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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

A uterine polyp is a small, benign formation that develops in the uterine cavity. There are a few uterine polyps' symptoms. These can sometimes lead to bleeding between periods, but it is not abundant. There is usually no pain. Treatment with an oral contraceptive can make it possible to reduce its size, otherwise, the treatment is surgical by hysteroscopy: a small camera is introduced into the uterine cavity to visualize the polyp and perform its excision.

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 ...

It is an inflammatory, refractory disease which includes colon, rectum and little part of small intestine. The person who is suffering from Ulcerative colitis in tests shows ulcers inside the colon. Ulcerative colitis comes under the category of ...

It is an inflammatory, refractory disease which includes colon, rectum and little part of small intestine. The person who is suffering from Ulcerative colitis in tests shows ulcers inside the colon. Ulcerative colitis comes under the category of ...

Facing financial trouble and need quick cash assistance? Looking for the small cash advance with easy payment option? Yes, put end on the research as 6 month loans provide you the right solution to...

Facing financial trouble and need quick cash assistance? Looking for the small cash advance with easy payment option? Yes, put end on the research as 6 month loans provide you the right solution to...

Small but significant breakthrough studies on people who have been able to overcome or control HIV were presented at a major world conference on ways to stem the three-decade-old disease. One study focused on a group of 12 patients in France who began treatment on antiretroviral drugs within 10 weeks of becoming infected with human immunodeficiency virus, but then stopped the therapy after nearly three years.

Small chalkboards a few inches square can hang anyplace and look excellent, whether or not they are in reality used for writing.

Foreign body removal means removal of small particles of dusts from our eyes. Krishna Eye and Ent provide treatment for foreign body removal, corneal foreign body, penetrating foreign body and superficial foreign bodies removal.

In today's fast paced world, we sometimes do not eat a proper diet all of the time. Even celebrity Chef's like Jamie Oliver is highlighting this issue. He is presently going round to schools and towns trying to teach people how to cook healthy food. On one of his shows on Discovery Channel, he was at this town that had this one parent whose three year old child has never had a nutritious home cooked meal. On a Bill Cosby's Show "Kids Say The Darndest Things", when he asked a kid who cooks his meals at home the kid answers "Pizza Hut". Sad but true. Nowadays since both parents are working to make ends meet, they often resort to fast food to fill their family's tummies. Same goes with us, to keep up with the rat race we just pop whatever we can get into our tummies. So in order to acquire sufficient vitamins to help your body overcome nutritional deficiencies to function properly, you should compensate with natural vitamin supplements. Vitamins are organic components in food that are needed in very small amounts for growth and for maintaining good health. Growing up as a skinny kid, my parents made sure I had my Vitamin Supplements. They tried everything to get some flesh on this bag of bones. Then a doctor told them not too worries as long as I'm a healthy kid. I still took multivitamins. Nowadays I take a herbal supplement called spirulina. So far I have found Spirulina to be good for me; it helps to keep my toxins in my body to a minimum. I don't feel very tired in the morning.

Honey is produced in most countries in the World. Ayurvedic medicine has been using honey as a vital ingredient for centuries. Even in the Quran, there is a verse on the goodness of honey. It goes like this "And your Lord revealed to the bee saying: Make hives in the mountains and in the trees and in what they build: Then eat of all the fruits and walk in the ways of your Lord submissively. There comes forth from within it a beverage of many colours, in which there is healing for men; most surely there is a sign in this for a people who reflect. (Surat an-Nahl, 68-69) " Today scientists have found that even though honey is sweet, if taken in the right dosage it does not harm diabetic patients also. When I was small I had asthma, some how as I grew older and was active in Scouting Activities my asthma went away. But I sometimes find it hard to breathe when the weather is cold. I read somewhere that drinking a concoction of honey, lemon juice and warm water will help. Tried it and it works. It helps to clear the respiratory channel and I can breathe easily. I still drink honey with lime juice. It's great even when you are tired and lethargic.

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

Being a small sleepy village, the family doctor was called in. Initial look at her and the "doctor sahib" concluded an X-ray had to be done at the earliest possible. As feared, she had fractured her bone near the hip joint rendering her completely immobile. Suddenly a pall of gloom descended upon the entire family as if a death knell had been sounded.

Chalazion VS Stye: A chalazion is basically a small lump that becomes visible on the upper and lower of the eyelid. A stye is also known as hordeolum