no long-term adverse outcomes and children were able to go home the same day.
[Mh] MeSH terms primary: Arrhythmias, Cardiac/etiology
Lithotripsy/adverse effects
Propofol/administration & dosage
Urolithiasis/therapy
[Mh] MeSH terms secundary: Adolescent
Anesthesia, General/methods
Arrhythmias, Cardiac/diagnosis
Child
Child, Preschool
Cohort Studies
Electrocardiography/methods
Female
Follow-Up Studies
Humans
Infant
Infusions, Intravenous
Kidney Calculi/therapy
Kidney Calculi/ultrasonography
Lithotripsy/methods
Male
Patient Safety
Prospective Studies
Risk Assessment
Treatment Outcome
Ultrasonography, Doppler/methods
Urolithiasis/ultrasonography
[Pt] Publication type:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Name of substance:YI7VU623SF (Propofol)
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:151121
[St] Status:MEDLINE


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