It is an entry technique in use recently, albeit in selected centers and represents a further step in the field of minimally invasive surgery. Basically it has the same indications but, at present, is reserved for selected patients. Compared to traditional video-assisted surgery presents some important differences. The surgeon is physically distant from the operative field and sits at a console, equipped with a monitor, from which, through a complex system, controls the movement of the robotic a...

Industrial Engineering  Civil Engineering  Aerospace Engineering  Global Health  Gynecology & Obstetrics  Bioengineering  Mechanical Engineering  Military Engineering  Nephrology  Biotechnology  Ophthalmology  Oncology  Internal Medicine  Surgery & Surgical Specialties 

Doi:10.3844/ajeassp.2016.1062.1087

All synthetic and natural materials to be used in biomedical applications that involve the contact with human body need to be investigated for their physical and chemical modification induced by the human physiological fluids contact and sorption. The development and testing in human physiological equivalent fluids of new hybrid biomaterials are presented. The role of water and its equilibrium modification in the human physiology is discussed and the swelling and sorption behavior in the physiol...

Biological Materials  Nephrology  Nanometer Materials  Biological Chemistry  High Polymer Chemistry  Composite Material  Global Health  Dentistry  Material Experiment 

Doi:10.3844/ajeassp.2016.962.972

Spontaneous subcapsular kidney hematoma is a rare clinical condition with diagnosis and therapeutic challenges. The segmental renal artery anevrysmal rupture is a very exceptional aetiology. Renal angiography, performed in haemodynamically stable patients, shows the origin of bleeding and allows embolisation. We report the case of a 54 year’s old patient managed conservatively by selective arterial embolisation.

Nephrology  Urology  Radiology & Medical Imaging  Surgery & Surgical Specialties 

Introduction: Multiple myeloma (MM) is defined as a malignant proliferation of a single clone of plasma cells typically accompanied by the secretion of monoclonal immunoglobulins that are detectable in the serum or urine. Renal impairment is present in 50% of patients at diagnosis. The aim of this study is to clarify the clinical, biological and prognosis parameters in patients with renal impairment associate to MM and focus on the economic impacts. Material and Methods: This is a retrospective ...

Nephrology  Public Health  Oncology  Internal Medicine 

Risk prediction is an intense field of research and there is an increasing need for an interest in being able to empirically estimate customized, patient-specific risks for virtually all surgical operations in a user friendly format. Surgical risk evaluation before major surgery should offer an opportunity to improve shared decision making and patient care. Yet, there is ongoing debate on how to better identify patients at risk in several important clinical scenarios and when weighing a given ri...