No abstract available.
Fever* ; Flank Pain*

No abstract available.
Fever* ; Flank Pain*

Background: Flail chest is a severe condition of thoracic trauma, and it requires diagnosis and treatment as soon as possible. From year 2000, we developed an improved technique of open fixation in order to adapt the situations of Vietnam health settings. Objectives: To report preliminary results of application of improved open fixation technique in Viet Duc Hospital from 2001 to 2006. Subjects and method: This descriptive, prospective and retrospective study involved 19 patients with flail chest due to closed thoracic trauma or multiple traumas, treated by open fixation technique. The parameters included features of patients, characteristics of this technique and postoperative progression.Results: Of 19 patients, there were 16 males and 3 females, mean age: 47.8 years. All patients presented obvious signs of flail chest preoperatively, but only 9 cases were treated by open fixation technique and pleural drainage immediately. This technique canbe applied in all sugical settings with single local anaesthesia, and any kind of common surgical threads. The most suitable initial pulled weight is 2000 g. All cases of flail chest required pleural drainage. All patients had good outcomes with open fixation technique, no death. There were 3 patients with postoperative complications, all were severe multiple trauma patients. Conclusion: Improved open fixation technique applied in Viet Duc Hospital is simple, effective and safe, and can be widely used in all surgical settings.
Flail Chest ; Flank Pain/ therapy ;

Percutaneous aspiration followed by instillation with 95% ethanol was performed on 15 patients with benign renal cyst. 86.6% of patients showed remarkable reduction in size of renal cyst or abscence of cyst on sonography. Nine(81.8%) of the 11 symptomatic patient were relieved of subjective symptoms such as flank pain after instillation. There was no major complication with this procedure. A slight local irritable pain was noticed in 2 cases and 1 patient had not flush but three symptom were only temporary. This treatment seems to be a safe and simple and effective way to prevent recurrence of the cyst.
Ethanol* ; Flank Pain ; Humans ; Recurrence

A 24-year old man presented with intermittent left flank pain for two years. With urograms this case was diagnosed as unilateral hydronephrosis associated with ureteropelvic obstruction. The cause of the ureteropelvic obstruction was proven as fibrous band surgically and pathologically. He underwent resection of the fibrous band and intubated pyelo-ureterostomy, and was discharged on the 14th postoperative day.
Flank Pain ; Humans ; Hydronephrosis* ; Young Adult

We report on a patient with matrix stone. The presenting symptoms were right flank pain and oliguria. The patient was in severe uremic condition secondary to the obstruction of the solitary kidney. A definite diagnosis was made by an exploration. However the surgical removal of stones resulted in only temporary improvement due to residual and recurrent stones. The literature is discussed.
Diagnosis ; Flank Pain ; Humans ; Kidney ; Oliguria

Rigid ureteroscopy is now an established technique for the management of ureteral stones and the diagnostic procedure of ureteral lesions. From July 1987 to August 1988, 23 patients underwent transurethral ureteroscopic procedure. The following results were obtained. 1. The success rates of ureteral stone removal were 84.6 %(11 among 13 cases) in lower ureter, 66 % (2 among 3 cases) in mid ureter and 50 % (2 among 4 cases) in upper ureter. In diagnostic procedure, the success rate was 100 % (3 among 3 cases). Overall success rate was 78.3 % (18 among 23 cases). 2. The success rates were 70 % (7 among 10 cases) of smaller than 1 cm and 80 % (8 among 10 cases) of larger than 1 cm. 3. Anesthetic methods were general(47.8 %), spinal (21.7 %) and epidural (30.8 %). 4. Average operating time was 118 minutes(from 40 minutes to 240 minutes) and mean hospitalization was 5.2 days. 5. Operative failure occurred in 4 cases : a case of false instrumental handling, a case of upward migration, a case of ureteral perforation and a case of severe ureteral kinking. 6. Complications occurred in 4 cases : a case of ureteral avulsion, a case of stone migration, a case ofureteral perforation and a case of flank pain for 2 weeks.
Flank Pain ; Hospitalization ; Humans ; Ureter ; Ureteroscopy*

No abstract available.
Adult* ; Angiomyolipoma ; Female* ; Flank Pain* ; Hematoma ; Humans

A total of 33 patients underwent repair of congenital ureteropelvic junction obstruction during a 10-year period. A majority of patients (85%) presented with flank pain. Hydronephrosis was demonstrated in all patients. A majority of the patients (94%) underwent dismembered pyeloplasty with intubation. In 9 cases, pyelolithotomy was performed at the time of pyeloplasty. One hypertensive patient became normotensive postoperatively. Seven patients underwent secondary procedures after a previous failed pyeloplasty, including 3 cases of dismembered pyeloplasty, 3 cases of ileal ureteral replacement and a case of nephrectomy. The clinical success rate was 79% with one operation.
Flank Pain ; Humans ; Hydronephrosis ; Intubation ; Nephrectomy ; Ureter

Thirty-eight benign renal cysts in 35 patients were treated with or without 99% ethanol during diagnostic aspiration under ultrasonic guidance. All were followed by ultrasound from 3 to 59 months. There were twelve (80% ) recurrences in simple aspiration group. Two cases ( 6.25% ) were recurred in ethanol instillation group. All of the five symptomatic patients were relieved of subjective symptoms such as flank pain after alcohol instillation. Minor complications of local pain and temperature elevation were no more prevalent than with simple aspiration alone. There was no major complication. In conclusion, it is reasonable to treat and prevent of renal cyst by ablation of the cyst with alcohol at the same time as diagnostic procedure.
Ethanol* ; Flank Pain ; Humans ; Recurrence ; Ultrasonics ; Ultrasonography