Lege Artis Medicinae

[The role of caring for the dead in the development of organised lifesaving]

KISS László

AUGUST 28, 1991

Lege Artis Medicinae - 1991;1(14)

[The year 1835 is a turning point in the history of salvage in Hungary. This is when Ferenc Flór's book, The Doctrine of the Revivals of the Lousy, was published. We agree with Tamás Felkai: it would be inaccurate to interpret the title of the book, as we know it today, as "Resuscitation Knowledge". In fact, Flohr was very precise. He is indeed writing about the lunatics, and about reducing the risk of burying them alive. The fear of the 'horrible burial alive' is a red thread running through the relationship between man and death, from our cave-dwelling ancestors to the present day. ]

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[A horseshoe kidney is diagnosed usually after the onset of its complication or the symptoms caused by an arising tumor from it. A tumour was diagnosed in the right half of the horseshoe kidney in a 68 year old female patient by excretory urography, ultrasound examination and renovasography. The tumour was removed by radical nephrectomy. The kidney was exposed through a horizontal abdominal approach. Special attention was given to the separate renal arteries supplying the right half of the horseshoe kidney and to the resection of the isthmus and also regional lymphadenectomy. In the diagnosis of a horseshoe kidney excretion urography had exclusively been used earlier but nowadays ultrasound is playing an increasingly important role. Reno vasography is usually needed only before resection or nephrectomy. The appropriate treatment of a horseshoe kidney tumour - in case of a well functioning contralateral kidney - is radical ablastic tumour nephrectomy including regional lymphadenectomy. ]

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