Patient Selection For Laparoscopic Lymphatic Disconnection

Patients having persistent chyluria, clot colic, retention of urine, and weight loss despite conservative management and sclerotherapy need surgical intervention (7,12).

The various methods of surgical management tried are surgical disconnection of lymphorenal channels, renal capsulotomy, lymphaticovenous microsurgical anastomosis, renal autotransplantation, and nephrectomy (2,3,11,12,20-23). The success rate after open surgical management has been reported up to 93% at follow-up of one to four years (24,25). With the advent of laparoscopy, these cases are now efficiently managed by this minimally invasive approach. The procedure can be done via transperitoneal or retro(extra)peritoneal approaches.

Baby Sleeping

Baby Sleeping

Everything You Need To Know About Baby Sleeping. Your baby is going to be sleeping a lot. During the first few months, your baby will sleep for most of theday. You may not get any real interaction, or reactions other than sleep and crying.

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