Proximal Migration regarding Ureteral Stent Using Ureteric Obstructions After Kidney Hair transplant

La obesidad es actualmente un problema de salud pública de ámbito internacional. Es considerada como la segunda causa de muerte prevenible en México, después del tabaquismo, según la Organización Mundial de la Salud. Actualmente, las opciones quirúrgicas son la gastrectomía en manga, el bypass gástrico o derivación gástrica, la banda gástrica y el bypass gástrico en omega, cada una con sus indicaciones. Se presenta el caso clínico de una paciente con intususcepción yeyuno-yeyunal secundaria a bypass gástrico en el embarazo.Obesity is currently an international public health problem. It is considered the second preventable cause of death in Mexico, after smoking, according to the World Health Organization. Currently, surgical options are sleeve gastrectomy, gastric bypass or gastric derivation, gastric banding, and omega gastric bypass, each with specific indications. The objective of the article is to present the clinical case of a patient with jejuno-jejunal intussusception secondary to gastric bypass in pregnancy.Hernias of the lateral abdominal wall are a rare entity. In most cases, they occur after surgery or trauma. We present two cases of lumbar hernia the first one after iliac bone grafting and the second one after muscular tearing by the seatbelt during a car accident. Both cases were successfully repaired using a propylene mesh with bone fixation.El 10-15 % de los tumores renales son tipo papilar, su asociación a síndromes hereditarios es poco frecuente y son muy agresivos. Se presenta el caso de un paciente con piloleiomiomatosis con tumor dependiente del riñón derecho y la glándula suprarrenal izquierda, y nefrectomía radical derecha con carcinoma renal papilar tipo 2. Recurrencia retroperitoneal, hepática y lesión testicular bilateral. Orquiectomía radical izquierda con tumor de células de Leydig, metastasectomía hepática y retroperitoneal con carcinoma papilar tipo 2, último estudio de seguimiento sin datos de actividad tumoral. el seguimiento oncológico con estudios no invasivos y los avances terapéuticos pueden mejorar las tasas de supervivencia.10-15% of cases of renal tumors correspond to papillary type, the association to hereditary syndromes is rare, and aggressive. Clinical case male with a history of piloleiomyomatosis and right kidney and left adrenal tumor, right radical nephrectomy with papillary renal carcinoma type 2. Development retroperitoneal, hepatic and bilateral testicular tumor. Left radical orchiectomy with Leydig cell tumor, hepatic and retroperitoneal metastasectomy with papillary carcinoma metastasis type 2, latest follow-up study without tumor activity. Oncological follow-up with non-invasive studies and therapeutic advances could improve survival rates.In the era of evidence-based decision-making, systematic reviews (SRs) are being widely used in many health care policies, government programs, and academic disciplines. SRs are detailed and comprehensive literature review of a specific research topic with a view to identifying, appraising, and synthesizing the research findings from various relevant primary studies. A SR therefore extracts the relevant summary information from the selected studies without bias by strictly adhering to the review procedures and protocols. This paper presents all underlying concepts, stages, steps, and procedures in conducting and publishing SRs. Unlike the findings of narrative reviews, the synthesized results of any SRs are reproducible, not subjective and bias free. However, there are a number of issues related to SRs that directly impact on the quality of the end results. If the selected studies are of high quality, the criteria of the SRs are fully satisfied, and the results constitute the highest level of evidence. It is therefore essential that the end users of SRs are aware of the weaknesses and strengths of the underlying processes and techniques so that they could assess the results in the correct perspective within the context of the research question.
Because methods of performing laparoscopic left hemicolectomy differ between surgeons, standardizing the procedure is crucial to reduce complications and secure good oncologic outcomes.
This is a retrospective hospital-based cohort study using a propensity score-weighted method. This study was conducted at the department of colorectal surgery in a tertiary teaching hospital between October 2007 and December 2017. The short-term and long-term outcomes of open and laparoscopic left hemicolectomy from 10 years of experience using a standardized 4-step laparoscopic procedure at one institution were compared. PLX5622 Short-term outcomes were postoperative morbidity and mortality. Long-term outcomes were disease-free survival and overall survival.
We enrolled 564 patients who underwent open or laparoscopic left hemicolectomy for primary colon adenocarcinoma. The open surgery and laparoscopy groups had 357 and 207 patients, respectively. Compared with the open surgery group, the laparoscopy group had significantly shorter hospital stays (open vs. laparoscopy, 10 vs. 7 d, P<0.001), less postoperative morbidity (open vs. laparoscopy, 16.5% vs. 9.2%, P<0.001), and lower risks of superficial surgical site infections, lung complications, and gastrointestinal complications. No differences were observed between the groups in postoperative mortality (open vs. laparoscopy, 0.6% vs. 0.0%, P=0.23), disease-free survival curves (P=0.69), or overall survival curves (P=0.85).
Our standardized 4-step technique of laparoscopic left hemicolectomy is more efficient, has fewer surgical complications, and yields better short-term and similar long-term oncologic outcomes compared with open surgery.
Our standardized 4-step technique of laparoscopic left hemicolectomy is more efficient, has fewer surgical complications, and yields better short-term and similar long-term oncologic outcomes compared with open surgery.
To compare the mental health and psychological responses in Wuhan, a severely affected area, and other areas of China, during the coronavirus disease 2019 (COVID-19) epidemic.
This cross-sectional study was conducted during February 10-20, 2020. A set of online questionnaires was employed to measure mental health and responses. 1,397 participants from Wuhan (age 36.4 ± 10.7; male 36.1%) and 2,794 age- and sex-matched participants from other areas of China (age 35.9 ± 9.9; male 39.0%) were recruited.
Compared with their counterparts, participants from Wuhan had significantly higher prevalence of any mental health problems (46.6% vs. 32.2%; adjusted OR=1.89, 95%CI=1.65-2.17), anxiety (15.2% vs. 6.2%; adjusted OR=2.65, 95%CI=2.14-3.29), depression (18.3% vs. 9.7%; adjusted OR = 2.11, 95%CI=1.74-2.54), suicidal ideation (10.5% vs. 7.1%; adjusted OR=1.60, 95%CI=1.28-2.02), and insomnia (38.6% vs. 27.6%; adjusted OR=1.70, 95%CI=1.48-1.96). Participants from Wuhan had a slightly higher rate of help-seeking behavior (7.