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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

Improvement of chronic back pain or failed back surgery with vitamin D repletion: a case series.\nSchwalfenberg G.\nJ Am Board Fam Med. 2009 Jan-Feb;22(1):69-74.\nPMID: 19124636

In adults stomach flu is caused most often by Norovirus, about 50% to 70% of cases. The new norovirus "Sydney 2012" is not associated with worse symptoms than other strains noroviruses. In the U.S., the Centre for Control and Prevention of Diseases show that Noroviruses cause 21 million illnesses annually. Of these, 70,000 cases require hospitalization and approximately 800 are fatal.

Knight JA, Lesosky M, Barnett H, Raboud JM, Vieth R. Vitamin D and reduced risk of breast cancer: a population-based case-control study. Cancer Epidemiol Biomarkers Prev. 2007 Mar;16(3):422-9. PMID: 17372236 [PubMed - indexed for MEDLINE]

Hearing aids accessories, such as protective cases, are a must since it can be so costly to repair these precision instruments.Of course, you definitely need to buy a quality accessory to go with your device- a decent case can mean the difference between a broken hearing aid and a "whew" moment.

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.

Piles, also known as ‘Hemorrhoids’, are small, bluish swellings, comprising of enlarged blood vessels situated either just inside or just outside the anus commonly called internal piles and external piles. In case of bleeding, they ...

Piles, also known as ‘Hemorrhoids’, are small, bluish swellings, comprising of enlarged blood vessels situated either just inside or just outside the anus commonly called internal piles and external piles. In case of bleeding, they ...

Swine flu is disease caused by H1N1 Virus. Swine flu spread almost all states in India and report from India's Health ministry suggest death of over 1000 people and approximately 20000 cases reported this year. Swine flu is contagious and s ...

Swine flu is disease caused by H1N1 Virus. Swine flu spread almost all states in India and report from India's Health ministry suggest death of over 1000 people and approximately 20000 cases reported this year. Swine flu is contagious and s ...

A nested case control study of plasma 25-hydroxyvitamin D concentrations and risk of colorectal cancer. Wu K, Feskanich D, Fuchs CS, Willett WC, Hollis BW, Giovannucci EL. J Natl Cancer Inst. 2007 Jul 18;99(14):1120-9. Epub 2007 Jul 10. PMID: 17623801

Confirmed Covid-19 cases are rising in India, with 30 cases reported so far, a sharp rise from the five cases until 2 March, with the Ghaziabad man in the state of Uttar Pradesh testing positive.

As with any condition, basic conservative treatments are sought first before resorting to surgical procedures. In the case of hip problems, the first options include proper care and rest, physical therapy and medication. When these options do not take effect, surgical treatment becomes the next step.

Hi it's Ziad. I recently had a meal with a very close friend of mine. During our conversation he told me that he had been diagnosed with Diabetes. This was very recently in December 2013. Apparently his stress levels were high and this contributed to him being diagnosed with Diabetes. He was told by his Doctor he would need to take insulin and regularly monitor his blood levels for there rest of his life! Unbelievably, within approximately 3 weeks of this diagnosis his Diabetes was reversed! He couldn't believe it. He followed this simple program and within 3 SHORT weeks his Diabetes was gone! No needles, no insulin, no fear. To my knowledge Diabetes is for life. Extremely happy to be re-educated. I made this quick video to raise awareness that Diabetes is reversible. Even with type 1 Diabetes there are apparently many cases where the need for insulin is radically reduced and incredibly with some cases even done away with altogether! To Download The Program INSTANTLY Click in the video or Click Here: http://regularresults.com/reversediabetes.html

We are one of the best manufactures of stylish pocket reading glasses and cool grip glasses. No case required, arms just twist and fold to cover.

Eray Medical Supplies Inc is offering NDD case of 50 & 200 spirettes online at affordable price rates to the customers in just $89.99, and $331.20. We are serving locally Suffolk, Long Island, Brooklyn, and Manhattan NY for more information call us at:- 877-332-2311.

The flu is a disease, accompanied mankind for centuries, but it remains a serious medical and social problem in our days. The flu can be manifested in the form of pandemics, epidemics, local outbreaks and isolated cases. Worst flu epidemics caused by type A influenza virus.The flu epidemics occur almost every year. The main factors that determine the risk of disease are: level then its predecessor specific immunity and age of infected them - the final ages are extremely susceptible to infection. Complications of influenza are mainly from the lungs, and less of the nervous system. They are more common in patients of advanced age.