The Urology department of HECMN La Raza finally perform 115 cases of
#PCNL
in 2019
@Tu_IMSS
we increase the experience in
#SMP
thanks to Professor
@zeng_guohua
Percutaneous nephrolithotomy for a relatively easy stone in which we use the technique of
@scoffonecesare
generating space in the caliceal system using a little solution injected by the Chiba needle.
#PCNL
#nltp
#urotips
Oral mucosa in reconstructive urethral surgery was first used for urethroplasty in 1894 by experience of Kirill Sapezhko how was born in Chernigov today Ukraine 🇺🇦
#Ukraine
Enphysematous pyelonephritis in your cases we started can be managed very well with an internal shunt with JJ catheter
Removing purulent material from the kidney is essential for the improvement of the case
#Enphysematouspyelonephritis
35y admitted due to pain and a history of lower urinary obstructive symptoms + macroscopic hematuria identified with ectasia of the right kidney by USG and in the tomography study it was identified with a large ureterocele w/ stone inside
Full endoscopic treatment is performed
It is time to be very careful with the atension of our patients because not everyone tells the truth, this case of a patient who denied respiratory symptoms and went to the emergency room for bilateral kidney stones. Protect yourself
#COVID19mx
#UroSoMe
#urosomemex
Adrenal tumor that with laparoscopic mobilization unleashes its storm of vasoactive substances
270/165 🙄😳😵😵💫😵💫‼️‼️
🫀🫀🫀
Our endocrinologist friends said, after his protocol, that it was non-functional🤦🏻♂️
Una Foley retenida Constituye un problema una técnicas es inflar el globo hasta reventarlo, idealmente hay que hacerlo con control USG para verificar que no queden fragmentos de látex en el interior de la vejiga, y formación de Piedras
#urologia
#urology
#urotips
No todo el mundo pone complicaciones en la cirugía pero es importante difundirlo para que todos aprendamos
Mostramos una par de lesiones ureterales por mal uso del balón de oclusión en
#NLTP
#PCNL
🇲🇽
S aber
U tilizar
E fectivamente mis
R ecursos para
T ener
É xito
55-year-old female uncontrolled DM2
History of urinary tract infection for a month
She arrive with data on sepsis
CT Scan = Emphysematous Pyelonephritis Huang 3
#urosome
I just realized that I am completely depressed and without academic motivation
No consultations
My hospital are no scheduled surgeries
I have not had Percutaneous surgery in months
And my last semester of the master of science is just about to start 🤘🏼😭
HELP
#UroSoMe
Prostate patients when they refuse to accept that they have nocturia because according to them, they drink a glass of water before going to sleep
#UroJoke
La
#HOLEP
es una cirugía que llego para quedarse
Aún hay que “democratizar” el procedimiento bajando costos
Mientras eso ocurre los residentes TIENEN QUE APRENDER A HACER BIEN LA
#RTUP
Una RTUP bien hecha es una cirugía fantástica
Fotos de mi amigo el Dr Martiniano Mijangos
a case ... more than complex, a kidney with multiple stones, im use of the 100% portable electromechanical lithotripter swiss lithobreaker
@EMSUrology
95% stone free two punctures first in the lower calyx second intercostal puncture of the upper calyx
#pcnl
Una gran experiencia compartir experiencias y conocimientos, haciendo nuevos amigos y todo gracias a la
#Urolog
ía
Este curso del Dr Paul Escovar es ENORME
Bilateral kidney stones
A poor kidney parenchyma but surprisingly good kidney function
It is appreciated in the study of the kidney grass range that it is worth removing these stones in the kidneys, so we obtained urine from different portions of the kidney at the …
Spontaneous drainage of renal abscess … not from petit triangle but literally from the side, after maaaaany weeks of oral antibiotics
#renalAbscess
#UroSoMe
Back in the OR post-vacation like 💼💉. Missed the buzz of the operating room and the banter with my residents. Trading vacation tales for surgical challenges. Let's get back in sync, team! 🚑
This beautiful case of kidney stones awaits me tomorrow
Enucleation of the prostate with Holmium Laser—an enduring breakthrough in healthcare! 🚀 This procedure is here to stay, marking a transformative milestone in prostate care.
#HolmiumLaser
#ProstateHealth
#MedicalAdvancement
>200 hrs prostate
Horseshoe kidney an anatomical variant that modifies both excretion and renal vasculature which is essential to consider in percutaneous surgery
#UrologyLife
Weeks ago I think a option of doing multiple tracts in this case and today I resisted doing a puncture of the middle calyx ‘cos need a puncture between the 10th and 11th ribs so an ECIRS was a better option and after 2:30 we will do a second time
#staghornstone
#insciencewetrust
I am one of the privileged UROLOGISTS to be among the first to be vaccinated with the Pfizer vaccine ... let's continue fighting the pandemic
#covid19
#COVID
ー19
Wishing all my urologist friends around the world a Merry Christmas and a fantastic 2024! May your holidays be joyful, and the new year bring you success, health, and countless moments of fulfillment. 🎄✨
#UrologyCheers
#HappyHolidays
Well, it seems that we can restart the PCNL in this case of> 3 cm in the upper pole in a private environment, with
#ECIRS
which it is the best option for stone Free
Not cheap but effective
Im this surgery with two surgeons in this case good friends
#UroSoMe
#urosomemex
The IAU it’s a Urological association with the mission of facilitating the advancement of knowledge, research & treatment of urinary lithiasis, promoting training in high-volume centers
👉🏼You can be a member for FREE, contact me for more info👈🏼
#UroSoMe
#EndoUrology
#Urology
RT
I thank all of you who have given me your answer
The case that I present was resolved by percutaneous surgery in the supine position
2cm stone in upper pole
#PCNL
w/pneumatic in 50 min of surgical time, the puncture was little difficult but
#stoneFree
SMP it's maybe the most important develop in Mini PNL
SMP it's is a very versatile procedure can use pneumatic energy for the fragmentation of the stones
☑️Low presure
☑️Evacuating fragments by suction
☑️12to18 Fr
☑️Short operative time
@MattBultitude
@BEkidneystone
4 cm stone
#smp
súper mini Perc (suction in a mini Perc tract)
Made by one of our residents
Good music ... we’re just missing some good banks and that’s it
#pcnl
Urology residents on the eve of Board exams: Channeling inner urology wisdom from Campbell's textbook with a touch of caffeine-fueled enthusiasm. ☕️📚😂
#UrologyHumor
#CampbellsCramming
Placing a DJ Stent for a kidney stone generates the lack of feeling that “everything is protected” for me 1of the worst practices in Urology
It’s better to operate your patients and if you’re going to refer them, DON’T PUT THEM A DJ
Another good case for endoscopy surgery
#kidneystones
very small, a
#kidney
with previous open surgery ... without the flexible endoscope was impossible let stone free this case And it would probably take more than one puncture
SMP 14 Fr for a staghorn stone
#stonefree
#singletract
the power of the suction in a reusable equipment by Hawk company
Technic of profesor
@zeng_guohua
but in my hands in supine position
We are preparing a prospective study in single kidney patients
My residents fight not to enter the operating room because today we operate a 2nd look and "there is no puncture, the fun of PCNL is puncture"🙄
Ok ... they lost the tips and then why are there residual stones in all the percutaneous ones?
Percutaneous nephrolithotomy of miniaturized tract 14 Fr W/suction = SMP
#SMP
The interesting thing: Upper pole puncture in supine position intercostal access with change of puncture site by identification of the 5th year resident doctor always under supervision
#PCNL
Han sido días de mucho aprendizaje sobre las técnicas más innovadoras de enucleación prostática
#AEEP_GDL
#aeep
además de actividades por medio de esta computadora portátil que es el celular
Excelente curso
@endohugologo
y todo
@Uromin_Oficial
Ready… I have a new book from the teacher
@OTRAXER
again to be downloaded to this computer now you have to look for time to read and calmly break down each of the chapters
Compre mis boletos para
#RammsteinTour2022
desde el 2019 y por la pandemia
#COVID19
se suspendió
Ahora regresan a CDMX pero la invitación a conocer en persona al Dr Arthur Smith en una sesión sobre
#pcnl
es un evento que no dejare pasar
#wcet22
PCNL in horseshoe kidney in supine position a puncture in middle calix monoplanar Technic one shot dilation Surgery without editions no cuts recorded alive
#pcnl