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Dharamshila Hospital and Research Centre

Nephron Sparing Surgery in Renal TumorsA Case Report.pdf - 0 views

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    Nephron Sparing Surgery in Renal Tumors : A Case Report A 69 yrs old male presented to our OPD with h/o left sided varicocele. A known case of Diabetes, hypertension and bilateral medical renal disease, he underwent MRI abdomen which revealed a large lower pole lesion in left kidney with no renal vein or IVC thrombus. DTPA Scan revealed a 61% function in the affected kidney. Due to his bilateral medical renal disease and poorly functioning contra lateral kidney, he was planned for Nephron Sparing Surgery / partial nephrectomy (L) and DJ Stenting under cold ischaemia. Post op patient initially showed a rise in creatinine levels which gradually settled down to pre operative levels. Before we go into the discussion of partial nephrectomy or nephron sparing surgery (NSS) in RCC, I would like to emphasize on the presenting complaint. Varicocele in the left side is one of the presentation of Left sided kidney mass, which occurs due to the drainage of the gonadal vein into the renal vein on the left side and generally indicates tumor thrombus in the venous system renal/ IVC, however in this case it was because of compression of left gonadal vein by the renal mass. Renal tumors comprise approximately 3.8% of all new cancers with median age at diagnosis of 64 yrs. It is the third most common urological malignancy. The rate of RCC has increased by 1.6% per year for last 10 yrs, the reason of which is unknown. Majority of them are renal cell carcinomas and 80% of them are clear cell variety. Smoking and obesity are high risk factors of RCC. Some genetic diseases are also associated with RCC, like Von Hippel Lindau (VHL) disease. At presentation 25% are locally advanced. More often patient presents with metastatic disease (20%) . Only a few patients present with Virchows Triad - the 'too late triad' ( of hematuria, abdominal pain and flank mass). A CT Scan or MRI of the whole abdomen including pelvis clinches the diagnosis. A NEEDLE BIOPSY IS NOT NE
anonymous

Green Vaginal Discharge - 0 views

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disharani45

वजन बढ़ाने के लिए सबसे अच्छा प्राकृतिक उपचार | वजन बढ़ाना | Hashmi Dawakhana ... - 0 views

shared by disharani45 on 23 Jan 19 - No Cached
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    Vetoll XL weight gain supplement is a blend of herbs developed to supporting proper metabolism whilst assisting in increasing weight naturally. This capsule is the safest weight gainer supplement. It is suitable for both males and females. This capsule will increase the hunger, while decreasing the metabolism, which or else would have deterred you from increasing weight. Vetoll XL is the best weight gainer capsules for anyone who is searching for getting healthier weight gain. This capsule has been specially developed to assist persons experiencing weakened appetite, persons with an especially higher metabolism, athletes requiring increasing weight or only simply people battling to increase weight in general. It appears similar to everybody today is anxious about lose weight, not increasing it, though the truth is that generating lean muscle so as to make sure healthier weight gain is no simple work either. You can waste hours at the gym and include protein supplements for weightlifters to your diet and still hardly observe the scale budge. To increase weight fast, you require making sure that you appropriately fuel the body and supporting energy creation to power the growth of new muscle tissue. Vetoll XL weight gain capsule is developed to deliver the body with the support it requires to promoting weight gain the healthy, natural approach. Our all-natural weight gainers deliver actual results with no harmful steroids, increase testosterone levels and medications. This weight gain capsules are perfect for anybody who desires to gain weight. It stimulates the growth of muscle in the buttocks, hips and chest to produce that shapely, hourglass image. Vetoll XL weight gainer capsule is made from natural herbs that encourage weight gaining throughout the arms, shoulders and legs for a much-chiseled physical type. For further details on Vetoll XL contact us at +91- 9690666166 or email us at info@hashmi.com. http://www.oneshoppingpoint.com/product/weight-gainer-vetoll
disharani45

Lose Weight Fast Slim XL Capsule | One Shopping Point - 0 views

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    Slim XL capsule is a combination of scientifically backed natural herbs work in an ideal harmony thus; you achieve the advantages of losing weight WITHOUT any side effects. This capsule increases the metabolism by enhancing the metabolic rate - the speed at which the body is blazing calories. This place the body in a thermogenic position to melt fat for fuel. One approach of getting this is throughout thermogenesis, which is straight connected to the metabolic rate. When the body's core temperature is enhanced, the metabolism is activated and storing fat cells are known to enable the extra energy output. Slim XL capsule is the best fat burner that assists to shed belly fat quickly. This capsule is one of the best fat melting for females as it also supports a stomach fat diet. Studies have demonstrated that those who consume this capsule lost 81% more abdomen fat than persons who did not use this capsule. This capsule is a great way to eliminate belly fat! It is available for both males and females. It is natural and does not cause any ill health effects. This capsule is easy to swallow and will leave your stomach experiencing lighter than ever! We provide guarantees instant results. Slim XL capsule has earned a reputable name in the weight loss market. This capsule is endorsed by health care professionals can assist reduce that belly fat into the slim fit you have forever desired. This capsule assists to suppress the appetite and foods cravings that are adverse for the diet, blocking the creation of fat prior it even starts creating and enables you to carry on living a normal way of life with no stress of having to be anxious about what you consume. Slim XL capsule works rapidly to blaze that belly fat away! Slim XL capsule is a natural fat burner for females and males that is confirmed to get rid of stomach fat from building up. Your stomach is begging you...BUY NOW! For further details on Slim XL contact us at +91- 9690666166 or email us at info@hashmi.com.
AMVital Nutrition

Turmeric for Fibromyalgia & CFS (Chronic Fatigue Syndrome) - 0 views

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    While research on particular supplements is optimistic, it's still too early to declare if they benefit. For centuries, turmeric herb has been used in Ayurveda, traditional Chinese, and Unani medicine to alleviate arthritis pain and other ailments. Modern-day science indicates that its active compound, curcumin, may help resist inflammation. Even though there's little research on turmeric for fibromyalgia and chronic fatigue syndrome, it may be worth trying since curcumin works like a pain-killing agent in your body. To keep things relatively simple, I'll stick to research while telling you the 'Truth about Turmeric for treating Fibromyalgia and Chronic Fatigue Syndrome (CFS). Turmeric for Fibromyalgia & CFS If you've got pain, fatigue, and sleep disorder with fibromyalgia, you may wonder if nature-based dietary supplements can provide you some substitute to relieve yourself. Medical professionals are grappling with the exact question. Think how long a supplement has been used for fibromyalgia symptoms. Newer supplements that have become prevalent in the past 3 or 4 years don't maintain a long track history or record, so the long-term effects aren't known still. However, you may say short-term effects are ascertained. Fibromyalgia is a long-lasting illness that yields pain and tiredness throughout the body, fatigue, and trouble sleeping. Scientists do not entirely understand what pushes it, but people with the disease have an amplified pain sensitivity.
pankajsinghal

Top 10 Benefits of Big Breasts - 0 views

  You may be surprised to know, a recent scientific study revealed that bigger breasts can prove beneficial for a wide range of evolutionary and medical purposes. Many women who have small bre...

Breast enlargement surgery augmentation Best cosmetic surgeon in Mumbai

started by pankajsinghal on 06 Jan 16 no follow-up yet
Peter Dobie

How To Improve Blood Circulation With Help Of A Non-Surgical Therapy - 1 views

For over 5 decades, chelation medical procedure has given an intense and danger free IV or oral treatment for the elimination of toxic heavy metals alongside other artery damaging synthetic/chemica...

chelation therapy chelation therapy doctor disease doctor health

started by Peter Dobie on 30 Aug 16 no follow-up yet
Peter Dobie

How To Treat Depression And Chronic Fatigue Syndrome - 1 views

In many cases, people (sometimes even doctors) often confuse between depression and chronic fatigue syndrome (CFS). However, there are clear differences between the two, which sets them apart. In...

health Treatment Chronic Fatigue Treatment for Chronic Fatigue

started by Peter Dobie on 18 Jan 17 no follow-up yet
lisa saints

Cure in a Capsule - 0 views

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    "After two weeks of taking LAMININE capsules, my daughter's CA125 went down from 214 to 52. Before this, her doctor recommended another session of chemo but because of the good test results(after taking laminine) there's no need anymore for chemo. Thanks to our dear Lord and to LAMININE. R. Pineda https://office.lifepharmglobal.com/Enrollment.php?SPONSOR=8569889
pankajsinghal

No Need to Wear a Cap to Hide Your Baldness Anymore! - 1 views

Hair transplant in India is an amazing treatment that gives back hair to a balding person. Baldness is curse which hits majority of male and females all over the world; especially men are the worst...

transplant in india best hair surgeon top surgeons

started by pankajsinghal on 12 Dec 15 no follow-up yet
Peter Dobie

Weight Loss - Myths Debunked - 2 views

When it comes to the topic of weight loss, then people have generally a number of myths and misconceptions about it. Weight loss relates to your health and fitness, therefore it shouldn’t be ...

doctor edgecliff surgery lyme disease in australia sydney

started by Peter Dobie on 26 Jul 14 no follow-up yet
Dannie Addison

Yoga for anxiety: meditation for anxiety - 0 views

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    Yoga is a blend of physical postures (asanas) and breathing techniques (pranayama). The postures help to relax and stretch the muscles, thus releasing negative toxins in the blood. Yoga's added benefit is that it brings about deep muscle relaxation.
Dannie Addison

Yoga for heart disease - 0 views

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    Yoga for heart disease is one of the most effective treatments in terms of lifestyle and physical fitness. It has an undeniably effective role in minimizing the risk of cardiovascular disease and lowers the risk of heart attacks, coronary heart disease, and hypertension. It has a direct influence on the hypothalamus, which controls endocrine activity, helping prevent attacks.
tan choonpang

Hair Loss Treatment for Women : Chemicals or Replacement - 0 views

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    Hair loss treatments for women differ in some ways from the treatments offered for men. It is difficult to use a hair replacement piece for women
jawad malik

Early detection of colon cancer can save lives - 0 views

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    People usually confuse the signs and symptoms of colon cancer with minor health problems. The most important thing for everyone is to recognize such symptoms and act timely. Another problem associated with colon cancer is that the symptoms of this cancer usually do not appear in time due to which the screening tests for colon cancer are mandatory for the aged people and for the ones who are potentially at more risk of having colon cancer.
Peter Dobie

Vitamin C - Why it is So Important for Your Body - 1 views

Vitamin C is also known as ascorbic acid. This vitamin is soluble in water and easily gets flushed out if becomes excess in the body. You must be aware of the fact that vitamin C is crucial for our...

Adrenal fatigue doctor edgecliff surgery lyme disease sydney

started by Peter Dobie on 27 Jun 14 no follow-up yet
Vaughn Tobes

Unique Christmas Gifts - 1 views

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    Everyone has that loved one in their family that is just hard to find the right gift for, or maybe they just have it all! Whatever the case may be, we are continuously looking for unique Christmas gifts for everyone that is a hard to find the right one for. Book mark us and come back often as we are always showcasing the most unique gifts we find.
Dannie Addison

Yoga exercises for neck pain - 1 views

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    Some of the popular yoga exercises for neck pain are the locust pose, half wind releasing pose, child pose, wind releasing pose, cat/dog pose, cobra pose, upward bow pose, and downward facing dog pose. Yoga for neck pain may also involve meditation and other calming exercises that help you release mental stress and tensions. Since this stress is often manifested as physical pain, managing stress needs to be a long term plan
fnfdoc

Weight Loss Tips - 0 views

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    Physical exercise is a must for reducing the extra pounds on your body. Working out is vital in upping your fat burning capacity. Give at least 15 minutes for performing exercise. Take public transport towards your place of work. It's amazing the quantity of calories you lose by taking a simple walk to the bus stop. Celebrate your success once you meet your targets. Shop for yourself a novel, a trinket or too, some DVDs etc. Additionally, you will need powerful will for losing your weight. This may push you through the way to weight loss. More See: Weight Loss Secrets And Diabetes Prevention at fnfdoc.com
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    Weight Loss Secrets And Diabetes Prevention at fnfdoc.com
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