We report a case of severe hypertensive patient with poor response regardless 5 drugs, that is diagnosed with right renal artery aneurysm, during the study of his HTN. Conservative surgery was performed by extracting laparoscopic kidney graft,ex-vivo pedicle reconstruction, followed by transplant in right iliac fossa utilizing the ilioinguinal incision used for the extraction, without need for two incisions. We perform a brief discussion of surgery indications of surgery in these patients.
Objective: To know the principal characteristics associated to adolescent pregnancy and value it as a possible risk factor for low birthweight. Materials and methods: To study cases and controls for six months. The cases were selected from nuliparous women aged from 14 years to 19 years admitted to obstetrics during labour. The controls, nuliparous women aged 20 years or more, were admitted to the same center during the same period of time and were chosen randomly from the admissions book. These were coded and later processed using the data of the SPSS V 11.0 programme; descriptive analysis of the data was made, OR was calculated as the measurement of association, with an CI of 95% and the Chi squared test as a contrast of the hypothesis, and assuming the value p < 0.05 to be the statistically significant difference between them. A multivariant analysis was also carried out using a multiple logistic regression model. Results: 242 cases and 484 controls. The risk factors associated with low birth weight identified in the analysis were: the age of the mother < 19 years OR 2.12; CI (1.30-3.44) and antenatal control < 5 visits, OR 5.15 (2.81-9.41). Generally speaking the adolescent mothers were out of the education system and mostly worked as domestic assistants, they also had a higher incidence of low birth weight and prematurity. Conclusions: There is an association between the age of the mother and low weight neonates, which increases amongst those who do not attend the antenatal clinics regularly.
Biopsy Gleason and WT do not impact on EBF. WT do not impact on pT. In our serie differences on EBF are lead by previous PSA and pT. Also Gleason of the especimen seems to impact on EBF, but in lower proportion, with no significance in multivariate analysis.
Objetivos: Estudiar diferentes factores que pueden influir en la recidiva bioquímica precoz (RBP) (primer año tras cirugía), tras prostatectomía radical retropúbica (PRR). Material y métodos: Estudiamos 310 PRR. Criterios de inclusión: al menos un año de seguimiento, ausencia de bloqueo hormonal o radioterapia previa. Los pacientes fueron divididos inicialmente en 2 grupos según el tiempo de espera. Grupo A <90 días (n: 148), Grupo B > 90 días (n:162). Estudiamos RBP (2 o más determinaciones de PSA >= 0,2 ng/ml) y la influencia del PSA previo, el Gleason de la biopsia, el Gleason del espécimen, estadio pT, y tiempo de espera. Para estudiar la homogeneidad existente entre los dos grupos usamos la t de Student o W de Wilcoxon. Estudiamos la RBP y el estadio pT en los dos grupos usando la chi cuadrado de Pearson, que también nos sirve para estudiar en los dos grupos la RBP en relación al estadio pT. El test de la U de mann-Whitney lo usamos para estudiar en la serie global la RBP según el Gleason del espécimen. Por último se realiza una Regresión logística multivariante para estudiar la influencia de todas las variables en la RBP en la serie global. Resultados: No encontramos diferencias entre los dos grupos en edad (p< 0,129), ni PSA (p< 0,479), ni Gleason de biopsia (p<0,913). No se encontraron diferencias en RBP ni en estadio pT según el tiempo de espera. Hallamos diferencias estadísticamente significativas en RBP si estudiamos estadio pT y Gleason de la pieza. Los T3 tienen más incidencia de recurrencia que los T2 y hay más incidencia de RBP según aumenta el Gleason de la pieza. En la regresión logística de la serie global las variables independientes de progresión son: PSA previo y estadio pT. Ni el Gleason de la biopsia ni el Gleason del espécimen, ni el tiempo de espera entre biopsia y cirugía influyen en la RBP. Conclusiones: El Gleason de la biopsia y el tiempo de espera no influyen en la RBP. El tiempo de espera tampoco influye en el estadio T final. En nuestra serie las diferencias en RBP vienen dadas por el PSA previo y pT. El Gleason del espécimen parece influir en la RBP, pero en menor proporción sin significado en el análisis multivariante. Palabras clave: Cáncer de próstata. Recurrencia. Biopsia de próstata.
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