British Journal of UrologyVolume 78, Issue 6 p. 957-958 Paravesical mass following inguinal herniorraphy I.K. Walsh FRCS(Glasg), FRCSI, Registrar., I.K. Walsh FRCS(Glasg), FRCSI, Registrar. Department of Urology, Belfast City Hospital, Lisburn Road, Belfast,Search for more papers by this authorB.G. Wilson MD, FRCS, Consultant Urolog ist and General Surgeon., B.G. Wilson MD, FRCS, Consultant Urolog ist and General Surgeon. Mater Infirmorum Hospital, Belfast, UKSearch for more papers by this author I.K. Walsh FRCS(Glasg), FRCSI, Registrar., I.K. Walsh FRCS(Glasg), FRCSI, Registrar. Department of Urology, Belfast City Hospital, Lisburn Road, Belfast,Search for more papers by this authorB.G. Wilson MD, FRCS, Consultant Urolog ist and General Surgeon., B.G. Wilson MD, FRCS, Consultant Urolog ist and General Surgeon. Mater Infirmorum Hospital, Belfast, UKSearch for more papers by this author First published: December 1996 https://doi.org/10.1046/j.1464-410X.1996.131834.xCitations: 1 Mr I.K. Walsh Department of Urology, Level 3, Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB, UK. AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Citing Literature Volume78, Issue6December 1996Pages 957-958 RelatedInformation

The incidental finding of a rare appendiceal tumour in a previously healthy male patient is described. He presented as an emergency with a self-inflicted abdominal stab injury. At laparotomy, there was no visceral damage but the appendix was hugely distended and appendectomy was performed. Subsequent histological examination of the appendix revealed a low-grade mucinous cystadenocarcinoma. A right hemicolectomy was performed two months later which demonstrated no residual tumour.

OBJECTIVE:To assess the results and cost implications of laparoscopic nephrectomy. PATIENTS AND METHODS:Ten patients underwent attempted laparoscopic nephrectomy and nephro-ureterectomy. The cost of the laparoscopic procedures was estimated to allow comparison with that of open surgery. RESULTS:Two patients required conversion to an open procedure, one for a colonic tear, the other for irretrievable loss of pneumoperitoneum. The median operating time for successful cases was 3 h (range 2.5-4). The mean morphine equivalent of analgesia delivered per patient was 18 mg (range 10-28). There was no mortality. Post-operative complications consisted of one case of prolonged ileus and another of chest infection. The median hospital stay of successful cases was 5 days (range 4-17), and the mean time to return to normal activity was 4 weeks (range 3-6). The cost of the procedure using re-usable instruments was approximately 2000 pounds, comprising 100 pounds for equipment. 900 pounds theatre costs and 1000 pounds for hospital stay. Using disposable equipment adds up to 900 pounds to the cost. In comparison an open nephrectomy typically costs around 2300 pounds. CONCLUSION:Laparoscopic nephrectomy is associated with lower analgesia requirements, shorter hospital stay and quicker return to work than equivalent open procedures. The cost, particularly when performed with re-usable instruments, is not prohibitive being comparable with that of open nephrectomy. With further experience it should become part of the armamentarium of urological surgeons.

British Journal of UrologyVolume 72, Issue 2 p. 97-98 Late Metastasis from Ovarian Tumour. An Unusual Cause of Hydronephrosis W. A. McCALLION, W. A. McCALLION Department of Urology, Belfast City Hospital, BelfastSearch for more papers by this authorP. F. KEANE, Corresponding Author P. F. KEANE Department of Urology, Belfast City Hospital, BelfastDepartment of Urology, Belfast City Hospital, Belfast BT9 7AB.Search for more papers by this authorB. G. WILSON, B. G. WILSON Department of Urology, Belfast City Hospital, BelfastSearch for more papers by this authorW. G. LOUGHRIDGE, W. G. LOUGHRIDGE Department of Urology, Belfast City Hospital, BelfastSearch for more papers by this author W. A. McCALLION, W. A. McCALLION Department of Urology, Belfast City Hospital, BelfastSearch for more papers by this authorP. F. KEANE, Corresponding Author P. F. KEANE Department of Urology, Belfast City Hospital, BelfastDepartment of Urology, Belfast City Hospital, Belfast BT9 7AB.Search for more papers by this authorB. G. WILSON, B. G. WILSON Department of Urology, Belfast City Hospital, BelfastSearch for more papers by this authorW. G. LOUGHRIDGE, W. G. LOUGHRIDGE Department of Urology, Belfast City Hospital, BelfastSearch for more papers by this author First published: August 1993 https://doi.org/10.1111/j.1464-410X.1992.tb16156.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume72, Issue2August 1993Pages 97-98 RelatedInformation

British Journal of UrologyVolume 71, Issue 2 p. 230-231 Ileal Conduit-Enteric Fistula W. A. McCALLION, W. A. McCALLION Department of Urology. City Hospital, BelfastSearch for more papers by this authorB. G. WILSON, B. G. WILSON Department of Urology. City Hospital, BelfastSearch for more papers by this authorJ. A. KENNEDY, J. A. KENNEDY Department of Urology. City Hospital, BelfastSearch for more papers by this authorP. F. KEANE, Corresponding Author P. F. KEANE Department of Urology. City Hospital, BelfastDepartment of Urology, City Hospital, Lisburn Road, Belfast BT9 7AB.Search for more papers by this author W. A. McCALLION, W. A. McCALLION Department of Urology. City Hospital, BelfastSearch for more papers by this authorB. G. WILSON, B. G. WILSON Department of Urology. City Hospital, BelfastSearch for more papers by this authorJ. A. KENNEDY, J. A. KENNEDY Department of Urology. City Hospital, BelfastSearch for more papers by this authorP. F. KEANE, Corresponding Author P. F. KEANE Department of Urology. City Hospital, BelfastDepartment of Urology, City Hospital, Lisburn Road, Belfast BT9 7AB.Search for more papers by this author First published: February 1993 https://doi.org/10.1111/j.1464-410X.1993.tb15925.xCitations: 7AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. References Hampel, H. and Zabbo, A. (1985). Parastomal ileal conduit-enteric fistula. J. Urol., 134, 956–957. CASPubMedWeb of Science®Google Scholar Hanash, K. A. and Ghandour, M. (1980). Unusual complications of ileal conduit urinary diversion in a child: a case of conduitcecal fistula. J. Urol., 123, 116–118. CASPubMedWeb of Science®Google Scholar Kumar, S. and Grabstald, H. (1975). Ileal conduit-jejunal fistula 1 following cystectomy and urinary diversion. J. Urol., 114, 466–468. CASPubMedWeb of Science®Google Scholar Nieh, P. T. and Parkhurst, E. C. (1977). Successful management of ileal conduit-enteric fistula: the case against loopograms. J. Urol., 118, 112–113. CASPubMedWeb of Science®Google Scholar Nishizawa, N., Kitami, Y., Yoshimura, A. et al. (1989). A case of ileal conduit-ileal fistula. Jpn. J. Clin. Urol., 43, 157–159. Google Scholar Persky, L., Hampel, N. and Kedia, K. (1982). Spontaneous ureteroileal colostomy. J. Urol., 127, 769–771. CASPubMedWeb of Science®Google Scholar Citing Literature Volume71, Issue2February 1993Pages 230-231 ReferencesRelatedInformation

Spontaneous perforation of the urinary bladder occurring in patients with an indwelling catheter is an exceptional event. To our knowledge there are only eight cases in the literature. 1-6 With the exception of one patient,2 all were over seventy years of age and all but one were male. We present the case of a 76-year-old male who sustained two spontaneous perforations of his urinary bladder within six weeks.

Small bowel is the commonest site of gastrointestinal metastases from cutaneous malignant melanoma. Five patients with malignant melanoma involving the small bowel are reported. One patient was operated on for suspected acute appendicitis, two patients for gastrointestinal bleeding and two patients for small bowel obstruction. Two patients remain well 4 and 5 years after surgery.