1000 resultados para 1995_03231551 MOC-20
Resumo:
INTRODUCTION: This study is a retrospective analysis of ureteral complications and their management from a monocenter series of 277 consecutive renal transplantations. MATERIALS AND METHODS: From September 1979 to June 1999, 277 renal transplantations (cadaveric origin) were performed in 241 patients. The ureter from the kidney graft was inserted into the bladder according to the technique of extravesical implantation described by Lich-Gregoir and Campos-Freire. The study analyzed the time of occurrence and the type of complications observed. The different procedures to restore the transplanted urinary tract are presented. RESULTS: Complications occurred in 43/277 renal transplantations (15.5%). Anastomotic urine leakage or ureteral stricture were the most frequent. The time to appearance of these complications was either short (<1 month) or late (>1 month) in a similar number of cases. Most cases were managed surgically: 33/43 cases (76.7%). The most frequent surgical repair was ureterovesical reimplantation (n=13), followed by: ureteroureteral end-to-end anastomosis (native ureter-ureter transplant, n=5); pyeloureteral anastomosis (native ureter-renal pelvis transplant, n=5); simple revision of ureterovesical implantation (n=4); resection and end-to-end anastomosis of the transplant ureter (n=2); calico-vesicostomy (graft-bladder, n=1); implantation according to Boari (n=1); pyelovesicostomy with bipartition of bladder (n=1), and pyeloileocystoplasty with detubularized ileal graft (n=1). No deaths related to any of the urological complications were reported. However, 2 consecutive vesico-renal refluxes led to the loss of the kidney graft in the long-term. CONCLUSION: The rate of complications observed in this retrospective analysis is similar to the experience of other studies, ranging from 2 to 20%. If the classical extravesical ureteral bladder implantation is to remain an attractive technique due to its simplicity, the surgical team at the training center should be aware of all the means to prevent any ureteral complications, such as the choice of another implantation technique and/or insertion of a transient ureteral stent.
Resumo:
La campaña de excavación realizada en 1991 en las proximidades de sector termal de la ciudad romana de Arva (Alco1ea del Río, Sevilla) ha permitido localizar tres hornos dedicados a la producción de ánforas Dressel20. Uno de ellos se data en época flavio-trajanea; los dos restantes se sitúan en un momento post-severiano. El conjunto parece formar parte del sector artesanal de Arva, situado junto al Guadalquivir.
Resumo:
Weekly newsletter for Center For Acute Disease Epidemiology of Iowa Department of Public Health.
Resumo:
Bureau of Nutrition and Health Promotion part of the Iowa Department of Public Health produces of weekly newsletter about the Iowa WIC Program for the State of Iowa citizen.
Resumo:
Crop and livestock summaries for the state of Iowa, produced by the Iowa Department of Agriculture. Previously Agri-News
Resumo:
Crop and livestock summaries for the state of Iowa, produced by the Iowa Department of Agriculture. Previously Agri-News
Resumo:
The technology used in this proposal is Bioprocess Algae’s Vertical Mounted Photo bioreactor. Inputs to this system are CO2 from a rich source, here an ethanol plant, nutrients, wastewater from the ethanol plant, sunlight and waste heat if available. The outputs from this system are algae oil, which is similar to other vegetable oils, dilapidated algae meal, and dry whole algae. Application use of the oil will be biodiesel feedstock, an alternative feedstock for ethanol or as a feedstock for other energy production processes.
Resumo:
Pieces of Iowa’s Past, published by the Iowa State Capitol Tour Guides weekly during the legislative session, features historical facts about Iowa, the Capitol, and the early workings of state government. All historical publications are reproduced here with the actual spelling, punctuation, and grammar retained. February 20, 2008 THIS WEEK: “The Old Brick Capitol”
