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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

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

Vitamin K has been known as the coagulation vitamin, because of its role in the blood-clotting process. However, research over the last few decades has shown that the role of K Vitamins - and natural Vitamin K2, the menaquinones, in particular - has been greatly expanded. Of note, K Vitamins activity outside the liver is required for calcium utilization, the key factor in maintaining both bone and cardiovascular health.\n\nVitamin K2 helps to activate vitamin K-dependent proteins responsible for healthy tissues. In bone, it activates osteocalcin, a protein required to bind calcium to the mineral matrix, thus strengthening the skeleton. In circulation, Vitamin K2 participates in carboxylation of Matrix Gla Protein (MGP), the most potent inhibitor of arterial calcification known, lowering the risk of vascular damage.

Lu Z, Chen TC, Zhang A, Persons KS, Kohn N, Berkowitz R, Martinello S, Holick MF. An evaluation of the vitamin D3 content in fish: Is the vitamin D content adequate to satisfy the dietary requirement for vitamin D? J Steroid Biochem Mol Biol. 2007 Mar;

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.

Back pain can be recover if you perform task which lead you to healthy back and utilize natural remedies for back pain like avoiding positions and activities that may addition or cause back pain, utilize ice, and take nonprescription pain relievers when you require them.

Nutrition recuperation can improve your life. Nutrition recuperation plays a key role in all aspects of your life.

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 offering best electrosurgical generators according your requirements at the best prices $815.00. These products are designed for the requirements of the surgeons due to their many features and are used for performing the most complex surgeries amd surgical centers as well as in operating rooms.

The U.S. FDA ordered 21 manufacturers to collect information from patients in a recent letter to hip manufacturers. Click here for report. The three-page letter demands blood tests and other studies within thirty days. Here is a summary of the information and questions the FDA is requiring from manufacturers:

Pharmaceutical and Biotech companies are often involved with litigation concerning either contractual issue with business partners or patent and trademark infringement. Adversaries often request documentation they may find relevant to their cases. This has driven the adoption of formal information retention programs and eDiscovery practices. Email is no longer the most commonly requested records companies must produce. Both structured and unstructured information sources have recently outranked email. There is also a notable rise in demands for access to social media and mobile phone text messages. eDiscovery costs can be enormous requiring large investments in IT resources to retrieve requested records and the hiring of specialists to sort through the archives, not to mention advice and guidance from legal consultants.

You can Buy liquid nitrogen sprayer online in various packaging options so as to meet your diverse requirements. This device is used for the Cryopreservation of blood, reproductive cells and other biological samples.

An atrial septal defect (ASD) is a hole in the wall between the two upper chambers of the heart (atria) the left & right Atrium. A hole can vary in size and may close on its own or may require surgery. An atrial septal defect is a type of congenital heart defect- which means a person is born with it. As a baby develops during pregnancy, there are normally several openings in the wall dividing the upper chambers of the heart (atria). These usually close during pregnancy or shortly after birth.

An atrial septal defect (ASD) is a hole in the wall between the two upper chambers of the heart (atria) the left & right Atrium. A hole can vary in size and may close on its own or may require surgery. An atrial septal defect is a type of congenital heart defect- which means a person is born with it. As a baby develops during pregnancy, there are normally several openings in the wall dividing the upper chambers of the heart (atria). These usually close during pregnancy or shortly after birth.