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Register a new userThe Role of Laparoscopy in the Diagnosis and Treatment of Undescended Testis
دور تنظير البطن في تشخيص و تدبير الخصية الهاجرة غير المجسوسة
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Damascus University ورقة بحثية
Publication date
2011
fields
Medicine
and research's language is
العربية
Created by
Shamra Editor
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يعد علاج الخصية الهاجرة أمراً ذا أهمية نظراً إلى ازدياد خطورة الإصابة بالعقم و الخباثة فضلاً عن زيادة عرضة هذه الخصية للرضوض و الانفتال و الأثر النفسي الذي تخلفه لدى المرضى و ذويهم. و يقدر أن نحو %20 من حالات الخصية الهاجرة تكون غير مجسوسة، و هنا نستخدم عدة وسائل شعاعية فضلاً عن الجراحة التنظيرية لتحديد موضع الخصية الهاجرة غير المجسوسة، و يعد التنظير في هذه الحالات تقنية بديلة لوضع التشخيص و العلاج. نستعرض في هذه الدراسة خبرتنا باستخدام تنظير البطن في تشخيص الخصية الهاجرة غير المجسوسة و تدبيرها.
Treatment of the cryptorchid testicle is justified due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and torsion and psychological stigma on patients and their parents. Approximately 20% of cryptorchid testicles are nonpalpable. Many Radiological methods in addition to surgical exploration have been used to localize the non-palpable testis. In these cases, the laparoscopic technique is a usefull method for diagnosis and treatment.
References used
Berkowitz GS, Lapinski RH, Dolgin SE, Gazella JG, Bodian CA, Holzman IR. Prevalence and natural history of cryptorchidism. Pediatrics 1993;92(1):44-9
Cendron M, Huff DS, Keating MA, Synder HM, Duckett JW: Anatomical, morphological and volumetric analysis: a review of 759 cases of testicular maldescent. J Urol 149:570-573; 1993
Huff DS, Hadziselimovic F, Snyder HM 3rd, Blythe B, Ducket JW. Histologic maldevelopment of unilaterally cryptorchid testes and their descended partners. Eur J Pediatr 1993;152 Suppl:S11-S14
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The diagnosis of pleural diseases is one of the frequent clinical problems. Despite a
variety of diagnostic tests are available for evaluating pleural effusions, approximately 15–
20% of pleural effusions remains undiagnosed, In this cases ,a thora
coscopy plays an
important role, it permits the surgeon to visually view and evaluate the entire pleural space
,and to obtain enough accurate biopsies from suspected areas. This study aims to evaluate
the effectivenes of Video Assisted
Thoracoscopic surgery (VATS) in diagnosis of pleural effusions.
Between June 2012 and June 2015 we performed 38diagnostic thorososcopy for
undiagnosed pleural effusions. The histopathologic studies of pleural biopsies result were
as follows : )%60,5 ( malignancies,)%31,6 ( TB And )%7,9 ( nonspecific inflammatory
reaction.
The malignant diseases are: Mesothelioma )%60,9(, Metastases of adenocarcinoma
)%30,4(,Lymphoma )% 8,7(
4 Complications ,with no mortality.
Conclusion: Video Assisted Thoracoscopic Surgery is a safe and accurate diagnostic
procedure for pleural diseases but it also has a very useful role in therapy.(VATS) saves
time, effort and cost, more over it is preferred by the patient as he recovers and returns to
his normal activity rapidly.
the aim of this study is to prove that laparoscopic approach in
experienced hands is the treatment
of choice for adrenal masses (up to 10 cm)
the study was conducted in Al Asad University
hospital between 2004-2006.By
reviewing the files of 22 p
atients with adrenal mass retrospectively and
prospectively all of them were done
laparoscopicaly except one case in which the operation was converted to
open approach .the variables that
considered in this study were the difficulty of the procsdure,time of surgery,
the ratio of conversion to the
classic approach (open adrenalectomy ^morbidity and mortality rates.
Dysfunctional uterine bleeding and postmenopausal bleeding
is one of the most important challenges facing gynecologists.
The results of our study showed the Pipelle not to be as accurate as
the standard dilatation and curettage especially in postm
enopausal women
after measuring the endometrial lining, we related this to the technics we
used in reusing the Pipelle itself which is made for single use, and to
possibly the bias of the pathologist who read the slides.
Renal artery stenosis is an important clinical entity. its
importance lies in that it may be a treatable cause of
hypertension, and it is -when progress- a cause of chronic
renal failure. The causes of renal artery stenosis are
numerous, the most
common are: atherosclerosis and
fibromuscular dysplasia (accounts for more than 95% of
cases). Digital Subtraction Angiography (DSA) is the standard
reference in the radiologic diagnosis of renal artery stenosis,
but it carries the risk of being invasive procedure. Doppler
ultrasound is used in the evaluation of the renal arteries, and
it has the advantage of being non-invasive and inexpensive.
Hypertension
تصوير الأوعية بالطرح الرقمي
Digital Subtraction Angiography
ارتفاع الضغط
القصور الكلوي
تضيق الشريان الكلوي
التصلب العصيدي
خلل التنسج العضلي الليفي
التصوير الطبي
الإيكو دوبلر
الطبقي المحوري متعدد الشرائح
Renal Failure
Renal Artery Stenosis
Doppler Ultrasound
Multislice Computed Tomography
المزيد..
The aim of this study was diagnosis and conservative treatment of
Pyometra in dogs with antiprogestins (such as Aglepriston) and
prolactin inhibiting (Cabergoline) associated with synthetic PGF2α
(Cloprostinol) will replace ovariohysterectomy.
Tw
enty-three dogs (8,5 ± 3,2 years old and 5-35 kg weight) from
different breeds with know breeding history and open or closed type of Pyometra, were used in this study. All dogs underwent a general and gynecological examination including Ultrasonography.
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