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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

There are specific yoga poses for lower back pain, and performing the wrong poses, or with a sloppy technique, can sometimes aggravate existing pain. It is important to have a thorough knowledge about the poses which are helpful in relieving back pain.

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.

There are some new hair loss treatments for men and women, such as the laser hair loss treatment.

Minimal invasive body contouring technique that removes small localized fat deposits after liquefying them using laser energy.

However, there have been teams of experts that have come up with lipedema liposuction technique. This treatment method has been designed to help the patients suffering from this disease get rid of the excess fat that accumulates in the lipedematous body areas.

Computed Tomography Angiography :- It is a computed tomography technique used to visualize arterial and venous vessels throughout the body.

Ear wax removal by irrigation replaces the old fashioned technique of ear syringing. Now Ear irrigation is performed by using an electronic ear irrigation machine to remove ear wax. It is an exceptionally safe, effective and comfortable method of ear cleaning.

The term "ICSI" used for in vitro fertilization with micro-injection confirms that the biologist will choose a spermatozoon and inject it into the cytoplasm of the oocyte in a well-determined place to induce the fertilization process. There are 2 variants of ICSI treatment procedure which are used by a number of laboratories: The IMSI (or MSOME) which consists in identifying the morphological anomalies of a very high magnified sperm before micro-injecting it into the oocyte. PICSI which consists in selecting sperm from their capacity to fix on macromolecules whose model is represented by hyaluronic acid (HA). This technique, which was described in the early 2000s, has not yet found systematic application today infertility centers.

Uterine polyps can be detected using an ultrasound-based technique called a sonohysterography or hysteroscopy. Another common diagnostic test for uterine polyps treatment is hysterosalpingography (HSG), which is a view of the uterus through X-rays. Polyps can be removed by simple surgical procedures. For uterine polyps, hysteroscopy is the means used to visualize the endometrium.

The management of ovarian cysts or ovarian cyst treatment depends on their nature: - A functional cyst usually disappears spontaneously. An observation period can, therefore, be useful in order to see if it resolves on its own. In the opposite case, hormone treatment can be offered (with a highly dosed estrogen-progestogen pill). - In the case of organic cysts, painful and/or bulky functional cysts, surgery can be considered. The reference technique is laparoscopy.

Health activities Do you think health is very important for your children? Well, sound health is an important factor in all our lives. Now, how should you keep our baby's health better? How to make your child potential? More often we see some children do not have enough knowledge about anything according to their age.

The total care of babies.baby sleep,food selection,depression,allergies,games,television,pets,diabetes,common diseases.how to making a baby more potentials,more intelligent.

Pacific Hills Treatment Center hasvarious medicines and techniques which are used in alcohol treatment, social support is necessary throughout the course. Pacific Hill Treatment Center Provide his service in affordable manner as for person need.

Cleaning and sanitation programme are essential to control the hazards of microbiological and physical contamination of foods in the foodservice and food manufacturing facilities. To ensure that a facility and equipment are clean, sanitised and suitable for their intended use, management of the food business must draw up and operate a written sanitation programme and suitable cleaning procedure for all equipment surfaces and structures within the facility.

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