The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform

Hugh D Flood - One of the best experts on this subject based on the ideXlab platform.

  • endoscopic holmium laser excision of intravesical tension free vaginal tape and polypropylene suture after anti incontinence procedures
    The Journal of Urology, 2005
    Co-Authors: Subhasis K Giri, John Drumm, Hugh D Flood
    Abstract:

    ABSTRACTPurpose: We report on our technique of endoscopic excision of intravesical tension-free vaginal tape procedure and polypropylene sutures using the holmium laser following various anti-incontinence procedures.Materials and Methods: Three patients who previously underwent the tension-free vaginal tape, Burch colposuspension and Stamey vesicopexy, respectively, presented with a range of symptoms including hematuria, recurrent urinary tract infection, frequency, urgency and urinary incontinence. Patients were evaluated with history and examination, and all 3 were found to have nonabsorbable intravesical material.Results: There was obvious encrustation over the eroded polypropylene material within the bladder. A 365 μm tip firing holmium laser fiber was inserted through the working channel of the Flexible Cystoscope. The tape and sutures were successfully excised using a holmium laser output of 1.0 J per pulse at a rate of 10 Hz. Mean operative time was 15 minutes.Conclusions: Holmium laser excision of...

Antonio Carbone - One of the best experts on this subject based on the ideXlab platform.

  • combined laparoscopic pyelolithotomy and endoscopic pyelolithotripsy for staghorn calculi long term follow up results from a case series
    Therapeutic Advances in Urology, 2016
    Co-Authors: Antonio Luigi Pastore, Giovanni Palleschi, Luigi Silvestri, Antonino Leto, Andrea Ripoli, Andrea Fuschi, Yazan Al Salhi, Domenico Autieri, Vincenzo Petrozza, Antonio Carbone
    Abstract:

    Purpose:Staghorn renal stones are a challenging field in urology. Due to their high recurrence rates, particularly those associated with an infective process, a complete removal is the ultimate goal in their management. We report our experience with a combined approach of laparoscopic pyelolithotomy and endoscopic pyelolithotripsy, the stone clearance rate, and long-term, follow-up outcomes.Methods:From June 2012 to October 2014, nine adult patients with large staghorn renal calculi (mean size, 7.2 cm; range, 6.2–9.0 cm) underwent a combined laparoscopic and endoscopic approach. The technique comprised laparoscopic pyelolithotomy and holmium-YAG laser stone fragmentation with the use of a Flexible Cystoscope introduced through a 12 mm trocar.Results:The average operative time was 140 min (range, 90–190 min). The mean estimated hemoglobin loss was 0.6 mmol/l (range 0.5–0.7 mmol/l). None of the patients required an open- surgery conversion. The mean hospital stay was 4 days (range, 2–6 days). A computed tom...

  • Combined laparoscopic pyelolithotomy and endoscopic pyelolithotripsy for staghorn calculi: long-term follow-up results from a case series
    SAGE Publishing, 2016
    Co-Authors: Antonio Luigi Pastore, Giovanni Palleschi, Luigi Silvestri, Antonino Leto, Andrea Ripoli, Andrea Fuschi, Yazan Al Salhi, Domenico Autieri, Vincenzo Petrozza, Antonio Carbone
    Abstract:

    Purpose: Staghorn renal stones are a challenging field in urology. Due to their high recurrence rates, particularly those associated with an infective process, a complete removal is the ultimate goal in their management. We report our experience with a combined approach of laparoscopic pyelolithotomy and endoscopic pyelolithotripsy, the stone clearance rate, and long-term, follow-up outcomes. Methods: From June 2012 to October 2014, nine adult patients with large staghorn renal calculi (mean size, 7.2 cm; range, 6.2–9.0 cm) underwent a combined laparoscopic and endoscopic approach. The technique comprised laparoscopic pyelolithotomy and holmium-YAG laser stone fragmentation with the use of a Flexible Cystoscope introduced through a 12 mm trocar. Results: The average operative time was 140 min (range, 90–190 min). The mean estimated hemoglobin loss was 0.6 mmol/l (range 0.5–0.7 mmol/l). None of the patients required an open- surgery conversion. The mean hospital stay was 4 days (range, 2–6 days). A computed tomography urogram control at 6 months of follow up did not show any stone recurrence. Conclusions: Laparoscopic pyelolithotomy combined with endoscopic pyelolithotripsy could be a therapeutic option in cases where mini-invasive procedures, that is, extracorporeal shock wave lithotripsy, ureteroscopic lithotripsy, and percutaneous nephrolithotomy (PCNL) have failed. This technique has a high stone-clearance rate (75–100%) comparable with open surgery and PCNL. However, it could be technically demanding and should be performed by skilled laparoscopy surgeons

Bodo E Knudsen - One of the best experts on this subject based on the ideXlab platform.

Subhasis K Giri - One of the best experts on this subject based on the ideXlab platform.

  • endoscopic holmium laser excision of intravesical tension free vaginal tape and polypropylene suture after anti incontinence procedures
    The Journal of Urology, 2005
    Co-Authors: Subhasis K Giri, John Drumm, Hugh D Flood
    Abstract:

    ABSTRACTPurpose: We report on our technique of endoscopic excision of intravesical tension-free vaginal tape procedure and polypropylene sutures using the holmium laser following various anti-incontinence procedures.Materials and Methods: Three patients who previously underwent the tension-free vaginal tape, Burch colposuspension and Stamey vesicopexy, respectively, presented with a range of symptoms including hematuria, recurrent urinary tract infection, frequency, urgency and urinary incontinence. Patients were evaluated with history and examination, and all 3 were found to have nonabsorbable intravesical material.Results: There was obvious encrustation over the eroded polypropylene material within the bladder. A 365 μm tip firing holmium laser fiber was inserted through the working channel of the Flexible Cystoscope. The tape and sutures were successfully excised using a holmium laser output of 1.0 J per pulse at a rate of 10 Hz. Mean operative time was 15 minutes.Conclusions: Holmium laser excision of...

Chaozhao Liang - One of the best experts on this subject based on the ideXlab platform.

  • simultaneous treatment of ureteropelvic junction obstruction complicated by renal calculi with robotic laparoscopic surgery and Flexible Cystoscope
    World Journal of Urology, 2019
    Co-Authors: Cheng Yang, Jun Zhou, Zongyao Hao, Jianzhong Wang, Li Zhang, Chaozhao Liang
    Abstract:

    To present our experience of combining transperitoneal robot-assisted laparoscopic pyeloplasty (RALP) and concomitant Flexible Cystoscope lithotomy for ureteropelvic junction obstruction (UPJO) complicated by renal caliceal stones in the same session. Between October 2014 and November 2017, RALP combined with Flexible Cystoscope lithotomy was performed in 16 patients with UPJO and ipsilateral renal caliceal stones. Stone location and size were preoperatively assessed. After pyelotomy with appropriate length (about 8–15 mm), a 16F Flexible Cystoscope through the assistant trocar or robotic trocar was introduced directly into the renal pelvis under laparoscopic vision. Holmium laser lithotripsy and pressure irrigation via a pump were used for caliceal stone removal. Subsequently, robot-assisted laparoscopic pyeloplasty was undergone in a standard fashion. The calculi sizes ranged from 5 to 34 mm (mean 18.6 mm) and an average of 3.4 stones per patient was removed (range 1–8 stones). Complete stone clearance confirmed by postoperative imaging was achieved in all patients. Mean operative time was 204.6 min and estimated blood loss was 55.6 mL. Mean hospital stay was 6.7 days (3–17). The stent was removed after 8 weeks. No major intraoperative or postoperative complications were noted during a mean follow-up of 10.4 months (range 6–27 months). RALP combined with Flexible Cystoscope lithotomy is safe and effective alternatives for the simultaneous management of UPJO complicated by renal caliceal stones.