Articles

Videoendoscopic interventions have now become an integral part of the treatment of many diseases, including venous ones.

In recent years, endoscopic and/or microscopic methods of treating pathology of the lacrimal ducts have been given preference, which is due to a number of advantages over external access.

In recent years, due to the development of new technologies, endosurgery has become the treatment of choice for lacrimal sac phlegmon. This method allows for the immediate and minimally invasive treatment of not only phlegmonous inflammation of the lacrimal sac but also the overall sanitization of the lacrimal ducts until complete recovery.

Endoscopic lacocystorhinostomy with permanent intubation is a gentle option for eliminating “unremovable” lacrimation.

Acute dilation of the intramural ureter using a guidewire technique is a low-cost, safe, easily reproducible, rapid, and predictable method. This technique eliminates the need for balloon dilation of the ureter, significantly saving time during ureteroscopy.

Ureteroscopic treatment of impacted ureteral stones is associated with a high rate of ureteral perforations and stricture development. Ureteroscopy of proximal ureteral stones carries a higher risk of perforations and strictures than ureteroscopy of the middle and distal thirds of the ureter. Ureteral perforation at the site of the stone is a risk factor for the subsequent development of ureteral stricture in that area.

When removing ureteral stones using ureteroscopy, stent placement should not be used routinely. Postoperative ureteral stenting may be used in cases of ureteral injury, large stones, or prolonged surgical time. The absence of a stent reduces the need for postoperative analgesia and hospital stay.

In the case of rigid ureteroscopy, the results (success and complications) might have been better if a flexible ureteroscope or holmium laser had been used. Furthermore, it's important to consider how much worse the results would have been if CT or CT scans had been performed to assess stone passage.

The last quarter of the 20th and early 21st centuries in urology were marked by significant technological breakthroughs in the development of medical equipment and the advancement of high-tech, minimally invasive diagnostic and treatment methods. However, for children, particularly newborns and young children, many issues related to endourological treatment remain unresolved and controversial.

Vesicoureteral reflux can be a risk factor for the subsequent development of irreversible kidney damage. Over the past decade, research in this area has shown that endoscopic injections of intramural ureteral fillers to limit ureteral dehiscence are an alternative to long-term antibiotic prophylaxis and open surgery in children with VUR.