ROLE OF MINI PCNL IN THE TREATMENT OF RENAL AND UPPER URETERIC CALCULUS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 3
Abstract
BACKGROUND In this article we describe our institutional experience with mini PCNL, in particular the indications, results and the complications of this method. MATERIALS AND METHODS It is a prospective observational study. We prospectively reviewed the outcomes of 54 patients who underwent mini-PCNL in our institute from January 2018 to November 2018. Mean age was 47.2 years and mean stone size was 18.4 mm. Hydronephrosis and/or hydroureterosis appeared in all patients. In the prone position, percutaneous access (18-Fr Amplatz sheath) was established by placement of an access needle into the intended calyx under fluoroscopic guidance with single step dilatation. Pneumatic lithotripter was used for fragmentation. The ureteral stents and nephrostomy tube were placed at the end of the procedure in all patients. Mean drop in haemoglobin, transfusion rate, operative time, success rate, hospital stay, and complications were assessed. RESULTS Mini-PCNL operations were performed successfully in all patients. Mean operation time was 48.4 min. Mean postoperative hospital stay was 54 hours. No major complications like haemorrhage, perforation or organ injury was noted during the operation or postoperatively. The stone-free rate in upper ureteric calculi was 100% and for renal calculi it was 93.1% and for both it was 100%. Hydronephrosis and hydroureterosis disappeared or were relieved and mean haemoglobin drop was 0.8%. CONCLUSION Mini-PCNL is a safe and effective therapy for proximal ureteral stones and renal calculi up to 2 cms and multiple calyceal calculi.
Authors and Affiliations
Rama Murthy N. , Sasi Kumar J. , Rahul Tej P. , Srinivas B. , Swapnil B. , Anil Reddy Y.
Keywords
Related Articles
- EP ID EP553095
- DOI 10.14260/jemds/2019/37
- Views 88
- Downloads 0
VISCERAL LEISHMANIASIS IN A NON-ENDEMIC REGION OF INDIA- INVESTIGATION OF AN OUTBREAK
BACKGROUND Visceral Leishmaniasis (VL) is seen commonly in eastern parts of India, while occurrences of cutaneous forms of the disease have been reported recently from Western Ghats of southern India. The clinical manife...
UTERINE RUPTURE WITH SIMULTANEOUS BLADDER RUPTURE - A CASE REPORT
Uterine rupture in pregnancy is a rare and often a catastrophic complication with a high risk of fetal and maternal morbidity and mortality. Uterine rupture associated with urinary bladder rupture is a rare but a cha...
CYTOLOGICAL EVALUATION OF METASTATIC MELANOMA- A SERIES OF 3 CASES
BACKGROUND Malignant melanoma is an aggressive tumour with a propensity to metastasize. We report a series of 3 cases, which presented with lymphadenopathy and cytological diagnosis of metastatic melanoma was made based...
CADAVERIC STUDY ON THIRD HEAD OF BICEPS BRACHII- INCIDENCE IN THE SOUTH INDIAN POPULATION
BACKGROUND Biceps brachii belongs to the flexor group of muscle in the arm. It is the only flexor of the arm which crosses the shoulder and the elbow joint. It has two heads long and short head which originates from the...
STUDY OF OCULAR INJURIES IN ROAD TRAFFIC ACCIDENT PATIENTS
BACKGROUND The purpose of the study is to analyse the ocular manifestations in Road Traffic Accidents (RTA) and to find the incidence of ocular injury in RTA and causes of decreased vision related to RTA. The study was c...