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Urinary Tract Calculi VI: Surgical Management

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Dec 25, 2025

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

Delayed Surgical Obturator-Case Series.

Kasim Mohamed¹, Fathima Banu R¹, Mahesheswaran¹

¹Department of Prosthodontics, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamilnadu India.

Indian Journal of Surgical Oncology

|March 25, 2020

Summary

This summary is machine-generated.

Delayed surgical obturators are crucial for maxillofacial defects when initial prostheses are underextended. This approach protects surgical wounds and aids healing without causing patient agony.

Keywords:

Delayed surgical obturator Invasive mucormycosis Maxillofacial defect

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Published on: April 28, 2023

Area of Science:

Oral and Maxillofacial Surgery
Biomaterials Science
Prosthodontics

Background:

Maxillofacial surgery, particularly involving the maxilla, creates large surgical defects requiring protection from oral contamination.
Pre-surgical obturators may be underextended due to lesion extension, metastasis concerns, or recurrence prevention.
Immediate post-operative management is critical for healing, graft support, and adjacent tissue integrity.

Observation:

Underextended obturators necessitate a delayed surgical obturator fabrication within one week post-surgery.
Managing impressions, surgical undercuts, and tissue support presents challenges during early healing.
Patient comfort is a significant concern during manipulation of the surgical site.

Findings:

Delayed surgical obturators offer a viable solution for managing maxillofacial defects with underextended initial prostheses.
This approach minimizes patient discomfort associated with early surgical site manipulation.
Effective management of prosthetic challenges ensures proper wound protection and healing support.

Implications:

Highlights the importance of timely prosthetic intervention in complex maxillofacial reconstructions.
Suggests a refined protocol for post-surgical obturator management in oncology and reconstructive cases.
Emphasizes patient-centered care by addressing pain and healing during critical post-operative periods.