“Endoscopic Versus Open Surgical Techniques in the Management of Renal and Ureteric Calculi”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 2
Abstract
Although stone disease is one of the most common affliction of modern society, it has been described since antiquity. With westernisation of global culture however, the site of stone formation has migrated from the lower to the upper urinary tract and the disease once limited to men is increasingly becoming gender blind. Revolutionary advances in the minimally invasive and non invasive management of stone disease over the past two decades have greatly facilitated the ease with which stones are removed. However, open surgical treatments, although invasive are still in use to remove the offending stones. Aims and objectives The aims and objectives of the study entitled “Endoscopic versus open surgical techniques in the management of renal and ureteric calculi” were: 1. To assess the stone clearance rate in each procedure. 2. To assess the duration of each procedure. 3. To assess the intraoperative and post-operative morbidity Material and methods This retrospective and prospective study was conducted in the Post Graduate Department of Surgery, GMC Jammu. The patients treated in our institute either by PCNL, ureterorenoscopy (URS) or open surgery for renal or ureteric stones between December 2008 and December 2010 were included in our study. Selection criteria Patients of renal or ureteric stones treated either by open or endoscopic procedure in Post Graduate Department of Surgery, GMC Jammu. Patients with normal renal functions. Exclusion criteria Patients with congenital, acquired urinary or skeletal abnormalities. Patients with uncorrectable coagulopathies. Patients with End Stage Renal Disease (ESRD). Summary and conclusion: We conclude with the fact, consistent with our study, that endoscopic procedures represents a reasonable and most remarkable alternative to open surgical procedures for renal and ureteric stones for reasons of lesser operative time and complications, shorter convalescence and hospital stay though lower incidence of stone-free rates were noted. We recognize that further endourological advancements will eventually yield even more better results in future.
Authors and Affiliations
Dr. Mohd Javed Banday, Dr Kulbir Singh Jat
Keywords
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- EP ID EP580429
- DOI 10.9790/0853-1702050713.
- Views 52
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