Bilateral Excision of Perinephric Fat and Fascia (Gerota’s Fasciectomy) in the Treatment of Intractable Chyluria

Autor: Pool, M. Oudkerk, van der Hem, K.G., Stel, H.V., Luth, W.J., Rasker, F.M.T., Gans, R.O.B.
Zdroj: The Journal of Urology; November 1991, Vol. 146 Issue: 5 p1374-1376, 3p
Abstrakt: A case is described of a 59-year-old black man with massive chyluria, probably due to previous infection with Wuchereria bancrofti. Notably, no edema was present despite a urinary protein loss of 40gm. per day resulting in a serum albumin level of 13gm./l. Conservative treatment after lymphography, including prolonged bedrest and a medium chain triglyceride diet, was unsuccessful. Bilateral excision of the perinephric fascia and fat (Gerota’s fasciectomy) in 2 separate operative sessions finally resulted in complete resolution of the chyluria.
Databáze: Supplemental Index