Sutchin R. Patel

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INTRODUCTION Serendipity, innovative physicians, evolving techniques for renal access, and improvements in equipment and radiology led to the evolution of percutaneous nephrolithotomy (PCNL). METHODS We searched urology texts and the literature for sources pertaining to the history and development of PCNL. RESULTS In 1941, Rupel and Brown performed the(More)
INTRODUCTION Hounsfield unit (HU) determination of urinary stones on noncontrast computed tomography (NCCT) has been shown to predict stone composition. However, no in vivo studies have attempted to radiographically separate the various calcium stone compositions. We investigate the efficacy of HU measurement on NCCT to determine if it can differentiate the(More)
OBJECTIVES Given the high recurrence rate of cystine urolithiasis, understanding of the radiographic stone characteristics is important in following cystine stone formers over their lifetime. However, due to their infrequent incidence, in vivo radiographic properties of cystine stones have not been well characterized. The purpose of our study is to(More)
PURPOSE We compared the reproducibility of automated volume and manual linear measurements using same study supine and prone, low dose, noncontrast computerized tomography series. MATERIALS AND METHODS The patient cohort comprised 50 consecutive adults with a mean age of 56.4 years in whom renal calculi were identified during computerized tomography(More)
PURPOSE John Hunter in 1786 opened the door to more than 200 years of study and discussion of the cryptorchid testis. We review the history that has brought us to our current surgical treatment of this condition. MATERIALS AND METHODS We performed a review of the medical and historical surgical literature pertaining to cryptorchidism. RESULTS The study(More)
BACKGROUND AND PURPOSE Surgical management of a renal neoplasm in a solitary kidney is a balance between oncologic control and preservation of renal function. We analyzed patients with a renal mass in a solitary kidney undergoing nephron-sparing procedures to determine perioperative, oncologic, and renal functional outcomes. PATIENTS AND METHODS A(More)
PURPOSE To evaluate cases of gallbladder injury, a rare and potentially serious complication, in the setting of percutaneous nephrolithotomy. PATIENTS AND METHODS We report two cases of gallbladder injury after percutaneous nephrolithotomy and review the literature on this rare complication. RESULTS Both cases of gallbladder injury at our institution(More)
The history of laparoscopic surgery began with man’s attempts to inspect concealed areas of the body. Early endoscopy from Bozzini’s “lichtleiter” in 1805 to the development of modern cystoscopy by Nitze in the late 1800s helped develop the optical tools required for laparoscopy. The early 1900s saw the birth of laparoscopy with Kelling, a surgeon from(More)
BACKGROUND AND OBJECTIVES To evaluate outcomes for simple hand-assisted laparoscopic nephrectomy (HALSN). METHODS A retrospective chart review was performed at our institution for all patients who had undergone HALSN from January 2002 to January 2009. Thirty-three patients underwent HALSN during this time period and were matched with 33 patients who(More)
lthough Clio, the muse of history, has been described since Hesiod’s Theogony (ca 700 BC), Athe teaching of the history of medicine is a recent development compared with other fields of historical endeavor. The first lectures on the topic in the United States were delivered by Robley Dunglison (1798-1868), the personal physician to Thomas Jefferson, at(More)