The Management of Bilateral Ureteric Injury following Radical Hysterectomy

Iatrogenic ureteric injury is a well-recognised complication of radical hysterectomy. Bilateral ureteric injuries are rare, but do pose a considerable reconstructive challenge. We searched a prospectively acquired departmental database of ureteric injuries to identify patients with bilateral ureteric injury following radical hysterectomy. Five patients suffered bilateral ureteric injury over a 6-year period. Initial placement of ureteric stents was attempted in all patients. Stents were placed retrogradely into 6 ureters and antegradely into 2 ureters. In 1 patient ureteric stents could not be placed and they underwent primary ureteric reimplantation. In the 4 patients in which stents were placed, 2 were managed with stents alone, 1 required ureteric reimplantation for a persistent ureterovaginal fistula, and 1 developed a recurrent stricture. No patient managed by ureteric stenting suffered deterioration in serum creatinine. We feel that ureteric stenting, when possible, offers a safe primary management of bilateral ureteric injury at radical hysterectomy

Corridor Gothic

This article investigates the role of the corridor in Gothic fiction and horror film from the late eighteenth century to the present day. It seeks to establish this transitional space as a crucial locus, by tracing the rise of the corridor as a distinct mode of architectural distribution in domestic and public buildings since the eighteenth century. The article tracks pivotal appearances of the corridor in fiction and film, and in the final phase argues that it has become associated with a specific emotional tenor, less to do with amplified fear and horror and more with emotions of Angst or dread

The Inheritance of Carotenoid Pigments in Tomatoes

Abstract not availabl

Introduction

Kernberg, Weiner, and Bardenstein (2000), Bleiberg (2001), Freeman and Rigby (2003), and Freeman and Duff (2006) have raised the question: Are children who manifest certain traits displaying what may be precursors to later personality disorders, or can they be diagnosed as having a personality disorder during childhood or adolescence? Clinicians have responded to this question in various ways, ranging from the affirmative to the negative and with a host of ethical, legal, and conceptual issues evoked for support. Topics discussed in this chapter include arguments against diagnosing personality disorders in children and adolescents; diagnosing personality disorders: a cultural perspective; cultural influences; and assessment. (PsycINFO Database Record (c) 2012 APA, all rights reserved). (create