Download Controversies and Innovations in Urological Surgery by J. C. Gingell (auth.), J. Clive Gingell MB, BCh, FRCS, PDF

By J. C. Gingell (auth.), J. Clive Gingell MB, BCh, FRCS, FRCS(Ed), Paul H. Abrams MD, FRCS (eds.)

The identify of this booklet is a problem. an individual with the least wisdom of modern-day urology will comprehend that there are lots of very debatable features of this topic. Urology isn't by myself during this unsettled atmosphere for there are comparable debates in just about all different facets of surgical procedure. as well as the quick alterations in know-how, a huge a part of the reason for those controversies is just that extra surgeons are ready to confess that no region in their paintings is so proven that it doesn't undergo extra scrutiny and review. Argument should be tedious yet debate is fit. This publication goals to offer fabric that's controversial: skilled practitioners of every subject clarify why an opinion or choice might be sustained. The purist could desire to have those reviews resolved by means of a well-planned medical trial, yet event of scientific trials indicates that they don't consistently produce effects which are simply translated right into a optimistic swap in scientific perform. might the reader be persuaded extra through a statistically major distinction or via an skilled clinician who has reached convinced conclusions? either are dicy, yet considering the fact that surgical concepts are frequently now not simply switched over into acceptable reviews or trials the Editors have acquired the easiest opinion on every one controversy and innovation. The media adore controversy for its personal sake. The scientific occupation accepts controversy yet understands that few occasions in drugs are absolute and few systems will be performed purely via one method.

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5. An obliquely offset eyepiece nephroscope with two different rigid grasping forceps. Stones which are too large to be removed intact can be disintegrated either by ultrasonic lithotripsy (USL) or electrohydraulic lithotripsy (EHL). Ultrasonic probes are straight and must be passed down a rod lens nephroscope. The stone is disintegrated into fine sand, which is evacuated down a suction channel within the probe. The advantage of this technique is that stone fragments are actively sucked on to the end of the probe where they are disintegrated.

Urology 23: 59-{j6 Eisenberger F, Schmiedt E, Chaus~y C et al. (1977a) Beriihrungsfreie Harnsteinzertriimmerung. Stand der Forschung. Deutsches Arzteblatt 74: 1-5 Eisenberger F, Chaussy C, Wanner K (1977b) Extrakorporale Anwendung von hochenergetischen StoBwellen - ein neuer Aspekt in der Behandlung des Harnsteinleidens. , Fuchs G, Miller K (1983) Erfahrungen mit der beriihrungsfreien Nierensteintherapie (ESWL). Arzteblatt Baden Wiirttemberg 12-15 Eisenberger F, Fuchs F, Miller K, Rassweiler J (1985a) Non-invasive renal stone therapy with extracorporeal shockwave lithotripsy (ESWL).

In my opinion, dilation over 16 FG is dangerous; however, some Americans are currently dilating ureters to 24 FG with balloons. Only long-term follow up will show the results of this. The Perez-Castro technique is to pass a preliminary ureteric catheter a day or so prior to endoscopy and leave it in situ. This method has much to recommend it and is ideal for rather Ureteroscopy 49 narrow ureters which tend to dilate over the catheters, thus avoiding traumatic bouginage and haemorrhage which will spoil the view.

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