Archive tagged hydronephrosis

ANALYSIS OF EFFECTIVENESS OF RETROPERITONEAL AND TRANSABDOMINAL LAPAROSCOPIC APPROACHES IN PATIENTS WITH DIFFERENT COURSES OF HYDRONEPHROSIS

The  article focuses on comparatively analysing the therapeutic effectiveness of retroperitoneal and transabdominal laparoscopic approaches in patients with primary and secondary courses of hydronephrosis, caused by the insolvency of uretero-pelvic junction, on the basis of assessing the indicators of the postoperative period and the characteristics of immunological parameters that charac­terize the operative trauma. It has […]

COMPARATIVE EVALUATION OF ENDOVIDEOSCOPIC OPERATIONS USING STANDARD LAPAROSCOPIC, MINI- LAPAROSCOPIC TOOLS AND OPEN SURGERY IN PATIENTS WITH HYDRONEPHROSIS

The article deals with a comparative analysis of the therapeutic effectiveness of open and modern laparoscopic (transabdominal and retroperitoneal) therapies, including the usage of standard or mini-laparoscopic tools for patients with hydronephrosis caused by uretero-pelvic junction strictures of different etiologies. The retroperitoneal approach was improved by optimizing the location of the trocar and the formation […]

Selection criteria for access and surgical tactics optimization of nephrectomy at patients with terminal hydronephrosis

Were determined the selection criteria of mini­mally invasive surgical access of nephrectomy atpatients with terminal hydronephrosis. It was foundthat the retroperitoneal and transabdominal laparo­scopic accesses do not signifi cantly differ from eachother on injuriousness; manually-assisted laparo­scopic access features more tissue trauma, but for thesurgeon facilitates operation and allows the extrac­tion of a kidney through the […]

Possibilities of endovideosurgery treatment of patient with hydronephrosis caused by nephroptosis

The study identified opportunities of endovideosur­gical intervention in the surgical treatment of patients with hydronephrosis caused nephroptosis. The features of intra- and postoperative periods in these patients, depending on the access (retroperitoneal or transab­dominal) and the application of standard or mini-lapa­roscopic tools. It is established that it is preferable to use of retroperitoneal approach minilaparoscopic […]

Approaches to the choice of surgical treatment tactics of patients with hydronephrosis staged II–III with different obstruction factors of pelvic-ureteral junction

Developed a differentiated approach to the choice of surgical treatment tactics of patients with hydronephrosis caused by obstruction of the uretero-pelvic junction of various etiologies. Use of minimally invasive surgery allows to perform the same amount of surgery as in traditional open access, however reduces the traumatization of tissue, the probability of complications and that […]

Method of postoperative recurrence prophylaxis of patients with hydronephrosis staged II-III that have disorders of connective tissue synthesis

Developed a method for secondary prophylaxis of patients with hydronephrosis, which carried out surgery and revealed disorders of connective tissue synthesis, including background of the traditional acts the additional multifunctional, among others antifibrotic, penicillin G, drugs that affects homeostasis, Actovegin. Where established the optimal timing of his appointment. Using this method allows to extend to […]