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Rare Renal Malignancies: A Case Series Highlighting Uncommon Presentations and Their Management Strategies.

Cureus

December 2024

Department of Urology, Mamata Academy of Medical Sciences, Bachupally, IND.

This case series elucidates renal cell carcinoma characterized by three distinct presentations, necessitating individualized treatment strategies tailored to each specific circumstance. The three cases presented pertain to clear cell renal cell carcinoma. The first case involves a 44-year-old male patient with renal cell carcinoma in an ectopic kidney, an exceedingly rare occurrence with limited literature.

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Evidence-based cesarean delivery: intraoperative management from skin incision until placental delivery (Part 8).

Am J Obstet Gynecol MFM

December 2024

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA. Electronic address:

The goal of standardizing the technique of the routine, uncomplicated cesarean delivery (CD) is to decrease maternal morbidity while optimizing neonatal outcomes. During the procedure, a family-oriented CD is recommended. The low transverse cesarean skin incision (created with either scalpel or diathermy) is preferred with either the Joel-Cohen or Pfannenstiel methods being acceptable.

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Introduction: Robotic-assisted surgery (RAS) is a vital modality in the armamentarium of minimally invasive surgeons. The HugoTM RAS system (Medtronic) is one of the newest platforms on the market and has little surgical outcomes data. We describe our early experience performing robotic-assisted partial nephrectomy (RAPNx) with the Hugo RAS platform.

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Article Synopsis
  • - The study investigates the effects of obesity on outcomes after transperitoneal laparoscopic adrenalectomy (TLA) for benign and malignant adrenal diseases, comparing results between non-obese and obese patients.
  • - A systematic review was conducted, utilizing multiple medical databases and following PRISMA guidelines, reviewing studies on intraoperative and postoperative outcomes like operative time, complications, and hospital stay length.
  • - Results from eight studies (involving 1,646 patients) indicated that there were no significant differences in surgical safety and effectiveness between obese and non-obese patients undergoing TLA, suggesting obesity does not adversely affect the procedure's outcomes.
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Objectives: Radical cystectomy with urinary diversion is the gold standard treatment for bladder cancer (high-risk/muscle invasive). The transperitoneal approach is associated with significant gastrointestinal complications like ileus. In the elderly and frail with a single functional kidney, we describe an extraperitoneal technique of radical cystectomy, with a ureterostomy, to be performed without general anesthesia.

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