Crossed fused renal ectopia (CFRE) is a rare fusion anomaly of the kidneys, with a predisposition to calculus disease. Management of renal calculi in CFRE is not standardized because of paucity of literature. We managed a 32-year-old man with left to right CFRE with multiple stones in both the kidneys by percutaneous nephrolithotomy for the right moiety and laparoscopic pyelolithotomy for the crossed moiety. Based on the stone burden and anatomy, we decided to go for a staged approach, to provide maximum clearance rate with least risk. We share our experience in this case, with regard to the use of two different but minimally invasive modalities for effective management of the patient. We also emphasize on the utilization of a staged approach whenever required for patient safety. We also reviewed the literature regarding the management of kidney stones in this rare anomaly.
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http://dx.doi.org/10.1089/cren.2020.0119 | DOI Listing |
Chem Biomed Imaging
December 2024
Key Laboratory of Analytical Chemistry for Life Science of Shaanxi Province, School of Chemistry and Chemical Engineering, Shaanxi Normal University, Xi'an, 710062, P. R. China.
Photodynamic therapy (PDT) has long been receiving increasing attention for the minimally invasive treatment of cancer. The performance of PDT depends on the photophysical and biological properties of photosensitizers (PSs). The always-on fluorescence signal of conventional PSs makes it difficult to real-time monitor phototherapeutic efficacy in the PDT process.
View Article and Find Full Text PDFBackground: Cancer remains a leading cause of mortality worldwide. A non-invasive screening solution was required for early diagnosis of cancer. Multi-cancer early detection (MCED) tests have been considered to address the challenge by simultaneously identifying multiple types of cancer within a single test using minimally invasive blood samples.
View Article and Find Full Text PDFRev Bras Ortop (Sao Paulo)
November 2024
Departamento de Cirurgia Plástica, Universita Degli Studi Di Milano, Milão, Itália.
To measure the life quality, clinical-functional outcomes of a patient who had undergone acute reconstruction of radio scapho capitate (RSC), radio lunate (RLL) ligaments, using brachiorradialis tendon in treatment of radiocarpal fracture dislocation. 21-years-old, man with radiocarpal fracture dislocation in his left wrist, after motorcycle accident. Percutaneous screw fixation of the distal radius and acute reconstruction of the RSC and RLL was performed, assisted by arthroscopy.
View Article and Find Full Text PDFRev Bras Ortop (Sao Paulo)
November 2024
Grupo de Cirurgia do Pé e Tornozelo, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brasil.
The diabetic foot consumes a large number of resources and has a profound negative impact on quality of life, representing the major non-traumatic cause of lower limb amputation in adults. The present report describes a diabetic patient with a recurrent plantar ulcer in the topography of the heads of the second, third, and fourth metatarsals. The patient was treated using the distal metatarsal diaphyseal osteotomy (DMDO) technique in these bones, an Akin-type percutaneous osteotomy in the proximal phalanx of the hallux, and debridement.
View Article and Find Full Text PDFFront Cell Dev Biol
December 2024
Department of Oncology, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China.
Tumor immunotherapy, modulating innate and adaptive immunity, has become an important therapeutic strategy. However, the tumor immune microenvironment's (TIME) complexity and heterogeneity challenge tumor immunotherapy. Hydrogel is a hydrophilic three-dimensional (3D) mesh structure with good biocompatibility and drug release control, which is widely used in drug delivery, agriculture, industry, etc.
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