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Adolescent Hyperparathyroidism: An Updated Contemporary Surgical Experience at a Tertiary Center.
J Surg Res
December 2024
Department of Surgery, University of Chicago Medicine, Chicago, Illinois.
Introduction: Primary hyperparathyroidism (pHPT) in children is uncommon, resulting in a paucity of data describing the disease process in this population. Herein, in an effort to bridge the information gap, we review our experience with pHPT in adolescent patients under 20 y of age at a specialized tertiary referral center.
Methods: A retrospective chart review included all adolescent patients with pHPT, who underwent surgery at our institution between 2004 and 2023.
Flank-free modified supine vs. prone position for pediatric nephrolithotripsy: an updated systematic review and meta-analysis.
BMC Urol
November 2024
Surgical Technique and Experimental Surgery Department, University of São Paulo School of Medicine, Dr. Arnaldo Ave., 455, São Paulo, SP, 01246903, Brazil.
Introduction: Percutaneous nephrolithotomy (PCNL) is widely performed as the preferred treatment for kidney stones larger than 20 mm in pediatric patients, with current research focusing on comparing outcomes between prone and supine positions to determine optimal procedural positioning. Therefore, the aim of this study is to compare the efficacy of prone versus supine positioning in pediatric PCNL, providing clarity on this critical aspect of the procedure to guide clinical decision-making.
Methods: We conducted a systematic review in PubMed, Embase, Scopus, Cochrane, Web of Science and Google Scholar.
Adverse events related to laser fibers and laser machines during ureteroscopy and stone lithotripsy: Insights from an updated 10-year analysis of the US MAUDE database.
Arch Ital Urol Androl
October 2024
Department of Urology, Haukeland University Hospital, Bergen; Department of Clinical Medicine, University of Bergen.
Article Synopsis
- Ureteroscopy is increasingly used to treat kidney stones, with laser technology being a main component, prompting an analysis of adverse events related to laser fibers and machines in a national database from 2012-2021.
- A total of 699 adverse events involving holmium laser fibers were reported, with the majority caused by breakage—often occurring before laser activation—and leading to a few cancellations of procedures.
- While patient injuries from laser fibers were minimal, operating staff experienced more injuries, primarily superficial burns, highlighting the importance of safety awareness during procedures.
Integrating neural networks with advanced optimization techniques for accurate kidney disease diagnosis.
Sci Rep
September 2024
Department of Internal Medicine, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt.
Kidney diseases pose a significant global health challenge, requiring precise diagnostic tools to improve patient outcomes. This study addresses this need by investigating three main categories of renal diseases: kidney stones, cysts, and tumors. Utilizing a comprehensive dataset of 12,446 CT whole abdomen and urogram images, this study developed an advanced AI-driven diagnostic system specifically tailored for kidney disease classification.
View Article and Find Full Text PDFRobotic pyelolithotomy for the treatment of large renal stones: a single-center experience over seven years.
Minerva Med
October 2024
Department of Urology, F. Miulli General Hospital, Acquaviva delle Fonti, Bari, Italy.
Article Synopsis
- - The study analyzes outcomes of robotic pyelolithotomy (RPL) in treating staghorn kidney stones in 153 patients over several years, highlighting its potential benefits compared to traditional treatment methods. * ! Initial stone-free rates (SFR) were high at 93.5% post-surgery but showed a decline to 83.5% after 12 months, indicating possible new stone formation rather than failure of the surgery itself. * ! RPL proved effective and safe, particularly for complex cases, but underscores the importance of patient selection based on stone characteristics to optimize treatment outcomes.
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